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TC & Instructor Updates 2005

TC & Instructor Updates 2005. ECC Impact Goal. Upcoming Developments. ACLS. Recently Released: ACLS Arrythmias & Their Treatment reference card, PDA (7-04) Prehospital ACLS Anywhere (9-04) Continuing Ed for ACLS-EP (see Instructor website) Coming Soon:

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TC & Instructor Updates 2005

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  1. TC & InstructorUpdates 2005

  2. ECC Impact Goal

  3. Upcoming Developments

  4. ACLS • Recently Released: • ACLS Arrythmias & Their Treatment reference card, PDA (7-04) • Prehospital ACLS Anywhere (9-04) • Continuing Ed for ACLS-EP (see Instructor website) • Coming Soon: • ACLS Acute Coronary Syndromes reference card, PDA format

  5. PALS • Recently Released: • PALS pocket reference, PDA (available through AACN virtual bookstore) • Coming Soon: • PALS e-learning (2005)

  6. BLS ~ Coming Soon • Pediatric First Aid • credentialed AND non-credentialed versions • HeartsaverAED Anywhere • CD-based (like ACLS Anywhere) • Online Key Manager for BLS Healthcare Provider Online Renewal Course • Looking into Heartsaver First Aid with CPR/AED Online

  7. Guidelines 2005

  8. ILCOR Consensus on Science PublicationNov 2005 Product RolloutsBEGIN 1 – BLS 2 – ACLS 3 – PALS 4 – ACLS-EP ILCOR Sept 2004 Budapest ILCOR Oct 2002 Firenze Timeline ILCOR Sep 2003 Brazil AHA ECC April 2005 ECCU Sept 2004  2003 2004 2005 2006 2007 ECC ILCOR Mar 2003 Dallas ECCU May 2006 ECC ILCOR Mar 2004 Dallas AHA Guidelines Publication Dec 2005 Consensus Conference January 2005 (Dallas)

  9. Timeline Highlights • November 2005 Circulation: the CoSTR summary of science • December 2005 Circulation: AHA’s Guidelines for CPR & ECC (±100 pgs) • January 2006 Currents: summary of changes, applications to courses

  10. Timeline Highlights, cont. • Product/program releases First: BLS Healthcare Provider Next: Remaining BLS Then: ACLS (except EP) Then: PALS Last: ACLS-EP • NO products will be released until ALL portions are complete

  11. A note on ECCU 2006: • ECCU 2006 will not be a major roll out of information as it was in 2000 • The introduction of guideline changes, information and products will be handled differently for the 2005 guidelines • Additional information will be shared as it is confirmed

  12. Hot Topics Being Discussed for Guidelines 2005 This information represents some of the debates at evidence evaluation conferences The topics require significant debate and are NOT yet decided NO changes should be made to instruction, skills or courses

  13. Predictions by Dr. Peter Morley:Interventions That COULD Change in Guidelines 2005(Source: ECCU 2004) This information represents some of the debates at evidence evaluation conferences The topics require significant debate and are NOT yet decided NO changes should be made to instruction, skills or courses

  14. Compression:Ventilation Ratios • Reluctance to perform mouth-to-mouth • Decreased requirements for vents. during Cardiac Arrest • Desire to simplify BLS has led to major reevaluation of this issue • Includes eval of no-ventilation CPR • The topic requires significant debate and is NOT yet decided • NO changes should be made to instruction, skills or courses

  15. CPR Before Defibrillation? • Importance of defibrillation is well known • Attention to improvement of metabolic state may increase likelihood of defib success • Studies show that coarsening waveform through CPR improves outcomes • Increase of both amplitude & frequency of waveform have been researched • The topic requires significant debate and is NOT yet decided • NO changes should be made to instruction, skills or courses

  16. Biphasic Defibrillators • Biphasic have replaced monophasic defibrillators for number of reasons. • Now, what are: • Optimal waveforms? • Optimal energy levels? • Strategies for sequential shocks? • The topic requires significant debate and is NOT yet decided • NO changes should be made to instruction, skills or courses

  17. Induced Hypothermia • Appears to be acceptable adjunct to post-resuscitation care, but questions remain: • How? • To whom? • How long? • How deep? • The topic requires significant debate and is NOT yet decided • NO changes should be made to instruction, skills or courses

  18. What and How to Teach BLS • Traditional techniques are being challenged • Evidence appears to encourage simpler, targeted teaching • The topic requires significant debate and is NOT yet decided • NO changes should be made to instruction, skills or courses

  19. Visit Guidelines Website for Ongoing Updates: www.C2005.org • Description of the process • 300 questions being evaluated • In December – worksheets posted • Ask questions, give comments

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