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01.08.2012 | Leitthema | Ausgabe 6/2012

Notfall +  Rettungsmedizin 6/2012

Chest compression-only CPR

Is it the better choice?

Notfall + Rettungsmedizin > Ausgabe 6/2012
M.D. Dr. R.W. Koster



The literature related to the rationale of cardiopulmonary resuscitation (CPR) including chest compressions combined with ventilations or compression-only CPR without ventilations is reviewed.


The conclusion is that the evidence in favor of compression-only CPR is of limited level of evidence and does not convincingly support the superiority of compressions without ventilations, nor does it prove its non-inferiority. Theoretical and practical considerations favor continued education in the combined application of chest compressions and ventilations with a compression:ventilation ratio of 30:2.


Compression-only CPR should be recommended only if the rescuer is not willing or able to deliver mouth-to-mouth ventilation or when CPR is instructed by the dispatcher to untrained rescuers by telephone. For all other circumstances, trained rescuers should combine chest compressions with ventilations.

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