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I have not notice a thing other than it not being done correctly... I don't know if the outcomes have been any different. It would be nice to see some stats on it but it has not been that long since they were changed so I don't know how good they would be anyways. That and most of the public that does do cpr before responders reach the scene don't know about the changes and are just doing cpr as they learned it 20 years ago in highschool anyways.....