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Dr K K Aggarwal

Hands-only CPR Guidelines

By Dr K K Aggarwal
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  1. Bystanders should initiate compression-only CPR 10.
  2. Chest compression should be done at the rate of 100–120 per minute (updated from “at least” 100 per minute).
  3. Compression depth should be 2–2.5 inches (upper limit added) but no more than 6 cm.
  4. Compression time should be maximized.
  5. After each compression allow the chest to recoil completely and minimize interruptions in compressions.
  6. Feedback devices may be used to optimize compression rate and depth.
  7. The bystander who is trained and able should assess the collapsed victim rapidly to determine if the victim is unresponsive and not breathing normally and then immediately alert the emergency services.
  8. The victim who is unresponsive and not breathing normally is in cardiac arrest and requires CPR.
  9. The emergency medical dispatcher plays an important role in the early diagnosis of cardiac arrest, the provision of dispatcher-assisted CPR (also known as telephone CPR), and the location and dispatch of an AED.
  10. Social media may be used to summon rescuers to perform CPR.
  11. Bystanders and emergency medical dispatchers should be suspicious of cardiac arrest in any patient presenting with seizures and should carefully assess whether the victim is breathing normally.
  12. CPR providers should perform chest compressions for all victims in cardiac arrest.
  13. CPR providers trained and able to perform rescue breaths should combine chest compressions and rescue breaths.
  14. High-quality CPR remains essential to improving outcomes.
  15. When providing rescue breaths/ventilations spend approximately 1 s inflating the chest with sufficient volume to ensure the chest rises visibly. The ratio of chest compressions to ventilations remains 30:2.
  16. Do not interrupt chest compressions for more than 10 s to provide ventilations.
  17. Defibrillation within 3-5 min of collapse can produce survival rates as high as 50-70 %. Early defibrillation can be achieved through CPR providers using public access and on-site AEDs. Public access AED programmes should be actively implemented in public places that have a high density of citizens.
  18. The adult CPR sequence can be used safely in children who are unresponsive and not breathing normally. Chest compression depths in children should be at least one third of the depth of the chest (for infants 4 cm, for children 5 cm).
  19. A foreign body causing severe airway obstruction is a medical emergency and requires prompt treatment with back blows and, if that fails to relieve the obstruction, abdominal thrusts. If the victim becomes unresponsive CPR should be started immediately whilst help is summoned.

In cardiac arrest CPR 10 should be started within 10 minutes of death, earlier the better, and should be continued for more than 10 minutes, said Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India, Dr. Aggarwal was conducting CPR 10 camps at Shri Rama Bharti Public School and Bal Bharti Public School at Bahadur Garh.

As per modern science and also ancient Vedic literature, life can be brought back within 48 minutes after the heart has stopped functioning.

The message for public is to start compressing the chest of the deceased victim with a speed of 100 per minute till medical help arrives. Effective and prolonged resuscitation is the key.

Over 2000 school children were trained in CPR Camp.

About HCFI : The only National Not for profit NGO, on whose mega community health education events, Govt. of India has released two National commemorative stamps and one cancellation stamp, and who has conducted one to one training on” Hands only CPR” of 50118 people since 1st November 2012.

The CPR 10 Mantra is – “within 10 minutes of death, earlier the better; at least for the next 10 minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10×10 i.e. 100 per minute.”

Paste CPR mantra in every notice board of schools

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Conducting a Hands Only Hands on CPR 10 camp at St. Froebel Public School, Paschim Vihar, Padma Shri & Dr. B C Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India & National Vice President Elect IMA, said that origin of CPR in our country goes back to our mythology when Savitri saved Satyavan as the first person in the history of mankind.

Over 1000 school children were trained on the spot.

Dr. Aggarwal said that the CPR mantra “within 10 minutes of death (earlier the better), at least for the next 10 minutes (longer the better – upto 25 minutes in adults and 35 minutes in children), compress the centre of the chest of the victim effectively and continuously with a speed of 10×10 i.e. 100 per minutes” should be pasted in every school and college wall. He said that all security persons, PCR vans should be taught Hands Only CPR because they are the first ones to arrive whenever there is a incidence of sudden death. Dr. Aggarwal said that CPR technique should be incorporated in the school syllabus.

About HCFI : The only National Not for profit NGO, on whose mega community health education events, Govt. of India has released two National commemorative stamps and one cancellation stamp, and who has conducted one to one training on” Hands only CPR” of 26098 people since 1st November 2012.