Documentos de Académico
Documentos de Profesional
Documentos de Cultura
FOR
CPR &
ECC
CPR 2015
CONTENTS
▸ Introduction
▸ Evidence Review and Development Process
▸ Parts of Guideline
▸ Knowledge Gaps
▸ Significant New and Updated Recommendations
▸ New Development
INTRODUCTION
1700’S -1800’S
TEXT
PETER SAFAR
1950’S
ABC OF RESUSCITATION
FRIEDRICH MAASS
1891
HEST COMPRESSION IN HUMAN
JAMES ELAM
1950’S
RESCUE BREATH
INTRODUCTION
CPR
▸ 1960 : Cardiopulmonary resuscitation (CPR) was developed
▸ 1979 Advanced Cardiovascular Life Support (ACLS) is
developed
CPR GUIDELINE
▸ Ad Hoc Committee on CPR (NAS-NRC) : 1966
▸ AHA CPR & ECC GUIDELINE :
▸ 1974, 1980, 1986, 1992, 2000, 2005, 2010, 2015
CPR 2015
HIGHLIGHT
TEXT
▸ Class I (strong), Class IIa (moderate), Class IIb (weak), Class III (no
benefit-moderate), Class III (Harm - strong)
ETHICAL ISSUES
▸ The use of extracorporeal CPR (ECPR) for cardiac arrest
▸ Intra-arrest prognostic factors
▸ Review of evidence about prognostic scores for preterm
infants
GO - JEK
GO - CPR
TEAM RESUSCITATION
▸ Regionalization of Care
▸ regionalized approach to OHCA resuscitation include the
use of cardiac resuscitation centers.
ADULT BLS AND CPR QUALITY : LAY
RESCUER CPR, HCP, AND BOTH
▸ Community Lay Rescuer AED Programs
▸ Dispatcher Identification of Agonal Gasps
▸ Emphasis on Chest Compressions : Hands-Only CPR (ULR). Add rescue breath 30:2
(TLR)
▸ Chest Recoil
▸ 2015 (Updated): HCPs must call for nearby help upon finding the
victim unresponsive, but it would be practical for an HCP to
continue to assess the breathing and pulse simultaneously before
fully activating the emergency response system (or calling for
backup).
▸ 2010 (Old): The HCP should check for response while looking at
the patient to determine if breathing is absent or not normal.
HCP
▸ 2010 (Old): When any rescuer witnesses an out-of-hospital arrest and an AED
is immediately available on-site, the rescuer should start CPR with chest
compressions and use the AED as soon as possible. HCPs who treat cardiac
arrest in hospitals and other facilities with on-site AEDs or defibrillators should
provide immediate CPR and should use the AED/defibrillator as soon as it is
available.
HCP
▸ Delayed Ventilation
Depth 1,5 - 2 inch (4 - 5 cm) at least 2 inch (5 cm) 2 - 2,4 inch (5 - 6 cm)
TEXT
THANK YOU
▸ Contact :
▸ I Made Agus Kresna Sucandra
▸ kresnasucandra@yahoo.com