Summary of the most important changes in the Guidelines for cardiopulmonary resuscitation
Authors:
Truhlář Anatolij 1,2; Kasal Eduard 3; Černý Vladimír 1,4
Authors‘ workplace:
Klinika anesteziologie, resuscitace a intenzivní medicíny, Univerzita Karlova v Praze, Lékařská fakulta v Hradci Králové, Fakultní nemocnice Hradec Králové
1; Zdravotnická záchranná služba Královéhradeckého kraje, Hradec Králové
2; Anesteziologicko-resuscitační klinika, Univerzita Karlova v Praze, Lékařská fakulta v Plzni, Fakultní nemocnice Plzeň
3; Department of Anesthesia, Dalhousie University, Halifax, Nova Scotia, Canada
4
Published in:
Anest. intenziv. Med., 22, 2011, č. 2, s. 115-123
Category:
Resuscitation - Review Article
Overview
About 500,000 people suffer a sudden cardiac arrest in Europe every year but their treatment has not been satisfactory for years. The main issues in the Guidelines for cardiopulmonary resuscitation launched by the European Resuscitation Council in October 2010 are summarized in the article. The changes in the new recommendations are based on recent scientific evidence in resuscitation medicine and an effort to make them simpler compared to the last 2005 Guidelines. Chest compression remains the most important action in both basic and advanced life support. The victim’s chest must be pushed hard into the depth of at least 5 centimetres with a frequency of at least 100 per minute. Higher employment of automated external defibrillators and better availability of devices to deliver early defibrillation are encouraged. Some steps in the advanced life support algorithm have also changed. Neither tracheal administration of drugs nor atropine in asystole have been recommended, a treatment of the post-cardiac arrest syndrome has been emphasized, and the adverse effects of hyperoxia have been proven. Chest compressions, early defibrillation, and early therapeutic hypothermia are the key procedures of cardiopulmonary resuscitation affecting favourable outcome.
Keywords:
cardiopulmonary resuscitation – resuscitation – basic life support – advanced life support – guidelines – treatment – European Resuscitation Council
Sources
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Anaesthesiology, Resuscitation and Inten Intensive Care MedicineArticle was published in
Anaesthesiology and Intensive Care Medicine
2011 Issue 2
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