Cardiopulmonary resuscitation – would you do it?
AbstractThe use of cardiopulmonary resuscitation or CPR as it is better known, as a means of prolonging life in a pulseless and non-breathing person, has almost universally been accepted as sacrosanct in the practice of medicine. Mouthto-mouth ventilation was first recommended by the National Research Council of USA in 1957 1 and the first reported out-of-hospital resuscitation took place in 1960.1 It has been reported that survival rates and hospital discharge of up to 43% can be achieved when CPR is started within 3 to 4 minutes.1 Also, the combination of CPR with immediate on-site defibrillation may achieve survival rates as great as 70%.1 In Malaysia, CPR is taught to medical personnel, trainees, first-aiders, lifeguards and the police as well as the navy. The Malaysian Clinical Practice Guidelines on Acute Myocardial Infarction (AMI)2 strongly urged the teaching of CPR to the general public. The authors wrote “About 30% of deaths due to AMI occur within the first hour; 60% of deaths occur outside the hospital. Thus the general public and the family of patients with CHD should learn cardiopulmonary resuscitation and basic life support.” (copied from article)
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