1 / 16

AMERICAN HEART ASSOCIATION

AMERICAN HEART ASSOCIATION. AMERICAN HEART ASSOCIATION. CHANGES IN THE 2010 GUIDELINES AFFECTING ALL RESCUERS. AMERICAN HEART ASSOCIATION: 2010 GUIDELINES. Health Care Provider* “PUSH HARD AND PUSH FAST” At least 100 COMPRESSIONS / MINUTE*

ismet
Download Presentation

AMERICAN HEART ASSOCIATION

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. AMERICAN HEART ASSOCIATION AMERICAN HEART ASSOCIATION CHANGES IN THE 2010 GUIDELINES AFFECTING ALL RESCUERS

  2. AMERICAN HEART ASSOCIATION:2010 GUIDELINES Health Care Provider* • “PUSH HARD AND PUSH FAST” • At least 100 COMPRESSIONS / MINUTE* • Allow the chest to recoil -- equal compression and relaxation times • <10 seconds for pulse checks or rescue breaths • Compression Depth* • Adults 2” • Child/Infant 1/3 depth of chest 1.5" infant 2" child • Avoid excessive ventilations

  3. AMERICAN HEART ASSOCIATION:2010 GUIDELINES • A-B-C changed to C-A-B* • Critical element is chest compressions • Delay in A-B • Avoidance of A & B • Early defib • If alone--call and retrieve AED • Exception asphyxial arrest

  4. AMERICAN HEART ASSOCIATION:2010 GUIDELINES Cricoid pressure not recommended Advanced airway = 1 every 6-8 seconds Adult: 1 every 5-6 Peds: 1 every 3 With advanced airway- no pause

  5. Dispatcher Identification • SCA = seizure & agonal gasps • Trained to ID – ask if breathing is normal • Only gasping??? • Provide CPR instructions

  6. AMERICAN HEART ASSOCIATION:2010 GUIDELINES AHA ECC Adult Chain of Survival - New

  7. AMERICAN HEART ASSOCIATION:2010 GUIDELINES • Lay Rescuer – Hands-only CPR (untrained vs trained) • Easier • Guided by dispatchers • SR are same

  8. AMERICAN HEART ASSOCIATION:2010 GUIDELINES Simplified Universal BLS algorithm

  9. AMERICAN HEART ASSOCIATION:2010 GUIDELINES Electrical Therapies • Shock first vs CPR first • No precordial thump • CPR devices – no data for • AED in hospital (goal to shock =< 3 mins) • Use in infants (with or without attenuator)

  10. AMERICAN HEART ASSOCIATION:2010 GUIDELINES ACLS • Simplified algorithm • Optimized CPR quality with monitoring • Waveform capnography(>12 mmHg) • Atropine deleted (PEA/Asystole) • Chronotropic drugs for brady, then pacing • Adenosine safe for monomorphic wide tachs • Post-cardiac arrest

  11. AMERICAN HEART ASSOCIATION CAPNOGRAPHY

  12. AMERICAN HEART ASSOCIATION:2010 GUIDELINES Post-Cardiac Arrest – ROSC • Therapeutic Hypothermia • Remain comatose • 32-34 degree C (all ages) (89.6-93.2 F) • 12-24 hours • PCI • O2 sat ≥94% & PETCO 35-40

  13. AMERICAN HEART ASSOCIATION:2010 GUIDELINES Special Resuscitation Situations • Asthma • Anaphylaxis • Pregnancy • Morbid obesity • PE • Electrolyte imbalance • Toxins • Hypothermia • Avalanche • Drowning • Electric shock/lightening • PCI • Cardiac tamponade • Cardiac surgery

  14. AMERICAN HEART ASSOCIATION:2010 GUIDELINES Acute Coronary Syndromes • Out of hospital 12-lead • Triage to PCI • Oxygen – > 94 % is the goal (capno) • Morphine – use with caution in UA/non-STEMI

  15. AMERICAN HEART ASSOCIATION:2010 GUIDELINES Stroke • Stroke-prepared hospitals • Triage to stroke centers • TPA up to 4.5 hours

  16. AMERICAN HEART ASSOCIATION:2010 GUIDELINES Learning to Mastery • New CPR Prompts devices • Online training: http://www.onlineaha.org/ • Instructor network http://ahainstructornetwork.americanheart.org/AHAECC/ecc.jsp?pid=ahaecc.signin&_requestid=133687

More Related