The fear to make it " mouth-to-mouth" should not be anymore a brake to carry aid to a person in cardiac stop: a simple cardiac massage. without artificial breathing. would give as much survival luck as the global technique of resuscitation cardiorespiratoire (RCR).
It is what takes out again the analysis of the 11 275 cases of crises or cardiac fibrillations occurred out of the hospitable environment in Sweden, of 1990 to 2005.
Thus, insofar as the ambulance took less than eight minutes to arrive, the rates of survival, one month after the cardiac stop, were of 7,2% for those having received the RCR, and of 6,7% for those having had manual thoracic compressions only. A difference that is not meaningful, according to the researchers.
To act quickly
The efficiency of the thoracic massage without mouth-to-mouth would be especially attributable to the speed of intervention following a cardiac stop, according to the authors of the survey.
" The data show the predominant importance to start the thoracic compressions quickly and to maintain them until the arrival of the help", write-ils1.
Rate of survival according to the time of answer of the ambulance
Time of answer
Standard RCR
Massage of the heart only
Of 0 to 8 minutes
11,5%
9,5% *
More than 8 minutes
2,7%
1,8% *
* Non meaningful differences, according to the researchers,
One estimates that every minute that goes by without aid decreases from 7% to 10% the odds of survival of the victim. Inversely, a fast intervention increases these odds of 30 %2.
The respondents to the service of emergency 9-1-1 should guide the intervening party so that he/it executes the cardiac massage quickly when the situation requires it, recommend the researchers.
Since a few more of one year, to Quebec, all person formed to this effect can use an automated external défibrillateur (DEA). More and more public places are endowed besides with this device that increases the odds of survival of a person in cardiac stop.
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