Resuscitation
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Chest compressions during cardiopulmonary resuscitation (CPR) increase arterial and venous pressures, delivering simultaneous bidirectional high-pressure compression waves to the brain. We hypothesized that this may be detrimental and could be partially overcome by elevation of the head during CPR. ⋯ The HUP position in both C-CPR and ACD+ITD CPR significantly improved CerPP. This simple maneuver has the potential to improve neurological outcomes after cardiac arrest.
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Telephone CPR (T-CPR) has significant variations in time from call receipt to first compression, with reported delays of up to five minutes. Ireland's National Ambulance Service (NAS) uses T-CPR based on standard AMPDS questions; we aimed to identify the time to first compression and the times needed for question blocks. Ireland has a low survival rate from out-of-hospital cardiac arrest, (6% in 2013). ⋯ Many callers are willing to attempt T-CPR but the questioning/instruction process causes significant delays. A focused, brief questioning process is required.