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Dr Mukesh Goel, Senior Consultant Cardiothoracic and Heart and Lung Transplant Surgery of Indraprastha Apollo Hospitals, New Delhi, said hands-only CPR, also known as compression-only CPR, refers to cardiopulmonary resuscitation performed without rescue breaths. It basically involves giving continuous chest compressions to a person who has suffered a sudden cardiac arrest.

Hands-only CPR is crucial because it helps maintain blood flow and oxygen supply to vital organs, including the brain, during an out-of-hospital cardiac arrest.

According to Dr Goel, the importance of hands-only CPR lies in its simplicity and ease of administration, even by bystanders with no formal training in CPR. “It eliminates the need for mouth-to-mouth ventilation, which can be a barrier for some people, and it has been shown to improve survival rates in certain situations. Hands-only CPR is recommended for adult victims of sudden cardiac arrest when the bystander is not trained in conventional CPR or is unwilling to perform rescue breaths,” he explained in an interaction.

How does one perform hands-only CPR?

• When the victim is unresponsive and not breathing normally, call emergency services and activate the emergency response system. And then, position the victim on their back on a firm, flat surface.
• Next, kneel beside the victim and place the heel of one hand on the center of the victim’s chest, with the other hand on top. Keeping your arms straight, position your body directly over the victim’s chest.
• Begin chest compressions by pushing hard and fast, compressing the chest at least 2 inches deep at a rate of 100-120 compressions per minute. Allow the chest to recoil completely between compressions.
• Continue uninterrupted chest compressions until emergency medical services arrive or the victim shows signs of regaining consciousness and starts breathing normally.

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