Are there situations when “cough CPR” is appropriate?
This coughing technique to maintain blood flow during brief arrhythmias has been useful in the hospital, particularly during cardiac catheterization. In such cases the patient’s ECG is monitored continuously, and a physician is present. During cardiac catheterization, patients may develop sudden arrhythmias. If a life-threatening arrhythmia is detected within the first 10 to 15 seconds and before the patient loses consciousness, a physician or nurse may tell the patient to cough. Repeated, forceful coughing can help the person stay conscious until the arrhythmia disappears or is treated. Therefore, the usefulness of “cough CPR” is generally limited to monitored patients with a witnessed arrest in the hospital setting. AHA Recommendation The best strategy is to be aware of the early warning signs for heart attack and cardiac arrest and respond to them by calling 9-1-1. If you’re driving alone and you start having severe chest pain or discomfort that starts to spread into your arm and up