Please use this identifier to cite or link to this item:
Title: Compression-only cardiopulmonary resuscitation in improving bystanders' cardiopulmonary resuscitation performance: A literature review
Authors: Min Ko R.J.
Wu V.X. 
Lim S.H.
San Tam W.W. 
Liaw S.Y. 
Keywords: cardiac arrest
first responders
prehospital care
resuscitation, effectiveness
Issue Date: 2016
Publisher: BMJ Publishing Group
Citation: Min Ko R.J., Wu V.X., Lim S.H., San Tam W.W., Liaw S.Y. (2016). Compression-only cardiopulmonary resuscitation in improving bystanders' cardiopulmonary resuscitation performance: A literature review. Emergency Medicine Journal 33 (12) : 882-888. ScholarBank@NUS Repository.
Abstract: Background Compression-only cardiopulmonary resuscitation (CPR) has been advocated as a preferable approach for bystanders in an out-of-hospital cardiac arrest (OHCA) event as it has been associated with an increased chance of survival. The elimination of mouth-to-mouth ventilation also addresses some of the barriers to performing CPR. The aim of this study is to undertake a literature review investigating the effectiveness of compression-only CPR in improving rescuers' CPR performance when compared with standard CPR. Methods A literature search was conducted in the following databases: Cumulative Index to Nursing and Allied Health Literature, Science Direct, Scopus and PubMed from January 2003 to January 2014, to include research studies that compared compression-only CPR with standard CPR on participants above the age of 21, and reported quality of CPR performance as the primary outcome. Findings Of the 3004 articles retrieved, 16 met the inclusion criteria. The reviewed studies revealed that compression-only CPR requires a shorter time to initiate CPR and delivers a higher number of total compressions. The depth of compressions in compression-only CPR performed may be shallower than that of standard CPR due to greater rescuer fatigue. It therefore remains inconclusive if compression-only CPR can deliver a higher number of adequate compressions over extended periods of time. It is also unclear if simplified CPR can improve skill retention level in the long run. Conclusions More studies are needed to determine whether compression-only CPR can indeed help improve rescuers' CPR performance. Future research efforts, together with resuscitation policy and practice implications, are needed to further improve rescuers' CPR performance with the ultimate goal to enhance OHCA survival rates. � Published by the BMJ Publishing Group Limited.
Source Title: Emergency Medicine Journal
ISSN: 14720205
DOI: 10.1136/emermed-2015-204771
Appears in Collections:Elements
Staff Publications

Show full item record
Files in This Item:
File Description SizeFormatAccess SettingsVersion 
Lit_review_full_draft_12_Nov_2015_cleaned.docx47.95 kBMicrosoft Word XML




checked on Jul 20, 2019


checked on Dec 31, 2018

Page view(s)

checked on Jul 19, 2019


checked on Jul 19, 2019

Google ScholarTM



Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.