2010版心肺复苏及心血管急救指南巡讲活动资料(三).pdfVIP

2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Presenter name Disclosures • Presenter disclosure • Presenter disclosure Basic Life Support (BLS) Major Changes Basic Life Support (healthcare providers) Healthcare Provider ADULT BLS Sequence • Recognize unresponsive adult with no breathing or no normal breathing (ie, only agonal gasps) • Activate emergency response, retrieve AED (or send someone to do this) • Check for pulse (no more than 10 seconds) • If no pulse, begin sets of 30 chest compressions and 2 breaths • Use AED as soon as available Healthcare Provider CHILD BLS Sequence • Recognize unresponsive child with no breathing or only agonal gasps • Send someone to activate emergency response retrieve AED. • Check for pulse (no more than 10 seconds) • If no pulse, begin sets of 30 chest compressions and 2 breaths. • Lone rescuer activates emergency response after 2 minutes of CPR. • Use AED as soon as available. CPR Sequence • Change: – From A-B-C to C-A-B – Initiate chest compressions before ventilations • Why? – No apparent advantage, in terms of survival – Chest compressions are the simplest skill to perform and, thus, are a lower barrier to starting resuscitation efforts “no apparent advantage . . . why? • a victim in cardiac arrest does not use as much oxygen as normal • the oxygen left in the blood after a sudden cardiac arrest is enough for the first few minutes of arrest Brain and heart tissue can tolerate no breaths a lot longer than no blood flow • Many adults with witnessed arrest have ventricular fibrillat