Hands-Only (Compression-Only) CPR to Out-of-Hospital Sudden Cardiac Arrest

Compression only CPR from Sun YaiCheng

Hands-Only (Compression-Only) Cardiopulmonary Resuscitation: A Call to Action for Bystander Response to Adults Who Experience Out-of-Hospital Sudden Cardiac Arrest Circulation. 2008;117:2162-2167 Recommendations and Call to Action

1. If a bystander is not trained in CPR , then the bystander should provide hands-only CPR (Class IIa).
2. If a bystander was previously trained in CPR and is confident in his or her ability to provide rescue breaths with minimal interruptions in chest compressions, then the bystander should provide either conventional CPR using a 30:2 compression-to-ventilation ratio (Class IIa) or hands-only CPR (Class IIa).
3. If the bystander was previously trained in CPR but is not confident in his or her ability to provide conventional CPR including high-quality chest compressions (ie, compressions of adequate rate and depth with minimal interruptions) with rescue breaths, then the bystander should give hands-only CPR (Class IIa).

The rescuer should continue CPR until an AED arrives and is ready for use or EMS providers take over care of the victim.