A stepwise, algorithmic approach that lets any bystander give a cardiac-arrest victim the best possible chance of survival outside the hospital.
The cardiopulmonary resuscitation (CPR) guidelines of Compression-Only Life Support (COLS) for management of the victim with cardiopulmonary arrest in adults provide a stepwise algorithmic approach for optimal outcome of the victim outside the hospital by untrained laypersons. These guidelines have been developed to recommend practical, uniform and acceptable resuscitation algorithms across India. As resuscitation data of the Indian population are inadequate, these guidelines have been based on international literature.
The guidelines have been recommended after discussion among Indian experts and the recommendations modified to ensure their practical applicability across the country. COLS emphasises early recognition of cardiac arrest and activation, early chest compression and early transfer to a medical facility. The guidelines emphasise avoidance of any interruption of chest compression, and thus rely primarily on chest-compression-only CPR by laypersons.
Spot cardiac arrest — unresponsive and not breathing normally — and activate help immediately.
Deliver high-quality chest compressions with no interruptions, no mouth-to-mouth required.
Keep compressions going until the victim reaches a medical facility.
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Indian Resuscitation Council Federation