CPR 2010

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Presentation Transcript

CPR 2010 changes : 


50 years of CPR : 

50 years of CPR Cardoipulmonary resuscitation is a series of life saving actions that improve the chances of survival following cardiac arrest. 1960, Kouwenhoven, Knickerbocker and Jude documented 14 patients who survived cardiac arrest with the application of closed cardiac massage. Maryland medical society introduced chest compressions and rescue breathing. First monophasic waveform defibrillation 1962 First CPR guidelines 1966

ethics : 

ethics Terminating resuscitative efforts BLS

Slide 4: 

Termination of cpr ALS

Chain of survival : 

Chain of survival 2005 2010

Basic life support : 

Basic life support No look, listen, feel Chest compressions – atleast 2 inches CAB sequence Rescuer specific cpr strategy Untrained: Hands only cpr

CAB sequence : 

CAB sequence Emphasis on chest compressions over ventilations Rescue breathing takes time whereas chest compressions can be started immediately. Beginning with 30 compressions rather than 2 ventilations l/t shorter delays.

Slide 9: 

High quality cpr Focus on high quality cpr Depth to atleast 2 inches Team work: Integrated team of trained rescuers Building of team Assigning work to every member Perform work simultaneously rather rhan sequentially.

Hands only cpr : 

Hands only cpr Only chest compressions for lay persons Outcomes similar to conventional cpr Can overcome panic and hesitation to act Interval to which hands only cpr is acceptable is not known at present In pediatric patients (arrest d/t asphyxia) conventional cpr is better.

Advanced airway : 

Advanced airway Earlier time to advanced airway associated with longer survival.(<12 min of arrest preferable) Endotracheal intubation or supraglottic airway Less (<10 sec) or no interruption of chest compression while placing advanced airway Conformation of placement with EtCO2 or esophageal detector device. Continuous waveform capnography is preferable

Advanced cardiac life support : 

Advanced cardiac life support Continuous waveform capnography is recommended Atropine no longer recommended in PEA Chronotrophic drug infusions used as alternative to pacing. Advanced airway: includes supraglottic airway devices, capnography.

Slide 13: 

No Atropine

Slide 17: 

Thank you

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