Failure to rescue a subject sustaining 'Sudden Cardiac Arrest' is a significant public health issue: A vast majority of these events occur outside the hospital setting, and are known as "Out of Hospital Cardiac Arrests (OHCA)".
Brain Death sets in within 4-6 minutes without blood circulation; restoring blood flow during the precious first few minutes before an ambulance arrives is a matter of life or death...Time is Brain!
With an estimated survival of less than 10%, OHCA remains one of India's leading causes of death. Raising community awareness and training lay public in rescuing a person sustaining OHCA is known as Bystander Cardiopulmonary Resuscitation (Bystander CPR).
Since it is sufficient to perform CPR using hands only, without mouth-to-mouth breaths, on a teen or adult who suddenly collapses. This is also known as Hands-Only CPR (HOCPR).
A recent study (meta-analysis & systematic review- Critical Care, 2020;24:61) showed that the outcomes of OHCA have improved over the last 40 years; but the benefit is largely to those receiving bystander CPR.
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