Welcome to CPR – First Aid
The History of CPR
With all of the information available today, it is interesting to note that the recommendations for mouth to mouth resuscitation, can be traced back to the 1700′s, by the Paris Academy of Sciences. It was specifically recommended for drowning victims. In 1903 the first successful use of cardiac massage is documented as being performed by Dr. Friedrich Maass.
As the years progressed, so did the methods of Cardio Pulmonary Resuscitation. The purpose of CPR, is to maintain a certain degree of blood flow in a person, that has suffered either respiratory arrest (stopped breathing), or cardiac arrest (heart stopped beating). While CPR will keep a reasonable amount of blood flowing through the body, in an effort to prevent brain damage, caused by lack of oxygen, it rarely will stimulate a heart that is no longer beating.
In the mid 1900′s artificial respiration was used as a help for drowning victims. Placing the victim on their stomach, with the head turned and the hands under their body, the person performing artificial respiration would kneel at the persons head, and compress the body just below the rib cage. This was followed by grasping the elbows and pulling them toward the patients head. This was done repeatedly, at a rate of fourteen to sixteen times per minute. It did in fact prove successful in some instances.
As CPR evolved, chest compressions on the breast bone accompanied by mouth to mouth resuscitation became the preferred method. The technique has changed over the years with pros and cons about every part of the procedure. The American Heart Association has set standards for training and for the procedure itself. The only valid way of preventing brain damage is to start CPR within seven minutes of the arrest.
Later it was discovered that compressions below the rib cage, in the abdominal area, may be just as effective and prevent potential damage to the ribs. This is still debatable but is being used in some instances. Medicine and the techniques performed are in a constant evolution and will continue to change as time goes by.
Adult victims need to be compressed with the heels of two hands, while children should be compressed with one hand and babies with two fingers. The rate of compression is, at this time, the same. It should be at least 100 times per minute. The use of mouth to mouth is not practiced as widely as it was in the past. Civilians who did not have resus masks were hesitant to give mouth to mouth to complete strangers, for fear of disease. The fact that compressions without mouth to mouth, have proven effective if properly administered, has proven to be an asset. The method of compressions without mouth to mouth is called cardiocerebral resuscitation or CCR.
The University of Arizona’s Heart Center has stated that the compression only method has a 300% greater success rate, than the former compression plus mouth to mouth. Still if CPR is started immediately after a victims heart stops, or he quits breathing, the rate of success is much greater than if someone is found and CPR is begun at a later time.
CPR or CCR classes are available in many places. The American Heart Association, the American Red Cross and many local public safety organizations provide the classes to the community. Classes are also available online.
This website is dedicated to CPR and First Aid
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