New guidelines out Monday switch up the steps for CPR, telling rescuers to start with hard, fast chest presses before giving mouth-to-mouth.The change puts “the simplest step first” for traditional CPR, said Dr. Michael Sayre, co-author of the guidelines issued by the American Heart Association.New guidelines out Monday switch up the steps for CPR, telling rescuers to start with hard, fast chest presses before giving mouth-to-mouth.

The change puts “the simplest step first” for traditional CPR, said Dr. Michael Sayre, co-author of the guidelines issued by the American Heart Association.In recent years, CPR guidance has been revised to put more emphasis on chest pushes for sudden cardiac arrest. In 2008, the heart group said untrained bystanders or those unwilling to do rescue breaths could do hands-only CPR until paramedics arrive or a defibrillator is used to restore a normal heart beat.Now, the group says everyone from professionals to bystanders who use standard CPR should begin with chest compressions instead of opening the victim’s airway and breathing into their mouth first.

The change ditches the old ABC training — airway-breathing-compressions. That called for rescuers to give two breaths first, then alternate with 30 presses.

In recent years, CPR guidance has been revised to put more emphasis on chest pushes for sudden cardiac arrest. In 2008, the heart group said untrained bystanders or those unwilling to do rescue breaths could do hands-only CPR until paramedics arrive or a defibrillator is used to restore a normal heart beat. Now, the group says everyone from professionals to bystanders who use standard CPR should begin with chest compressions instead of opening the victim’s airway and breathing into their mouth first.

The change ditches the old ABC training — airway-breathing-compressions. That called for rescuers to give two breaths first, then alternate with 30 presses.