Adult Resuscitation Review and Update

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Adult Resuscitation Review and Update

• Benjamin Wachira

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Overview

• Introduction
• Major changes in the 2005 AHA Guidelines for CPR
  and ECC video
• Summary

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Introduction

• The 2005 AHA Guidelines for CPR and ECC are based
  on the most comprehensive review of resuscitation
  literature ever published.

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Introduction (cont)

• The evidence evaluation process incorporated the
  input of 381 international resuscitation experts
  who evaluated research topics, and hypotheses
  over a 36-month period before the 2005 Consensus
  Conference.

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Major changes in the 2005 AHA Guidelines for CPR
and ECC video

• Disclaimer
• This video is not a replacement for the
  information contained in the 2005 AHA Guidelines
  for CPR and ECC.

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Adult CPR update video

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Questions

• ?

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Summary

• No human data has identified the optimal
  compression-ventilation ratio for CPR for victims
  of all ages

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Summary (cont)

• No studies in humans or animals has specifically
  compared the 1-shock defib strategy with the
  3-stacked-shock sequence
• Biphasic Defibs have a 90 1st shock efficacy
  and if 1 shock fails to eliminate VF, the VF may
  be of low amplitude and the incremental benefit
  of another shock is low, CPR is more beneficial.

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Summary (cont)

• Almost all patients have a non perfusing rhythm
  for a period of time after successful shock. One
  study found that 80 were in PEA/asystole and 20
  remained in VF

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Summary (cont)

• Despite the widespread use of epinephrine and
  several studies of vasopressin, no
  placebo-controlled study has shown that any
  medication or vasopressor given routinely at any
  stage during cardiac arrest increases rate of
  survival to hospital discharge

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References

• AHA ACLS Resource Text