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Review Article



Cardiopulmonary Resuscitation (CPR)

Nabil Naser, Nura Hadziomerovic.




Abstract

Background: Cardiopulmonary resuscitation (CPR) is an emergency procedure to establish and maintain breathing and circulation to a person who has stopped breathing (respiratory arrest) and/or whose heart has stopped (cardiac arrest). Objective: The goal of performing cardiopulmonary resuscitation is to en-sure the flow of oxygen and blood to the brain and other vital organs, which seeks to preserve primarily brain function and the function of other vital organs. The aim of this technique is to save lives. Basic life support (BLS) is the backbone of effective resuscitation after cardiorespiratory arrest. The goal is to maintain adequate ventilation and circulation until the underlying acute cause of the failure can be elimi-nated, it should be emphasized that 3-4 minutes without adequate perfusion will lead to irreversible cere-bral damage. Methods: This paper contains description of the most important aspects of CPR which are mandatory to know and to use by health care employees or bystander response to cardiac arrest. Results and discussion: Resuscitation measures must be carried out until the recovery of the endangered patient or until the appearance of certain signs of death. Studies have shown that survival decreases by 10-15% for every minute of cardiac arrest without CPR. CPR that was initiated within minutes of the onset of cardiac arrest has been shown to increase survival rates 2 to 3-fold and improve neurological outcome after 1 month. The latest recommendations for cardiopulmonary resuscitation - CPR were published on October 15, 2015 by the European Resuscitation Council (ERC) and the American Society of Cardiology (AHA) based on the consensus conference of ILCOR (International Liaison Committee on Resuscita-tion–formed in 1993) held in Dallas in February 2015. Conclusion: Cardiac arrest and CPR knowledge are crucial to improve the response to and survival of cardiac arrest patients in public and hospital settings. High-quality CPR is associated with improved survival of cardiac arrest. Our focus should be on raising the awareness for CPR programs and optimal organization in academic settings and in the community.

Key words: Cardiopulmonary Resuscitation (CPR), Sudden Cardiac Death, Sudden Cardiac Arrest (SCA), Acute Coronary Syndrome (ACS), Cardiac defibrillation (DC).






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