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Abstract

Cardiac arrests occurring outside of a healthcare setting are the leading cause of death in our country. More than 240,000 people in the United States experience out of hospital cardiac arrests (OHCA) each year. According to the U.S. Health and Human Services (USHHS), of those experiencing OHCA, only 38.2% have cardiopulmonary resuscitation (CPR) performed by bystanders before emergency personnel arrive. In order to increase the rate of bystander CPR and consequently reduce OHCA mortality, the USHHS developed the Healthy People 2020 (and now 2030) objectives to find ?strategies to increase bystanders? willingness to do CPR?. One possible strategy would be to focus on the reasons why people are not performing CPR and tailor a population-specific curriculum. Another strategy would be to promote education of a curriculum that is brief and widely available. The author proposes that compression-only CPR can achieve both of these goals. In this paper, we will look at the origins of CPR and its role in cardiac arrest. We will look at the data to expose the problems associated with low bystander CPR. We will look at compression-only CPR as a possible solution to this problem and compare it to traditional CPR. We will conclude our discussion by looking at current efforts promoting compression-only CPR and how we can use the current tools we have to achieve the goals set out by the HP 2030 objective.

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