Gill McCulloch
1 min readApr 27, 2024

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Hello Professor Miller,

Thank you for your comment. I agree that performing CPR on older adults is more complicated, but I disagree that it does more harm than good.

Performing CPR on older people can result in broken ribs or sternum, even when done correctly with good technique. Complications caused by broken ribs and sternum include internal bleeding, damaged airways, collapsed lungs, and cuts to the liver and spleen.

However, despite these possible complications, unless there is a DNR (Do Not Resuscitate) order in place, you should attempt CPR if the person is unconscious and not breathing.

Without normal blood flow, the brain lacks oxygen. Brain damage can begin within 4-6 minutes. CPR circulates blood to the vital organs and buys the person time until medical help arrives. Broken bones and collapsed lungs can be fixed in the hospital. I hope you would agree that it's better to have a fractured rib than be dead.

I appreciate you reading and commenting on this article.

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Gill McCulloch
Gill McCulloch

Written by Gill McCulloch

I write about first aid, subjects that move me deeply and situations that make me laugh. Founder, Safe + Sound First Aid Training Ltd. gillnmcculloch@gmail.com

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