RT Book, Section
A1 Venegas-Borsellino, Carla
A1 Bangar, Maneesha D.
A2 Oropello, John M.
A2 Pastores, Stephen M.
A2 Kvetan, Vladimir
SR Print(0)
ID 1136414057
T1 CPR and ACLS Updates
T2 Critical Care
YR 1
FD 1
PB McGraw-Hill Education
PP New York, NY
SN 9780071820813
LK accessmedicine.mhmedical.com/content.aspx?aid=1136414057
RD 2024/04/16
AB KEY  POINTSIn-  and  out-of-the-hospital  cardiac  arrest  remains  a  substantial  public  health  problem  and  a  leading  cause  of  death  in  many  parts  of  the  world.  There  is  a  dramatic  variation  in  the  survival  rates  across  various  systems  of  care.Major  changes  were  made  in  the  2010  American  Heart  Association  (AHA)  guidelines  for  cardiopulmonary  resuscitation  (CPR)  and  emergency  cardiovascular  care.  We  will  review  the  studies  behind  these  recommendations.Identifying  the  most  accurate  and  relevant  post–cardiac  arrest  outcomes  to  measure  is  a  major  challenge.  The  most  used  measurements  are  survival  to  hospital  discharge,  or  neurologically  intact  survival  to  discharge.Five  main  components  of  high-performance  CPR  have  been  identified:  chest  compression  fraction,  chest  compression  rate,  chest  compression  depth,  chest  recoil,  and  ventilation.  Minimizing  the  interval  between  stopping  chest  compressions  and  delivering  a  shock  improves  the  chances  of  shock  success  and  patient  survival.The  2010  AHA  guidelines  recommend  education  to  improve  the  effectiveness  of  resuscitation.  Recommended  educational  tools  include  high-quality  medical  simulators,  videos,  and  written  tests  accompanied  with  a  performance  assessment.