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IAC (Interposed Abdominal Compression) CPR

United States

IAC stands for interposed abdominal compression. IAC-CPR includes all the steps of conventional external cardiopulmonary resuscitation (CPR) with the addition of interposed abdominal compressions by a second or third rescuer, applied in counterpoint to the rhythm of chest compression. Pulses of central abdominal pressure are applied with overlapping hands just headward of the umbilicus alternating with chest compressions. Scattered early reports published between 1957 and 1980 hinted at the virtue of abdominal binding and abdominal compression in the resuscitation of children and animals from cardiac arrest. In the decade of the 1980s extensive studies in animals and in electronic models suggested a rough doubling of systemic blood flow when interposed abdominal compressions were added to otherwise standard CPR. In the 1990s randomized clinical trials involving several hundred patients showed a doubling of immediate resuscitation success and longer-term survival with IAC-CPR, compared to standard CPR. American Heart Association committees on emergency cardiovascular care are currently evaluating, IAC-CPR in evidence-based reviews of national Guidelines for both basic and advanced life support.


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  The IAC-CPR Homepage! Here you can find up-to-date and factual information on a potentially beneficial adjunct to CPR.

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