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CHEST COMPRESSION ONLY CPR, IS IT THAT SIMPLE?
The effectiveness of chest-compression-only CPR (CCO-CPR) has been disputed (
) . The authors of this study feel that the immediate priority for bystanders should be to establish an open airway (in order to prevent asphyxial cardiac arrest, and facilitate agonal respirations during CCO-CPR). They go on to suggest that head rotation rather than the standard backward tilt would be superior in enabling maintenance of the patent airway. The authors also evaluated the effectiveness of abdominal-compression-only CPR (ACO-CPR) for bystanders, and suggest that this method (together with airway control as above) may be more effective than rescue breathing and standard chest compression CPR.
NON-INVASIVE CVP MONITORING
The Central Venous Pressure (CVP) is considered a complex but often necessary way of monitoring the haemodynamics of a patient. There may be a role for non-invasive CVP monitoring (
) , using a mercury-in-silastic strain gauge on the forearm to measure volume changes. Sophia sees the potential of this in the prehospital setting, to allow a rapid assessment of volume status without any of …
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