Salisbury Press

Friday, January 24, 2020

CPR for those who may be squeamish

Wednesday, March 27, 2013 by FRED CICETTI Special to The Press in Focus

Q. I'd like to be able to do CPR, but I'm squeamish about doing mouth-to-mouth on a stranger. Any suggestions?

There is an emergency technique called "Hands-Only CPR." This is Cardiopulmonary Resuscitation (CPR) without mouth-to-mouth breaths.

It consists of two easy steps: Call 911 and push hard and fast in the center of the victim's chest. That means 100 per minute uninterrupted compressions until paramedics arrive.

The University of Arizona College of Medicine offers a video about the technique at:

This form of CPR is recommended by the American Heart Association (AHA) for helping anyone who is a teenager or older. It is used when a person collapses and is not in a medical-care facility.

There are occasions when you should use CPR with breaths, according to the AHA. These include:

Infants (up to age 1);

Children (up to puberty);

Anyone unconscious and not breathing normally; and

Victims of drowning, drug overdose, collapse because of breathing problems, or prolonged cardiac arrest.

If you use the hands-only version of CPR in these circumstances, it is better than being a passive bystander.

When teens or adults collapse with cardiac arrest, they usually have enough oxygen in their lungs and blood for the first several minutes after the collapse.

The oxygen will keep vital organs healthy as long as someone uses chest compressions to pump blood to the heart and brain.

An unaided victim of cardiac arrest will die in five to 10 minutes.

The chest compressions should have minimal interruptions. Stopping compressions to give mouth-to-mouth breaths may bring some additional oxygen into the lungs, but the benefit of that oxygen can be offset if you stop the blood flow to the brain and heart muscle.

CPR training courses that include skills practice will teach you Hands-Only CPR. You can learn more at:

Order "How to be a Healthy Geezer," a 218-page compilation of published "Healthy Geezer" columns, at:

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© 2013 Fred Cicetti