The New Guidelines for Cardiopulmonary Resuscitation
DOI:
https://doi.org/10.2015/hc.v6i1.379Abstract
In the new (2010) cardiopulmonary resuscitation (CPR) guidelines, and for adult victims of out-of-hospital cardiac arrest, the four pillars of resuscitation are the immediate recognition of cardiac arrest and activation of the emergency response system, early performance of high quality bystander CPR simplified to include chest compressions alone (cardiocerebral resuscitation-CCR, which seems comparable to conventional CPR) and early defibrillation. To effect the latter, integration of automatic external defibrillators (AEDs) into a system of emergency care is critical in the Chain of Survival in public places outside the hospitals. Organized post– cardiac arrest care is the new fifth link in the chain of survival, with an emphasis on multidisciplinary programs that focus on optimizing hemodynamic, neurologic, and metabolic function, including therapeutic hypothermia and early primary percutaneous intervention in cardiac arrest victims suffering from an acute myocardial infarction, which may improve survival to hospital discharge for those who achieve recovery of spontaneous circulation following cardiac arrest.
Key Words: cardiac arrest; cardiopulmonary resuscitation; resuscitation guidelines; automatic external defibrillators; acute coronary syndromes; acute myocardial infarction; ventricular fibrillation
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