30:2 Cardiopulmonary Resuscitation Might Outperform Continuous Compressions in Out-of-Hospital Cardiac Arrest

Done correctly, the 30:2 strategy might be associated with a survival benefit over continuous compressions.

For patients without advanced airways who undergo cardiopulmonary resuscitation (CPR), the American Heart Association (AHA) recommends a pause after every 30 chest compressions to give 2 breaths (i.e., 30:2 strategy). However, continuous chest compressions (CCC) with asynchronous breaths usually are used. To examine whether adherence to either of these CPR strategies is associated with improved outcomes, researchers used observational data from a large registry and several clinical trials. This study included only adults with out-of-hospital cardiac arrest and >2 minutes of recorded electrocardiographic files from on-scene defibrillators for whom the intended strategy (30:2 or CCC) was known.

Adherence to the intended strategy — determined b…

Reviewing Author

Benton R. Hunter, MD

Disclosures

Leadership Positions in Professional SocietiesSociety for Academic Emergency Medicine (Chair, Evidence Based Healthcare Interest Group)

Benton R. Hunter, MD

Disclosures

Leadership Positions in Professional SocietiesSociety for Academic Emergency Medicine (Chair, Evidence Based Healthcare Interest Group)

30:2 Cardiopulmonary Resuscitation Might Outperform Continuous Compressions in Out-of-Hospital Cardiac Arrest

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Reviewing Author