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[148] [155] Bystanders more commonly administer CPR when in public than when at the person's home, although health care professionals are responsible for more than half of out-of-hospital resuscitation attempts. [149] People with no connection to the person are more likely to perform CPR than are a member of their family. [156]
At the onset of clinical death, consciousness is lost within several seconds, and in dogs, measurable brain activity has been measured to stop within 20 to 40 seconds. [2] Irregular gasping may occur during this early time period, and is sometimes mistaken by rescuers as a sign that CPR is not necessary. [ 3 ]
According to the American Heart Association, out-of-hospital cardiac arrest can affect more than 300,000 people in the United States each year. [5] Three minutes after the onset of cardiac arrest, a lack of blood flow starts to damage the brain, and 10 minutes after, the chances of survival are low. [6]
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Basic life support (BLS) is a level of medical care which is used for patients with life-threatening condition of cardiac arrest until they can be given full medical care by advanced life support providers (paramedics, nurses, physicians or any trained general personnel).
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By 1966, CPR was being taught to laypeople as well as professionals, but with disappointing results. Fewer than 50% of people were able to pass a CPR performance evaluation three months after receiving standardized training in CPR, and the results of cardiac resuscitation attempts initiated outside of hospitals were dismal. [52]