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Adult Resuscitation Review and Update

Adult Resuscitation Review and Update. Benjamin Wachira. Overview. Introduction Major changes in the 2005 AHA Guidelines for CPR and ECC video Summary. Introduction.

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Adult Resuscitation Review and Update

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  1. Adult Resuscitation Review and Update Benjamin Wachira

  2. Overview • Introduction • Major changes in the 2005 AHA Guidelines for CPR and ECC video • Summary

  3. Introduction • The 2005 AHA Guidelines for CPR and ECC are based on the most comprehensive review of resuscitation literature ever published.

  4. Introduction (cont…) • The evidence evaluation process incorporated the input of 381 international resuscitation experts who evaluated research topics, and hypotheses over a 36-month period before the 2005 Consensus Conference.

  5. Major changes in the 2005 AHA Guidelines for CPR and ECC video • Disclaimer: This video is not a replacement for the information contained in the 2005 AHA Guidelines for CPR and ECC.

  6. Adult CPR update video Log in to Vula to access audio

  7. Questions ?

  8. Summary No human data has identified the optimal compression-ventilation ratio for CPR for victims of all ages

  9. Summary (cont…) • No studies in humans or animals has specifically compared the 1-shock defib strategy with the 3-stacked-shock sequence • Biphasic Defibs have a ±90% 1st shock efficacy and if 1 shock fails to eliminate VF, the VF may be of low amplitude and the incremental benefit of another shock is low, CPR is more beneficial.

  10. Summary (cont…) • Almost all patients have a non perfusing rhythm for a period of time after successful shock. One study found that 80% were in PEA/asystole and 20% remained in VF

  11. Summary (cont…) • Despite the widespread use of epinephrine and several studies of vasopressin, no placebo-controlled study has shown that any medication or vasopressor given routinely at any stage during cardiac arrest increases rate of survival to hospital discharge

  12. References • AHA ACLS Resource Text

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