updates in 2015 aha's cpr ecc
TRANSCRIPT
Dr. Habib Md Reazaul KarimMBBS, MD, DNB, IDCCM
Chain of survival 2010 (what we know)
2015Modified to system specificDifferent for IHCADifferent for OHCA
System-specific Chains of Survival.
Steven L. Kronick et al. Circulation. 2015;132:S397-S413
Copyright © American Heart Association, Inc. All rights reserved.
Chain of Survival - IHCA
Surveillance- RRT / EMT (for prevention)
Some updates / changes
Use social media- to summon rescuers to perform CPR to a suspected OHCA victim
Untrained bystanders should perform compression-only CPR on OHCA victims
“Dispatch-guided CPR”
BLS Healthcare Provider Adult Cardiac Arrest Algorithm—2015 Update.
Monica E. Kleinman et al. Circulation. 2015;132:S414-S435
Copyright © American Heart Association, Inc. All rights reserved.
Some updates / changesHCPs are encouraged to simultaneously perform
steps, like checking for breathing and pulse
Upper limit of Compressions rate 120 per minute and depth of 2.4 inches
Advanced airway- Breath 10/min
Adult Cardiac Arrest Algorithm―2015 Update.
Mark S. Link et al. Circulation. 2015;132:S444-S464
Copyright © American Heart Association, Inc. All rights reserved.
Some updates / changesFor witnessed adult cardiac arrest when an AED is
immediately available, it is reasonable that the defibrillator be used as soon as possible
It may be reasonable to immediately resume chest compressions after shock delivery without a pause for a rhythm check
Use of Naloxone in suspected opioids overdose patients
Updates- Post arrest care
Regionalization of Care
Coronary Angio – As early as possible
TTM- 32 to 36 degree C