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The American Safety & Health Institute (ASHI) has released new support materials for Instructors and students to reflect recent changes in guidelines calling for compression-only CPR in the event of a witnessed adult collapse in an out-of-hospital setting. On March 31, 2008, the American Heart Association amended and clarified guidelines for bystanders who witness an adult out-of-hospital sudden cardiac arrest. The AHA released an advisory calling for compression-only CPR by untrained responders or those who are not confident in performing conventional CPR, which combines chest compressions and rescue breaths. The AHA science advisory, “Hands-Only (Compression-Only) Cardiopulmonary Resuscitation: A Call to Action for Bystander Response to Adults Who Experience Out-of-Hospital Sudden Cardiac Arrest” was published in the March 31, 2008, edition of the journal Circulation.