adult resuscitation review and update benjamin wachira
TRANSCRIPT
Adult Resuscitation Review and Update
Benjamin Wachira
Overview• Introduction
• Major changes in the 2005 AHA Guidelines for CPR and ECC video
• Summary
Introduction• The 2005 AHA Guidelines for CPR and
ECC are based on the most comprehensive review of resuscitation literature ever published.
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.
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.
Adult CPR update video
Log in to Vula to access audio
Questions
?
Summary• No human data has identified the optimal
compression-ventilation ratio for CPR for victims of all ages
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.
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
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
References• AHA ACLS Resource Text