Secretary Aragon comes out in support of shared-use agreement bill

Oklahoma's Secretary of Veterans Affiars, Gen. Rita Aragon, authored a column in today's Tulsa World in support of clarifying liability laws as they relate to shared-use agreements.

Shared-use schools can help battle obesity

by: RITA ARAGON
Friday, November 11, 2011

As a proud member of our nation's military, enlisting in the Oklahoma Air National Guard in 1979, and as a volunteer for the American Heart Association, I am deeply concerned about the obesity epidemic facing America's young people.

Recently, an organization of retired senior military leaders issued a report warning Congress that obesity had become so severe in the United States that it was hampering military recruiting. At least 9 million 17- to 24-year-olds are too fat to serve in the military.

Otherwise excellent candidates are repeatedly turned away by military recruiters because they are too fat to fight.
Within a 10-year period ending in 2008, the number of states with 40 percent or more of their young adults overweight or obese went from just one state - Kentucky - to 39 states.

You can read the rest of the article here. http://www.tulsaworld.com/opinion/article.aspx?subjectid=65&articleid=20111111_65_A19_CUTLIN699086
 

AHA Statement on passing of Senator Myers

The AHA joined with members from the Smoke-Free Oklahoma Coalition in releasing a statement about the passing of Senator Myers. Senator David Myers passed away Thursday from a lung infection. He served as our legislative champion in the Senate for smoke-free legislation and will be greatly missed.

 Health organizations saddened by loss of Senator David Myers

The State of Oklahoma has lost a great champion with the passing of Sen. David Myers.

The Republican from Ponca City died on Thursday. He was a strong supporter of issues related to tobacco control in Oklahoma.

“It will be hard to fill the gap left by Sen. Myers’ passing,” said Marilyn Davidson, government relations director for the American Heart Association. “He recently stated that passing smoke-free legislation was going to be a main priority for him during his last three years in office. He was a true treasure.”

The coalition of the American Heart Association, American Lung Association and American Cancer Society partnered regularly with Myers on health-related issues, especially those related to fighting tobacco.

“This is a great loss to Oklahoma. He felt a tremendous personal mission to pass legislation to protect all Oklahomans from secondhand smoke,” said Pat Marshall, Legislative and Government Relations Director for the American Cancer Society.

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Strokes Are Scary: Reduce Your Risk today!

Stroke is the leading cause of disability and the third leading cause of death in the United States. A stroke can not only be devastating it can be SCARY. That’s why it’s important to reduce your risks.


Smoking cigarettes and exposure to secondhand smoke greatly increases your risk of stroke and is one of the biggest risk factors that you CAN control. Consider these facts from the CDC:

• Cigarette smoking approximately doubles a person's risk for stroke.
• The U.S. incidence of stroke is estimated at 600,000 cases per year, and the one-year fatality rate is about 30%. (p. 393)
• The risk of stroke decreases steadily after smoking cessation. Former smokers have the same stroke risk as nonsmokers after 5 to 15 years.
• About 60 percent of American children ages 4-11 are exposed to secondhand smoke at home.
• On average, smokers die 13 to 14 years earlier than nonsmokers.

One way we can improve our environment in Oklahoma is to ask lawmakers to pass a law allowing cities to go 100% smoke-free. I know Strokes Are Scary but contacting your lawmaker isn’t. Sign up to be a You’re the Cure advocate today! Go to www.yourethecure.org

Strokes Are Scary: But they don’t have to be

If you look at the statistics they will scare you. Heart disease and stroke, the first and third leading causes of death for men and women, are among the most widespread and costly health problems facing our nation today, yet they also are among the most preventable. Cardiovascular diseases, including heart disease and stroke, account for more than one-third (33.6%) of all U.S. deaths.


795,000 strokes occur each year in the United States costing taxpayers $53.9 billion.

Having a stroke can be a life-changing event. Being prepared to prevent, respond to, and recover from all types of public health threats requires that states and localities have the right tools and knowledge available to them. Public health strategies and policies that support healthy living, encourage healthy environments, and promote a quality system of care are vital to improving the public's health and saving lives.

Don’t be scared! Become a You’re the Cure advocate and contact your lawmaker today! Find out how here http://www.yourethecure.org/

September is Childhood Obesity Awareness Month

It's September already and like every year we are celebrating Childhood Obesity Awareness month. I wanted to take this time to share an editorial from the Oklahoman that was written by fellow childhood obesity advocate and AHA volunteer Amber England about the importance of taking action this legislative session.

You can find the link below.
http://newsok.com/children-deserve-oklahoma-legislators-best-effort/article/3600216#ixzz1WoSr1EXR

Tobacco Use and Academic Achievement

Data presented from the 2009 National Youth Risk Behavior Survey (YRBS) show a negative association between tobacco use and academic achievement after controlling for sex, race/ethnicity, and grade level. This means that students with higher grades are less likely to engage in tobacco use behaviors than their classmates with lower grades, and students who do not engage in tobacco use behaviors receive higher grades than their classmates who do engage in tobacco use behaviors.


Please click here to read the full report.

It's CPR Awareness Week!

June 1-7 is National CPR and AED Awareness Week. The American Heart Association believes that everyone should be trained in CPR because simply put CPR + AEDs = Saved Lives.


One strategy that is becoming more popular is to incorporate CPR training with school curriculum. CPR training in Oklahoma schools makes perfect sense if we want to prepare students for health emergencies. They can learn how to recognize cases of sudden cardiac arrest and be prepared to save lives.

Please consider these facts:
-About 5,920 children 18 years old and under suffer out-of-hospital cardiac arrest each year from all causes -- including trauma, cardiovascular causes and sudden infant death syndrome.
-Less than 8 percent of people who suffer cardiac arrest outside the hospital survive to make it home from the hospital.
-Sudden cardiac arrest can happen to anyone at any time. Many victims appear healthy with no known heart disease or other risk factors.
-Effective bystander CPR, provided immediately after sudden cardiac arrest, can double or triple a victim's chance of survival.

Please log on to http://www.yourethecure.org/ and contact your lawmaker today to tell them we need CPR training in our schools.

Oklahoma lands at the bottom of the list of healthiest U.S. cities.

The annual American Fitness Index, from the American College of Sports Medicine, was released this week and puts Oklahoma at the bottom of the list of healthiest U.S.cities. Reasons for our poor showing include obesity rates, the percentage of people who exercise and availability of parks and walking trails. The American Heart Association is currently working with lawmakers to pass a law that would limit liability for schools that choose to open their recreational facilities to the communities. This will hopefully encourage communities to take advantage of those facilities as a cheap and easy way to get exercise.

"Right now in so many places, there are many barriers to being physically active. We need to make changes across the country that will make physical activity the easy choice, the convenient choice."


You can view an Oklahoma specific report here: http://americanfitnessindex.org/docs/reports/oklahomacity.pdf

For more information, visit americanfitnessindex.org.

Push for Healthier School Meals

U.S. News and World Report recently published an article about the fight to improve nutrition standards in our schools. It gave some great insight into the fight going on at both the national and state levels to fix the problem of childhood obesity. The American Heart Association is also working to address nutrition standards in our schools.

You can read the full article below:

http://health.usnews.com/health-news/managing-your-healthcare/policy/articles/2011/05/13/us-pushes-school-cafeterias-toward-healthier-offerings?PageNr=1

Advocates and Lawmakers Go Red For Women at the State Capitol

On Thursday, May 5th participants came from all around the state to the AHA’s annual Go Red for Women event at the State Capitol to visit with lawmakers and raise awareness of the effects of Heart Disease and Stroke on women, especially in the state.

Oklahoma Lt. Governor, Todd Lamb, stopped by the visit with the women and show his support for the cause. We were also honored to have General Rita Aragon, the first female Oklahoma Secretary of Veterans Affairs in attendance to advocate for our cause.
In 2007, Oklahoma had the 4th highest death rate from cardiovascular disease in the country. With a family history of heart disease, Sen. Eason McIntyre encouraged Oklahomans, especially those in the black community, to take control of their health. Sen. Johnson, was the 2008 national Ambassador for the Power to End Stroke Awareness Campaign.

The AHA kicks off its nationwide campaign with Wear Red Day each year on the first Friday in February. Being that the state Legislature is not in session then Oklahoma affiliates hold their Capitol event during Mother’s Day week.

 

Advocate Tip! Take 2 to Save 2

May is American Stroke Month and you can help raise awareness about the signs and symptoms of stroke- and ways to prevent this devastating disease. The Power to End Stroke campaign encourages you to Take 2 to Save 2. Whether you send an email, make a phone call, tweet, or post to Facebook, you can help deliver an important message to your loved ones this month, that just might save a life. Visit powertoendstroke.org/take2 to send your messages today!

CDC Report Released on Children's Food Environment in our State

This week the Centers for Disease Control and Prevention will release a new state indicator report titled, “Children’s Food Environment State Indicator Report – United States, 2011.”  This report provides state-level data on behavioral, policy and environmental indicators related to access to healthy foods in child-centered settings (i.e., schools, communities and child care centers).  

You can read the full report here: http://www.cdc.gov/obesity/downloads/ChildrensFoodEnvironment.pdf

Below is a statement from AHA CEO Nancy Brown highlighting  what states can do to help increase access to healthy food. 

American Heart Association CEO Nancy Brown says CDC Report on Children’s Food Environment Underscores Need for Strong Public PoliciesApril 26, 2011
Our nation’s youth face major roadblocks to good health with easy access to calorie-laden snacks, sugary beverages and other unhealthy foods in their schools and communities. With about 1 out of every 6 children in the U.S. considered obese, we are condemning our kids to a bleak future of premature health problems such as type-2 diabetes, high cholesterol, high blood pressure and other risk factors for heart disease. The CDC Report: Children’s Food Environment State Indicator Report is a painful reminder that many children continue to lack access to fruits, vegetables and nutritious food close to home. We must place a greater emphasis on making healthier food choices more accessible and affordable, particularly for families living in food deserts where the nearest supermarket could be miles away and for those surrounded by fast food restaurants or corner stores with less healthy offerings.
Parents, schools, child-care facilities and communities have the potential to improve the health of young people by providing the tools they need to learn lifelong healthy behaviors. By strengthening nutrition standards in schools, pre-schools and day care settings, we can help limit kids’ exposure to unhealthy options. We must also support measures to reduce sodium and eliminate trans fat in the food supply, increase community and school gardens, reduce children’s exposure to marketing and advertising of unhealthy foods and require calorie information to be displayed on menus and menu boards in all restaurants.
Strong public policies and community programs to increase access to healthy foods will help children develop heart-healthy eating habits that could significantly reduce childhood obesity rates across the country.

FDA releases guidance on water and milk in schools

Today the U.S. Food and Drug Administration released their guidance documents on water availability during School Lunch Meal Service and nutrition guidelines for milk served at schools. Part of the Healthy, Hunger-Free Kids Act passed by Congress included requirements relating to milk and water and this is the FDA's recommendation to schools on implimentating that. 

Below is a summary of both of those recommendations.

Water availability in school:


• Free water must be made readily available to children during lunch.

• Schools are given flexibility in how to implement this change. The memo reads: “For example, schools can offer water pitchers and cups on lunch tables, a water fountain, or a faucet that allows students to fill their own bottles or cups with drinking water.”

• Water is not considered part of the reimbursable meal. However, reasonable costs from providing water will be considered an allowable cost to the nonprofit food service account.

Nutrition Requirements for Fluid Milk

• Schools should offer children at least two choices of fluid milk that are either fat-free or low-fat (1 percent).

• Schools may continue to offer plain or flavored milk as long as they are fat-free or low-fat until the new proposed school meals rule goes into effect.

Even though local school districts have until the start of next school year (SY 2011-2012) to comply with the requirements, they are encouraging school officials and food service directors to start making these changes now. Implementing these changes quickly is key to making the Healthy, Hunger-Free Kids Act a success.

How can you as an advocate support your school in this process?
• Workwith school wellness councils to raise awareness of these new requirements and the timetable for making changes

• Collaborate with community stakeholders and the media to build awareness and excitement about these nutritional improvements

• Supporteducation and dialogue for school staff, students, and parents promoting the acceptance and understanding of the health benefits of lower-fat milk and the availability of water

• Connectschools with best practice information on education materials, curriculum, and advice on lessons learned from the implementation of similar requirements

For updates on legislation in Oklahoma dealing with child nutrition please visit http://www.yourethecure.org/ and become an adovcate today!

County Health Rankings are Out

The Robert Wood Johnson Foundation recently released the 2011 County Health Rankings (www.countyhealthrankings.org). The Rankings rank nearly every county in every state in the nation on their overall health. Counties are ranked on health factors such as adult smoking and adult obesity as well as health outcomes such as premature death and low birthweight.

You can access our state data by clicking on the map at this site: http://www.countyhealthrankings.org/

Congratulations to Woods county for being ranked #1!

American Heart Association CEO Nancy Brown Applauds Benefits of Affordable Care Act for Heart Disease and Stroke Patients One Year Later

Washington, DC (March 17, 2011) - One year after the enactment of the Affordable Care Act, prospects for a healthier future have improved dramatically for millions of heart disease and stroke patients. As a result of reforms implemented over the last year, patients now have more options and protections for attaining quality, affordable health care. For example, preventive services have become a reality for many families and Medicare beneficiaries. Lifetime limits on coverage are now banned. Children with medical conditions can no longer be denied coverage and no American can be dropped from their coverage simply because they become sick. Annual wellness visits are now available for Medicare beneficiaries and prescription drugs are more affordable for many on Medicare. New Pre-Existing Condition Insurance Plans also allow patients who have been denied coverage due to their medical condition to receive insurance coverage for a wide range of benefits including physician’s services, hospital care and prescription drugs. Although these plans may not be a feasible option for everyone, they are a pathway to insurance coverage for patients who cannot access coverage in the individual insurance market.
For those who need help navigating complex insurance issues, the new Consumer Assistance Programs (CAP) offer help to consumers who have problems with their coverage. Under the law, 30 states have received funding to implement the CAP programs which can be a useful resource for individuals who need insurance assistance. In addition, all young adults including those with congenital heart disease and other chronic conditions can continue to receive necessary treatment under their parents’ plan until age 26. These protections have already improved the health insurance marketplace for many Americans and more options will be made available as other reforms take effect in the coming years. With medical expenses for heart disease and stroke expected to triple by 2020, it’s more important than ever to implement reforms that provide access to affordable care for patients.
The anniversary of the Affordable Care Act should be a reminder of how far we’ve come in overhauling a broken health care system that too often doesn’t meet the needs of patients with heart disease or stroke. Let’s build on these accomplishments and continue to help all Americans gain access to quality, affordable care in their communities.
Visit www.heartsforhealthcare.org and http://www.healthcare.gov/.
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Surgeon General's Report reveals what we already know....tobacco kills!

The U.S. Surgeon General released a report today on the dangers of tobacco use. You can read the American Heart Association's statement on the report below. For a look at the full report go here: http://www.surgeongeneral.gov/library/tobaccosmoke/index.html

American Heart Association CEO Nancy Brown says U.S. Surgeon General Report Stresses Importance of Cessation Strategies to Reduce Tobacco’s Deadly Toll


Washington, DC (December 9, 2010) - The U.S. Surgeon General’s report, “How Tobacco Smoke Causes Disease,” sheds new light on the damaging effects of tobacco use on the health of all Americans. This comprehensive scientific report shows that even brief exposure to tobacco smoke can trigger acute cardiac events and potential sudden death. The evidence clearly states that tobacco products are lethal weapons capable of shortening the lifespan of smokers and nonsmokers alike. However, tobacco companies will stop at nothing to addict a new generation of smokers. They are ramping up efforts to fight regulations that restrict marketing campaigns and the sale of cigarettes and smokeless tobacco products and designing new cigarettes to make them more addictive. This report provides more ammunition to fight their deceptive and deadly campaign.

We strongly believe the findings will support implementation of new federal tobacco regulations, including the development of graphic warning labels for cigarette packages. We also urge state officials to fund smoking prevention and cessation programs at CDC recommended levels, enact strong smoke-free policies and boost tobacco excise taxes. Policymakers must not allow complacency to rule in the fight against tobacco. Bold, aggressive measures are needed to save lives, reduce the burden of disease and improve quality of life.

To view the full report visit www.surgeongeneral.gov/library/tobaccosmoke/index.html.

Renewed effort to restore local rights regarding tobacco

Recently newsok.com published an Op-Ed from Oklahoma's Commissioner of Health, Terry Cline, about the need to restore local rights to communities when passing tobacco policies. You can read it below.
BY TERRY CLINE Oklahoman 3

Published: November 21, 2010

Did you know that because of tobacco industry tactics in Oklahoma, the community where you live does not have the ability to adopt and enforce effective tobacco prevention ordinances?

AdvertisementIn 1987 and 1994, tobacco industry lobbyists at the state Capitol were successful in advocating for special clauses to be placed in state tobacco laws that took away the rights of Oklahoma communities to enact any tobacco-related ordinance stronger than state law.

Oklahoma is one of only two states with these stringent restrictions on tobacco issues. This means your community leaders cannot respond to local needs to develop tobacco prevention ordinances that would improve and protect the health of citizens, compete for new businesses and new residents, and create a healthier work force.

This year, restoring these essential local rights to communities is a legislative priority of the Oklahoma Health Improvement Plan, the State Turning Point Council and the Oklahoma Municipal League. Also in strong support are dozens of other major organizations including the American Heart Association, American Cancer Society, American Lung Association, Oklahoma State Medical Association, Oklahoma Institute for Child Advocacy, and Blue Cross/Blue Shield of Oklahoma.

The measure has been formally endorsed by the State Board of Health, as well as the city-county boards of health for Tulsa and Oklahoma City. Restoring local rights on tobacco prevention policies would allow the opportunity for you and other citizens to engage in a meaningful local dialogue to help determine what's best for your community.

The only organizations that oppose this measure are tobacco companies or those closely affiliated with the tobacco industry. An argument offered by one major convenience store chain is that restoring local rights will place burdens and hardships on their stores. However, this same business, with stores in eight other states, operates almost entirely where there are no restrictions placed on local rights. Their arguments simply do not hold water. Internal industry documents prove that tobacco lobbyists and their partners are only trying to block local action and maintain all control over tobacco issues at the state level.

There is overwhelming scientific evidence that improving the health of workers results in better fiscal health for employers. A growing number of Oklahoma communities and local chambers of commerce believe economic development through a healthier work force is vital to their continued growth. Reducing tobacco use among workers generates ongoing financial returns from reduced health care costs, increased on-the-job productivity, reduced health insurance costs and reduced absenteeism.

Oklahomans are known for our independence, yet we've allowed an industry to take away our local rights for their own profit. If you believe control of these issues should be at the local level rather than only at the state level, then now is the time to tell your legislators you want these key local rights restored.

Cline is Oklahoma's health commissioner.

Read more: http://newsok.com/renewed-effort-to-restore-local-rights-regarding-tobacco/article/3516127#ixzz16DzJZk4L

Let's step up to the plate and improve school meals

By: Dr. Robert DiBianco
Posted: Nov 09, 2010

Excess weight is commonplace in our society, and it's damaging the health of our kids who are eating more and exercising less. They're getting so large, that they're outgrowing age-appropriate clothing and are at times unable to fit comfortably in classroom chairs. With childhood obesity nowranked as one of the most prominent health concerns in the U.S., we have to address the issue promptly or we risk not being able to reverse this dangerous trend.



As a cardiologist, all too often I see the medical consequences of being obese. Increasingly youngsters now require daily medications to reduce the growing risk of vascular disease produced by obesity. Medications and diagnoses that used to be reserved for adults are now being used in children of younger and younger ages. The rampant rise in risk associated with high blood pressure, cholesterol, triglycerides and "so-called" adult onset (type-2) diabetes are translating into more heart disease, at younger ages. What's more, the psychological and emotional problems associated with obesity compromise the "joy of life" of many kids and reduce their ability to learn and excel in school.



The statistics are frightening. Childhood obesity rates have more than quadrupled in the last 30 years going from four percent to nearly 20 percent in 2008. And obesity-related diseases cost nearly $168.4 billion a year or 16.5 percent of national spending on medical care —a growing price tag this country simply cannot afford. Fewer children are taking part in simple physical activities such as swimming, bike riding or even walking for short distances. Sedentary behavior coupled with access to high-calorie foods and beverages in school cafeterias and vending machines only exacerbate the problem.



A new study from researchers at the University of Illinois found that calorie-rich beverages, particularly high fat milk, are still widely available in schools. This is in contrast to the recommendations of the Institute of Medicine which urges elementary schools to offer only water, 100 percent juice in 4 ounce servings, and one percent skim milk products outside the school meal program. The bottom line is that students have easy access to high-calorie beverages in environments where they spend most of their day. More emphasis must be placed on initiatives to remove sugar-sweetened beverages from schools and teach youngsters how to eat sensibly and stay active.



Thanks to a landmark agreement between the beverage industry and the Alliance for a Healthier Generation, a non-profit organization founded by the American Heart Association and William J. Clinton Foundation, we're making progress. There has been an 88 percent decrease in total beverage calories shipped to schools between the first half of the 2004-05 and 2009-10 school years. This is a step in the right direction, but it's only one step. Now there's an opportunity for Congress to strengthen standards for most schools in the country.



Comprehensive nutrition education and increased opportunities for physical activity in schools have proven successful in preventing and reducing obesity. But in order to build a healthy and productive future for kids, our nation's leaders must step up to the plate and pass the Healthy, Hunger-Free Kids Act. This legislation, which has already been approved by the U.S. Senate, is currently awaiting a vote in the U.S. House of Representatives. The measure would help strike out childhood obesity by improving the nutritional quality of school meals, removing junk food and calorie-rich drinks from vending machines and strengthening school wellness policies. Not only will these provisions help boost children's health, but research shows that kids who are introduced to healthy foods and physical activity early in life have a greater chance of adopting healthy behaviors into adulthood. Healthy, active kids also learn more effectively and achieve more academically.



The promise of today's youth is in our hands and we must band together to ensure swift passage of the Healthy Hunger-Free Kids Act. The U.S. Senate has already passed the measure, so the U.S. House of Representatives has the opportunity to send the bill to the President when Congress reconvenes this month. As children continue to weigh in at alarming levels, let's tip the scales in favor of initiatives that will get them back in shape and make the school environment a place that promotes healthy lifestyles with physical as well as academic rewards.



To learn more, visit www.heart.org/obesitypolicyor follow us on Twitter @AmHeartAdvocacy.



About the Author



Robert DiBianco, MD

American Heart Association spokesperson and practicing cardiologist. Dr. DiBianco is in a cardiology group practice in suburban Washington DC.



www.heart.org

Help The AHA Win $200,000 By Clicking TODAY

Help us receive $200,000 in funding! If you haven’t already, all you have to do is join Members Project®, and cast a vote for us each week. After November 30th, Members Project will tally the votes and announce the winners for the voting round. We want to be a part of that list. Vote today and every week for the American Heart Association!


To join Members Project and/or cast your votes, go to: http://www.takepart.com/membersproject

AHA Releases New CPR Guidelines

A new order for CPR, spelled C-A-B


Please find an electronic press kit that includes a stats/fact sheet, chart of key changes, steps of CPR, CPR graphic and survivor stories at this link: http://www.pimsmultimedia.com/AHA_CPR/.



Statement Highlights:

When administering CPR, immediate chest compressions should be done first.

Untrained lay people are urged to administer Hands-Only CPR (chest compressions only).

DALLAS, Oct. 18, 2010 — The American Heart Association is re-arranging the ABCs of cardiopulmonary resuscitation (CPR) in its 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care, published in Circulation: Journal of the American Heart Association.

Recommending that chest compressions be the first step for lay and professional rescuers to revive victims of sudden cardiac arrest, the association said the A-B-Cs (Airway-Breathing-Compressions) of CPR should now be changed to C-A-B (Compressions-Airway-Breathing).

“For more than 40 years, CPR training has emphasized the ABCs of CPR, which instructed people to open a victim’s airway by tilting their head back, pinching the nose and breathing into the victim’s mouth, and only then giving chest compressions,” said Michael Sayre, M.D., co-author of the guidelines and chairman of the American Heart Association’s Emergency Cardiovascular Care (ECC) Committee. “This approach was causing significant delays in starting chest compressions, which are essential for keeping oxygen-rich blood circulating through the body. Changing the sequence from A-B-C to C-A-B for adults and children allows all rescuers to begin chest compressions right away.”

In previous guidelines, the association recommended looking, listening and feeling for normal breathing before starting CPR. Now, compressions should be started immediately on anyone who is unresponsive and not breathing normally.

All victims in cardiac arrest need chest compressions. In the first few minutes of a cardiac arrest, victims will have oxygen remaining in their lungs and bloodstream, so starting CPR with chest compressions can pump that blood to the victim’s brain and heart sooner. Research shows that rescuers who started CPR with opening the airway took 30 critical seconds longer to begin chest compressions than rescuers who began CPR with chest compressions.

The change in the CPR sequence applies to adults, children and infants, but excludes newborns.

Other recommendations, based mainly on research published since the last AHA resuscitation guidelines in 2005:

During CPR, rescuers should give chest compressions a little faster, at a rate of at least 100 times a minute.

Rescuers should push deeper on the chest, compressing at least two inches in adults and children and 1.5 inches in infants.

Between each compression, rescuers should avoid leaning on the chest to allow it to return to its starting position.

Rescuers should avoid stopping chest compressions and avoid excessive ventilation.

All 9-1-1 centers should assertively provide instructions over the telephone to get chest compressions started when cardiac arrest is suspected.

“Sudden cardiac arrest claims hundreds of thousands of lives every year in the United States, and the American Heart Association’s guidelines have been used to train millions of people in lifesaving techniques,” said Ralph Sacco, M.D., president of the American Heart Association. “Despite our success, the research behind the guidelines is telling us that more people need to do CPR to treat victims of sudden cardiac arrest, and that the quality of CPR matters, whether it’s given by a professional or non-professional rescuer.”

Since 2008, the American Heart Association has recommended that untrained bystanders use Hands-Only CPR — CPR without breaths — for an adult victim who suddenly collapses. The steps to Hands-Only CPR are simple: call 9-1-1 and push hard and fast on the center of the chest until professional help or an AED arrives.

Key guidelines recommendations for healthcare professionals:

Effective teamwork techniques should be learned and practiced regularly.

Professional rescuers should use quantitative waveform capnography — the monitoring and measuring of carbon dioxide output — to confirm intubation and monitor CPR quality.

Therapeutic hypothermia, or cooling, should be part of an overall interdisciplinary system of care after resuscitation from cardiac arrest.

Atropine is no longer recommended for routine use in managing and treating pulseless electrical activity (PEA) or asystole.

Pediatric advanced life support (PALS) guidelines provide new information about resuscitating infants and children with certain congenital heart diseases and pulmonary hypertension, and emphasize organizing care around two-minute periods of uninterrupted CPR.

The CPR and ECC guidelines are science-based recommendations for treating cardiovascular emergencies — particularly sudden cardiac arrest in adults, children, infants and newborns. The American Heart Association established the first resuscitation guidelines in 1966.

The year 2010 marks the 50th anniversary of Kouwenhoven, Jude, and Knickerbocker’s landmark study documenting cardiac arrest survival after chest compressions.

A complete list of authors is on the manuscript.

Statements and conclusions of study authors that are presented at American Heart Association scientific meetings are solely those of the study authors and do not necessarily reflect association policy or position. The association makes no representation or warranty as to their accuracy most manufacturers and other companies) also make donations and fund specific association programs and events. The association has strict policies to prevent these relationships from influencing the science content. Revenues from pharmaceutical and device corporations are available at www.americanheart.org/corporatefunding.


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