(精选)Evolving Trends in Cardiac Arrest教学课件.pptVIP

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Case 2 60 year old male presents with respiratory distress secondary to pneumonia and is intubated without complication (ETT confirmed by auscultation, end-tidal, and CXR) Patient initially stable after intubation with fluids/antibiotics and on low dose of vasopressors However, 2 hours later, nurse calls for help and… Case 3 66 year old female who presents with hypotension, urosepsis, and acute renal failure 5.6 90 13 191 133 80 3.3 Case 3 Conclusions ACLS guidelines have stepped into a new era of continuous review and online fluidity Epinephrine may be a double-edged sword and should be differentially considered in terms of timing depending on the initial cardiac rhythm Amiodarone and/or lidocaine may have benefit over placebo for refractory VF/VT, however one does not appear superior to the other Conclusions IO ”may” need to be carefully looked at in term of efficacy of drug delivery during arrest (specifically amiodarone or lidocaine) Conclusions END * * * In this section we are concentrating on those guidelines updates that affect the 2010 ACLS course content and materials. We will look at each of these in depth, and then address how you add this information to your courses. Reiterate bullet points * * * One thing that you will see in new course materials will be 2 separate adult chains of survival. Different pathways of care are distinguished, one for the patient who experiences cardiac arrest in the hospital for those in an out-of–hospital setting. Note that for the in-hospital setting, surveillance and prevention of arrest is the first link (this is similar to the prevention link that is the first link in the pediatric out-of-hospital chain of survival) IHCA: surveillance there is an opportunity to prevention; recognition activation of emergency response; immediate high-quality CPR, rapid defibrillation, advanced life support and postarrest