cpr science update : whats in and out in 2010 nalinas khunkhlai, md department of emergency medicine...
TRANSCRIPT
CPR science update :
What’s IN and out in “2010”
Nalinas Khunkhlai , MDDepartment of Emergency medicine and Narenthorn EMS center,
Rajavithi hospital
ACLS Provider Course , Ramathibodi Hospital , 17-18th March 2011
• Basic Life support
• ACLS
• Pulseless arrest
• Tachyarrhythmias
• Bradyarrhythmias
• Post cardiac arrest care
ACLS Provider Course , Ramathibodi Hospital , 17-18th March 2011
Changes in 2010 :
ACLS Provider Course , Ramathibodi Hospital , 17-18th March 2011
2005 2010
• C-A-B
• remove “Look, Listen and Feel”
• Increase rate (>100/min)
• Increase depth of chest compression
• Bystander “Hands-only” CPR for un-experience providers.
• Remove Cricoid pressure
ACLS Provider Course , Ramathibodi Hospital , 17-18th March 2011
Changes in 2010 : BLS
QuickTime™ and ampeg4 decompressor
are needed to see this picture.
ACLS Provider Course , Ramathibodi Hospital , 17-18th March 2011
Pulseless arrest
ACLS Provider Course , Ramathibodi Hospital , 17-18th March 2011
Changes in 2010 : ACLS
2005ShocShoc
kkNoShoNoSho
ckck
A : Airway &
Breathing
Chest compresso
r :DeFib Medication
Team leader
2005ETT
8-10/minO2
hard fastfully
recoiledminimize
interruptionno
hypervent
manufacturur advice.
Epinephrine
AtropineAmiodaron
eVasopressi
nLidociane
Ddx 6H5T
2010 (เผิ่��ม)
EtCO2
A-line & EtCO2 for monitor quality
“REMOVE
Atropine ,
REMOVE hypoglycim
ia
postarrest care
Pulseless arrest : Team dynamics
ACLS Provider Course , Ramathibodi Hospital , 17-18th March 2011
ACLS Provider Course , Ramathibodi Hospital , 17-18th March 2011
2010
Pulseless arrest : Team dynamics
A : Airway
& Breathin
g
Chest compres
sor :DeFib
Medication
Team leader
2005
ETT 8-10/minO2
hard fastfully
recoiledminimiz
e interrupt
ionno
hypervent
manufacturur
advice.
Epinephrine
AtropineAmiodaro
neVasopress
inLidociane
Ddx 6H5T
2010 (เผิ่��ม)
EtCO2
A-line & EtCO2
for monitor quality
“REMOVE
Atropine , LIdocaine
REMOVE hypoglyci
mia
postarrest care
2010
Tachyarrhythmias
ACLS Provider Course , Ramathibodi Hospital , 17-18th March 2011
Changes in 2010 : ACLS
ACLS Provider Course , Ramathibodi Hospital , 17-18th March 2011
2005
ACLS Provider Course , Ramathibodi Hospital , 17-18th March 2011
2010
stablestable
narrow narrow QRSQRS
stablestable
narrow narrow QRSQRS
ปั�ญหาอยู่ �ที่��EKG
ACLS Provider Course , Ramathibodi Hospital , 17-18th March 2011
Confusing point in Tachyarrhythmia
Coutersy image Dr Ratchanee
Coutersy image Dr Ratchanee ACLS Provider Course , Ramathibodi Hospital , 17-18th March 2011
Coutersy image Dr Ratchanee
Coutersy image Dr Ratchanee
Coutersy image Dr Ratchanee ACLS Provider Course , Ramathibodi Hospital , 17-18th March 2011
Coutersy image Dr Ratchanee
ACLS Provider Course , Ramathibodi Hospital , 17-18th March 2011
normal Antidromic
ACLS Provider Course , Ramathibodi Hospital , 17-18th March 2011
OrthodromicACLS Provider Course , Ramathibodi Hospital , 17-18th March 2011
ACLS Provider Course , Ramathibodi Hospital , 17-18th March 2011
ACLS Provider Course , Ramathibodi Hospital , 17-18th March 2011
Bradyarrhythmia
ACLS Provider Course , Ramathibodi Hospital , 17-18th March 2011
Changes in 2010 : ACLS
2005
ACLS Provider Course , Ramathibodi Hospital , 17-18th March 2011
2010
ACLS Provider Course , Ramathibodi Hospital , 17-18th March 2011
2010 2005
Changes in 2010 : post arrest care
ACLS Provider Course , Ramathibodi Hospital , 17-18th March 2011
Thank you for your attention