House Calls

FAL 2018

House Calls Magazine is a quarterly publication that focuses on health and wellness. It includes a wide assortment of articles with topics on the latest health and wellness information, nutrition, safety, lifestyles, and more.

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h o u s e c a l l s { fall 2018 } 33 HANDS-ONLY CPR BASICS IF YOU SEE AN UNRESPONSIVE PERSON: ❶ Call 911. ❷ Be sure the person is lying flat on his or her back on a firm surface. ❸ Put the heel of one hand in the center of the chest and the other hand on top of the first, interlacing fingers. ❹ With stiff arms, push down hard and fast— compressions should be straight down at least two inches and at a pace of 100 to 120 per minute (one every half second). ❺ Don't stop until help arrives. traditional CPR. "Hands-Only CPR is easy to learn and easy to teach and replicate." Whereas a full CPR certification class might include 15 people learning over three hours, Hands-Only CPR simplifies the process and can be taught in just a few minutes. To get the word out, the AHA's campaign ads feature celebrities like actress Wendi McLendon-Covey and comedian Ken Jeong in humorous skits that highlight a serious message. And the method's simplicity has helped the effort gain traction—in 2016, then-Governor Nikki Haley signed legislation mandating that all South Carolina high-school students receive Hands-Only CPR training. Already, lives are being saved. Locally, in 2016, of 369 resuscitation attempts after cardiac arrest, 32.9 percent were performed by bystanders before emergency personnel arrived, explains registered nurse Roberta Patrick, EMS Clinical Manager for Emergency Services at RSFH and coordinator of the Roper St. Francis Healthcare HeartSave AED program (see left). That proportion rose to 35.3 in 2017, though it's still below the national bystander response rate of 46 percent. Staying Alive: How to Administer Hands-Only CPR When you see someone who is unresponsive, pat the person firmly and ask him or her if they can hear you. If you don't receive a reply, immediately call 911 and then begin Hands-Only CPR. "They could be unresponsive for any reason—electrical shock, drowning, cardiac arrest. If they don't respond, start CPR," says Tsehlana. To perform Hands-Only CPR, place the heel of one hand in the center of the chest and place your other hand on top, then interlock your fingers and position your shoulders directly over the victim's chest. Compress downward—hard and fast—at a rhythm of 100 to 120 beats per minute. A steady rhythm is important— The Bee Gees' "Stayin' Alive" and Queen's "Another One Bites the Dust" are good ways to set the pace that will also help you focus while your adrenaline is pumping. If you tire, trade off with someone else, but don't stop giving compressions until an AED or professional help arrives. What about the risk of breaking a victim's ribs during compressions? "You've got to go deep enough to actually move blood through the heart," says Tsehlana. "People can survive a fracture, but they can't survive their heart not pumping." Most importantly, believe in your abilities and remember that any attempt at CPR is better than no attempt at all. Every person whose heart stops deserves a shot at survival, and you may be his or her best chance. "If you have a cardiac event, it's likely going to be at home.We want people to be confident and ready to jump into action." —TARA TSEHLANA Visit heart.org/handsonlycpr to find a short instructional video illustrating how to perform Hands-Only CPR. Tara Tsehlana

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