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Thai Highlight CPR 2010

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  • 1. 1 Major issues affecting all rescuers.doc !" Guidelines highlights !"#"$%&()*+"*+,-*./(0$1234#5 67.4+3,/-7%89$6-7:;%8/<=(>?&$@$ American HeartAssociation (AHA) Guidelines for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care(ECC) !"#"$%#"$%& (.). 2553 (*.). 2010) +,-./0123!"#$%&(%)*+,-!./)0"&+!"123!45637189:;<0&=>,!+"?@0A-.B+@0AC.%((resuscitation provider) !"#$%&&()*+ (instructors) !"# AHA !"#$%&!()*+,-./01(23456#$738#&97:;8/&<2 (resuscitationscience) !"#$%&!#%&(!)*&+,&-./0123045)*678.94&-#4%&$2: ;-<=>2+?@5@6A!"#$%&()*+*!* (controversial) B!"#$%&()*+,$-."/0123+1-."4,56-784(51+ !"#$-."9:-;$<-."4,56-784(51+ <$-%.-<3=< 63>2$-?@>A!+B)*"$>"32C8$D<&<E.+,.>F!"#$%& !"#$%&()!"#*%+(,"-./."0*!12")(3435167889% :&;<=7>;0)(3?)?&@:& !%)4(3%>(&%<&)(3A:)B(C</8D0$4"/.4"5!!"#$%&%()*+,-#./)0)"# (Classes of Recommendations) !"#$"%&()*+,-.+/0#1$2#$3$4!567+- (Level of Evidence)!"#$%&(& )*#(+,-+#./0!"1.2!3456!7468"98&"6:/;/0!"<)#+"&#9"497=#9> ?:&"=#@)#6#+A(#$2&B#< 2010 AHA Guidelines for CPRand ECC !"#$%&()*"(+,& Executive Summary1 !"#$ %&()*+,-+./0 Circulation !"#"$%&($)*&+( ,&-.$& (/0123 4.5.2553 !"#$%&%()*+,%%-"#./0-12/34%$56!,738%97!"#$%&!() (resuscitation science) !"#$% 2010 InternationalConsensus on CPR and ECC Science With Treatment Recommendations !"#$%&!"#!$!%&#()*+),-.* Circulation2 !"#Resuscitation3 !"#$%&!#!"($)*+,+-, 50 !" !"#$%&()*+%(,-,./0)1*+2*3)*+$,24.2(5)6&*7893 !"#$%&()*+&#),-.$-&/0#.%-1.-!"#$%&$!"()*+(,*#-./01$ (survival after closed chest compression for cardiac arrest) !"#$%&()*&+4!"#$%&())*+,&-./012#34156 789+*:85;<-./1=43;./124>? ;@3,$:$A*=B0A0CD#E8F;5<0G23124>?789:45BC>;5<)5; !"#$%&"(()*+,-!"#$#%%&"()*+,-"./ !"#-$0"12("31245161+78!"#$%&()&*+,-./0 (bystanders) !"#$%&()$&(*#+,%+-&.#& (first responders) !"#$%&"()*+()!,*!" (healthcareproviders) !"#$%&()*)#*+,#-./01%#23"45%673(48!967:;45<.40=<5>?@!71 *.A$1(A9673"45%673(48!B.A1+6$ (advanced providers)!"#$%&%()*+,%-./01"2#345167*"8)9*!:-;<+=/05*0"#9%,>?8!,.+>68@<$A%;B9 (periarrest and postarrest care) !"#$%&()*+,"- 2010 AHA Guidelines for CPR and ECC !"#$%&()*+,"-./*01231-/4!1563578*49:")*/*/;/!6*")5"*<)")!"#$%&()%&)*+,+-(./01(.-/2/0345( )%06752/-89:8,;&3<=#8<->?-@*/A)B+$.-/<+8.;&<=5*C-.2/03D?*+-$E (F1/&68!"#$%&!#()*+,-(.)/0(&1.,/02).(34-(&1#567 1
  • 2. 1 Major issues affecting all rescuers.doc!"#$%&( 1 !"#$%&!"("#)*+&,-.!/&0123 2010 AHA Guidelines for CPR and ECC !"#!"#!$#%#&&#()(*!&#+,&-#*.%/0(123&120*&/)&#45*0&6741*.8905#:%.:%/: $% !"#$%&()%$*+,-.(/$%0$12*3456%7890:9;(/$#<$<$)%-=6> %?:!#@A80-#%%!#$%B&7 AHA ECC ILCOR 2010 International Consensus on CPR and ECC Science With Treatment Recommendations !"#$%&()*+,!"#$%&$()% Circulation !"# Resuscitation !"#$#%&()*+,,+-)./.,+01,2+34*56758957: ;4<7=>?@,>?63$#%A,58,+;B36,C#;>34D EF6%+056/C#@;>?63;+G 356 !"#$ %#& 29 ()*!+ ,#("-,&.$-/*0(#)12 34/(#5 67)8/%#(9#!.:;<$&#(()=>,6??8?)&.$ &#(()=>,!#;@!(+.8!2 !"#$%&!"#$%&()*+),-*!.,)/- (webinars) !"#$%&&!()*+,- 36 !./0$ %(1+,- 2010 International Consensus Conference on CPR and ECC Science With Treatment Recommendations !"#$%&()*!"#+,-./&%00%1 +!234%1 567+!8196%:.+,6;3< =*>?@/AB*5C D.8. 2553 !"#$%&(& )*+(",&-!.!/!"#$%&()*+&,-./0./012 411 34#4 ()*$"+&5012!#567/8+&29 :;&5 277 !#567/()*,$)*<567/2 6#=8/>?@$/4A>B75< !"#$#%&()*+,"-./00/1) 2(&3#"%45 /6%7894294:,;*-468!<")=8>-49 #2?$@A-!"#BC03D) !"#$%&()%*+",)#-./012%*34502675($89&:;<0=&4>0()?;@(AB(CD (potential conflicts of interest) !"#$% 2010 AHA Guidelines for CPR and ECC !"#"$%&()*"*(+,-&(*./0./123456+789:;/<(#=>8$4?8 &@(5A(</B(AC*<(#3;*)2"<(#*(D=CEF !"#$%&&()*+,#--./01*+234/567+8!"#$%&()*+,-.$+-./01234+*5672890/+728-0:;,<+= (Major issues affecting all rescuers) !"#$%""&()#*+,-./,*)012"3456!" 2010 AHA Guidelines for CPR and ECC!"#$%&()#*+#,-+./0*1/2)+345*1#367581,92:;/&<;/=/ (basic life support: BLS) !"#$%&()*+%&")!"#$%& ,!"#$%&()*+!)$*)+,-!./,(0%&(!"1234 567$!+)% 89 2005 AHA Guidelines for CPR and ECC!"#!$!%!&#()*+,-(./(,"012+3(4356!%(232&7(+.8,9:;(< (high-quality chest compressions)!"#$%&()*+%,-./(0&(,12-+,-)34&05&6. 789.0:8"(;<#5=</$=) %8>)/12-)(9?@43.AB,283!"#$"%&()*+$,-!!"#$%&($)*+,(-$*)*,%./01& !234+((+567(8+9:4;%./02/<:=<>(3,) !"#2;?@!23AB<.6. 2548 (C.6. 2005) DAE)2*)=+ !1@-$*D$F)93+(1) !"#$%&()*%+*,-./%(*01)2/()34*%+5+165+")27(85 93/&6:7%-;1)*%+.<% 2005 AHA Guidelines for CPR and ECC !"#$%!"#$%&$!"#$%&()*+,-./$+01234$5617389:7;<7-=>! ?@A$+00.<17389:7;B+$-=>!$C9+B (2)!"#$%&($)*+*,(#-.#/0(112345.67%8*/(+9(:;"</;!=6>*411.+?5#@!(A(B (out-of-hospital cardiac arrest)!"#$%%&#()*+,-.&/-0"!"(123$)45"*67 (3$ (3) 89:;<=+*67>6?=$@A=!B@+.C/1:""D&E#F)!"#"$%&()*+&!"#!$%&()*&+#,-).%+/,012*)3.%4(56785619)*&:;!"#$%&()*+,&-.()%/01234+ 5+,+".#-/#6&7089:0;8985<$=+(4 %/()*"2>?-/98&6@%1A+19-/=#"!"#$%&!#()*+&,)-./!"0/1234$5"%&674$,/16849:;()<-=> (post-cardiac arrest care) !"#$%&(")*+,$-,./01-234!"#! !"#$%&&()%*+,-./0%1(2*-*3!$425%46#$#(78%&(9)6:)#6!;+2010 AHA Guidelines for CPR and ECC !"#$#%&&!()*+,#-*.-/0&*1-1!2*#34$567*8 1"&9.:-1;<9/=!
  • 3. 1 Major issues affecting all rescuers.doc - !""#$%&()*+),$ &%-*./#&% 100 0)1.(-&/*23 (+4536%/7*! “!"#$%&” 100 !"#$%&()*+,) - !"#$%&!()*+,-%() 2 -./0 (5 !".) #$%&#()* +,- ./*01$./ ($2314*5$40"6.1750"($06.1($0.8#$90:8+,-;<=8 (!"#$%& 1.5 ()* +",- [4 .$.] /0%"1 23# 2 ()* [5 .$.] /4561) 7#4+6*8% 9$8/:;4!<:8*=>*%$3?1 1 ! !"# 2 !"#$%!&(%)*+,-($ .+$!/$01-2345630738%!98:3,-;<073=;1033$+0%!/>0,!;!>03+5!)!(0!"# - !"#$%&($)*+,-./012".3)45)26-#"7*5.83 - !"#$%&("#"&)*$+#,&*)*+-./0(" &%1+#"&)*$+#23+4)1/+5#6),&*7"*8$#-./0(" - !"#$%"#&($)*+,-!)./0)$%$1234!"#"$%&()*$+,-./0&1#2-3.4%&%56-7&.%0#.%&8#2,6&,9: (compression-to-ventilation ratio) !"#$#%&( 30:2!"#$!%&!"#$%&()*+,%-., /012 3456$&2 (72/8+96$&23&2/2:0) /!;<=!>)*+?.87/%4;=@9/0>78 A077B@B,%+?.87%$7,CD&5!$E 1!"#$%&()*+,-./0(#/1"2 ()/234)56( advanced airway !"#$ %&&()*+,-#&.*/0.1-23.4 (.5/(&1(6$.70&4-#.7 100 8(594/0.-&:;)!"#$%&()*+,-./-./012&3#40#56789!"#$% #& (!")&!&* (+,-./0+10(2+!3456"7*589% 6-8 !"#$%& (()*$+ 8-10 !"#$%&()*+,)!"#$%&"()*"(+,-).&/0%,.,123.)*)4567 (excessive ventilations)!"#$%&()* A-B-C !"#$ C-A-B!" 2010 AHA Guidelines for CPR and ECC !"# $!%!&()*+,-"./!01#!23!034 BLS (%$ A-B-C (Airway, Breathing, Chestcompressions) !"#$ C-A-B (Chest compressions, Airway, Breathing) !"#$%&()*+$,-, ./01 2345#%1 (61.7*85#%12%1.19/!"#$%&()* +,-./01+#.)023(,-+4-+5+2& [Neonatal Resuscitation section])!"#$%&()*+%&,-./*01*-1,!"#234)!5624708.!"#$%&(%)*+,-./!0/,12."3456.789):;)<8;,"%<=$&;"6.=8&>-?%"$/,7@":,!"#$%&()*+,-./#01234.5+6/+78)%98#0.,:8109;<0<09=>.0(&>=?9#=?%@).8>!"#$%&: %()*+,-./"0+12",$3!#(456+41"76!)84%(1"76 9&:;0#<=>=<<;3?.+@#5A-./5$3-./B.<=,A=4!"#$%&(")*+,-./0123""43567813!"#$"%&()*+,-*+./01234 (witnessed arrest) !"#$"%&()*+,-.&/0*,12$0)34!05 (initial rhythm) !"#$ventricular fibrillation (VF) !"#$ pulseless ventricular tachycardia (VT) !"#$%&()*+,-."/0!"#$%&$()*"+&,-)./01*2&1)0134$5)&1/671)0107%814"9:;&,-).093<0=9 (chest compressions and early defibrillation)!"#$%"&()*+!,+ A-B-C !"#! $%&()*+",-.&/"0,1/,.2!&13,4&1,)516789)/ :;/1<$%&45)*:2=>3?&3@:A7*:)=1B!,1/:C.61@:.D!21*BE!"#$%&()*#+,)-.*/0 *#+$*1#234%51%67899)#:*9)1* 5#;"<.!"#$%&()*#+,60*1#234%51%67!"#$%!&(!"#$%&()*"+,"-./" C-A-B !"#$ %&#($)*+,-#./012.1-34#2516.7$89:4 $!"#$%&"(&)*&+,-&.)(%/0&/+1-23453/64"2-,*7/48(&,9:, (/-;9%7/(&64)(,!"#$!%&()*+(,-)%$.$/012(34(,(5.+6*(,*47,( 30 8,39: .,;*2,<=> 18 %?+@#!"#$%&"(&)*&+#,-./0*1,"/1234&3256*)(%,74"8!"!#$% &%()*+,-./*0,123456789())
  • 4. 1 Major issues affecting all rescuers.doc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automated externaldefibrillator) !"#$%&()*(+,-. /0123453678894:;+<%2":;%$8".&= !"#$%&()*+!"#$%&()*+!"##$%&(%)&%*+(,-#.(/%&%01.,&2304.5678923:;.,*61$<%,*6&61%)&=8>:6%?@5A)(4A#5B.1%C:D8@%CE6"7E3E=.7FE,"BC638 C018!"#$%&()*+")#",-./01203&456%7!89$7:0%;<)7=0%6 >846:?7!@)7!AB#",-.3&4CD6%!2=*AE8428;#F/G)!G)!"#$%&#()*+,"-%."$/!"#$%&()*+,-.+(/0012!3456%78(9:: shockable !"#$%&%(!)*#$+,-.$(&/01* 2034567+&#%18*9 AED !"#$%!"#$%&()*+,-!.+!/0$1.#!2+)!#3!43561*7+8#9 AED !"#$%&()*+,-./01213-,#%4%56%&%7 89#:()*+,-;<:=>%!"#$%&$(!)*+,-.!/01&$(*-(23!.+45!*,-%.6 (7%18-9 2 +-:;) /0,!"#$%&()*+,-.!/012!*345-!"#$%&(%)*+,&-.," 2010 AHA Guidelines for CPR and ECC !"# $%&()*+*,-.%$/012$(3/415678%9&:. (Post-Cardiac ArrestCare) !"# Education, Implementation and Teams !"#$%&()*$!+,$)-.#-/ Post-Cardiac Arrest Care!"#$%&()*!+$,-./#01.2.!"#$$%&()*+ (Chain of Survival) !"#$%&!()%&*+,-./01-)2!-" (345%& 1) 1. !"#$%&()*+,-./0-12/.34!5*6 72*89:9;<=9<=97&>.?@3<!@;6>06>A 2. !"#$%&()*+,&-(*!"./ 3. !"#$%!&()* (defibrillation) !"#$%& 4. !"#$%&!(#)*+,-./&01$"203(456/)7!"#$% 5. !"#$%$&()*+,-.*"/+0-1234)567(#888"69)*)6
  • 5. Lay Rescuer Adult CPR!"#$%&(%)*+",-.&!/01234&,567789(:%;- ( Lay rescuer adult CPR)!"#$!%"&!%()*+,&-%".$,/012+$,34/0!%()*563-%"-789/:!"#$%&()*%+,-.*/01#23450567(38# (AHA ) !"#$%!&()*+,"+-./0 +,"*123#145/61)3,)4543.76,)89:*2#7"-!;( 2 • !"#$%&!"#$%&()*+,-./0 1,2+345 +3451,2.6-&7 +89:1,2$7/0 (!"#$ %&()!*+,-) !"#!"#$%&"()*+,-./01234&5%6,718 (1669 ) 9&:;<9(#4/*3=<>?@@A)B2./9>#:;<8 AED • !"#$%&&!()*+,)-.$,($" /*0 1234567$%&&!8!9:2;(&!+&0-.<67=>58?)0 • !"#$%&()*%+,-./0-1234,(567*08 *%+*.93* *%+*.:+;- !"#$%&(")*+,-&.*/!"#$%"&%()*+(,-.+/!0#$12 3"(%"&*45)%()*+(,-,*6%6$4789:5) !"#$%"#&($)*+),-./#&0)$%$123, • !"#$%!&()*&+,-#$.,"./0123,. .,"%!4-5,6%-7*8,)93 – !"#$%&(")* – !"#$%&(%)* ( A- B- C ) !"#$%&( !#)(*+,-*./ – !"#$%&(")$*+,"-./ – !"#$%&(")* (C-A-B) • !"#!"#$%&$() *#+#,!",%&#+!-,-./!0#+-. 100 1"20 / #!34 5"6*5748.#)!,*%9: ( !"#$%&!()*+&, 100 -)./0 / $&12 ) • !"#$%"&()&!* #("+$,#-.#,/0$1"+,/ 2 "23& (%4, 5 56"72587% 9%):59-;</"*$#528 ( 1 1/2 !"#$ )!"#$%&()*+%&, $-.(/01"234%!"#$#%&()*+&,$-$!-./#01*2/34$5678% 9:" !0;&,$-$!%)2<)=>&%&0=%?%*6/&0(<@2ABC@0D$)"<)=><5E2FB/%G;1:%
  • 6. Lay Rescuer Adult CPR!"#$%&()*+%&,-(./"01234,!"#*5671589*2010 (!"#$) : !"#$%&()*+,-./01%02#!%34536,7615365"#$.8135%,4 (1+/,8794)12:;<)=&>?)@2(;#4>)#-A35364&2)=&>?2#!"!#$%Hand only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and only ) !"#$%&"#()*+,-&$./012"34$)"#(%#56752%*+8/92#%"6(!"#$%&%($)*+,-./%01,023-%4*-%5675%.1589:5; *)<3%<*9=*)9!"#$#""%&()*!+,-./)01(234)56307&8!-96#$:";34)56!"#$%!"&()*")+,-*(./&01234567#89:"#;<634)%(4(6=*35(!>#$,5$&,!6#$8 ?.@(./&0"#;A2(7&8$!=.B5638$89A#(6=*35(7&8$=$-C!"#$%#&()*+"&, *)-./012.3/#&4*&)$5),*016.7,.89&,:&,&);2.3<=2>&*&)?@A&@&*(B1!4=4>&CD12>&89!"#$%&()!"#$%&()*+%&,-(./"01234,&/"516317*84*9*!"#!:;<=317*.:, >"! A-B-C !"#$%& C-A –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
  • 7. Lay Rescuer Adult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confusion)!"#$%&%()*+,-./01"2+3-%456&%%&%5!0)&7%"8%9:;-,+<$,7 6&%!"#%=&02&$%&>,2<?@)&%5"8% 2!"#!"#$%&()*+!%, 11/2!"#$ %&!%()*+,-./012345 AHA2010 !"#"$%&()*+,)-./%0"(-.2 "123
  • 8. Lay Rescuer Adult CPR
  • 9. !"#$%&$(&)*+,-./0-.1".23"4#,55678"!#9":!"#;/9< (Healthcare Provider BLS)!"#$%&()*!+),-./01)"2$/3456.$/78/,1!"#$%&()*+,-./#0*"$!/123.!/45/,067.89*4!:;<,=; American Heart Association (AHA) Guidelinesfor Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care (ECC) !"#"$.%. 2553(!.".2010) #$%&())*!+%,-%.,%/0-12345/,6 • !"#$%&()*+,-./012/31045!6," %(78(5,/0%()(9:;,(0<2) 19#%1(03!=#%) (Agonal gasps) !"#$%&()*&$+,&-(./(012*3./45*12*3&)67,892:;%<=* 9*&20*&>?#@508A(!"#$%#!"#$&%()*+",*-. (Dispatcher) .# !"#$%&!()*&+,-.&/0-/12.3)4567.89*:.2.&;<+-;.2=.-.&>?*@A%4 !"#$%&()*+*,-.%/01(23*45(6728%853&9:*2;<2&=8>1!?(9,#%0+3 • !"#$%&#$()*+&,-./)01$2$01$234,-561!57& (Dispatcher) !"#$%&(#)*+,!-./%/-01234,56"78+9:;82:<;!"#$%&()*$+,--.%/01)2.3145(-6758$98:;+:498:<506=>?$-@$<&A !"#$%&%()*%+%,-./,0.12345678569%6:;; Hands-Only CPR !"#$%!&()*+,-./0123&42!5&67/,8%",9*6:;<4"=/% • !"#$%&%()&*"+,-./$0-1-/$)23+4567897&:;,<=7%(#$%=90*%#>$?$#%1(((%@#$%#$%02A,BCD#)C@-E=,)%F;,@+G!"#$ !"#$%&()*+,- ./0%)*1+)*)123+#4 3.56)789:;5#<=6>?.@A?>6?*)1*1B>/9A 2%B<=6$)#C( $1D?=,*)1$)#C(2>6<=6:*>E (!"#$ %&!&()*+#,-(./!0123) .,4."4!56-"#5)789$:.$3-;<;5/72=>?(@A-3-;3;B<C4$ ,-3=5#-DE4FG5(H%#,-(./ !"#$%&&()*"!*+,-.(/0)12 ,!34567*)".*8)*"9:.!"#$%&(& !"#$%#&()*+,-./0#1(2!34456748972(!2(!:;<,=>?2->7@A@;0B@<CDE8$2/+( :/3@F(-&!0D#$*G#2HIIJ( AED !" (!"#$%&()*$#+,-.+$/)&0"1234,56,782$9:9;!*) <9=,56,0>?@9="-9=9"AB-/C()*,56, 7:&?3";D*23@9:9==3&9 10 !"#$%&#($)*+,$-&./) 0+123$*+,$-&./)4564738$9# 10 !"#$%&!()("*+%,$-$(./!0123#4#.&5%6#%& 789:.;)(4*<=.><-?11@$ AED !"#!$%&()%*+(),&-./, • !"#$#%& “!"#$ %$&( )*+,-.,/.-” !"#$%&#()#*+,-./0%$/#)12345264/$ • !"#"$%&!()*+,-+,.(/01$234"5)"/67+$0,869(:;<=><?7 (.(.@A"#+.@#1$+BC(!(D1EF:518FG.=6*!76$!"# !"#$%&()*+*,+"!-%"(./0)*+123 !"##4!0,!"#!3*,+"!)*+,+(567123 8%9!"#*%6!:%67(;!"#<&0(*"()=567>"!:!?,@$) • !"#$%&%()(*+(),)*&,-)./ Cricoid !"#$%&(%$)#&)*+,-./%,01 • !"#$%#&()*+,-%./01+(-(234&5%6#0&&*067839:)*+,%,$9 ($)# C-A-B !"# A-B-C) !"#$%&()!""!#"$%&!("")(& 30 *#+,- !"#"$%&()*#+,-./012,13&+/4# 2 5-678 (9:%4;<50,=;/,.>,?48+,-(-@%=+<2#>,4+5-678!-+ • !"#$%&%$&()*%!&+,-./0)1%& 100 2$"34#5!)%6. +,7) !05%4)*!0 100 2$"34#5!)%6. • !"#$%&()*#+,-./#)0.12/0-34 56%789.:#,%& 1 1/2 - 2 !"#$ (4-5 !".) #$%& ()*+&,( 2 &-./ (5 !".) • !"#"$%&()*+,-.,/$/!0-12#!2-3456%"7895:.1";<0* ,/$/!0-,/20<*+,+.2"#4+=,6%*5:.7#$+6>+,;?4=@AAB !"#$#%#&"($#)*(+)",+-./01223(4,54($&$6789:;4<);:(/4=)8*>,;>?)",+-./0 • !"#"$%&()&$*+,-./&01)&.&"02%/*"!34"15067%2&!"#$%&()*+,-.,%/0!"#$%&()*"+,-"./01234! 56.!"#$%&#$()*+&,-./)01$2$01$234,-561!57&!"#$%&(! "#$%&()*+,)(-./0$1 23,,453.$(23!3678$3(9*! )6:2)3(+,;4<3= (Agonal gasps)!"#$%&()*&!"#$%&(&)*+,-(./,*+,-$012#34+56789, 4:,$+),$;<=>/)3?&=!-$0;$!-$0@A;3?BC-4BD) (Dispatcher)!"#$%&()&*+,-&./,.01-2(3456-789):-1-&;&7+<=-%749>?-0@A()!"#$%&$()*+,-./0121(3456.0)+40*(+578!9,2:;)/<*+,-./=>05?@A2B#2="C8,2010 (!"#$) : !"#$%&$()*+,-./01!"#$%&() (bystander) !"#$%&()*+,-#$&-./$0123!4% 20
  •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uidelines for CPR and ECC !"#"$.%. 2553(!.".2010) #$%&()**+,-*)./+01.$23)04)+&)(567898:;<51;1;!=>*+(1,?<);@AB23)0>C898*+,,()*D<E.DEF?!"##"$%&#"()!*+,*-.*/01.2345.%.2005 637,.8,9" :-(2"!"#$%&()$*+$,-./0!10,234,5/3*67(.89$:(!-7!"#$$%&()*+,-,.!"#$%&()*+,-./01*2034556789:;1<8=>?<)$@A3?BB./0C-<D<8)E4"FG*"/"F9#)<HIJ)4556 (shockable rhythm)!"#!$%&()*+,-%./0123422"567()++"(8)9%:;<!=>)?,% @/:?9A)BC>D!>!@#A)EF?;.)$*A);"G=?()+9A) CPR!"#$"%&()!*)+,-./0,1!23!041!"567$,8/)#19:! ;!"#$%&$()*+,-./012034)56!/78 (bystanders) !"#"$%&(%)*+",-./,01.2345678947:/8:; 517".87":;<=>82?!/<*("$@(Dispatcher) !"#$%&()*+,-*./$*%$.01/2,"-*34516",0+-7(&8.7-9*#9#%7:58;<-=#>0+-!"#$%&()*+,-."/*01.23/ 4567#+()*+,-."/ 8+0*+,-9.)!"!"#$%&%!()*+,-./01 2345+%456789:%$;<&8=(5,> #!"#$%&(#)*+,#-.+-/0123456(!",789":06;24<=(>#%?*06@A (bystanders) !"#$%&%()*+,%-)"%.!/0123456#!"#$%&#()*+,-./0123245467892:6/":.;/<8=)>0%?=0@3A%<B232<C,$DE#%!"#$%&#$()*+&,-./)01$23 45267028971!.:;5<$"#$!"#$%&#(#%)*&+,*-./01$2(34/1$#$%5%#061*7$,89,:29;<=(>?/@=? A=;-%<35B?,:/#%C"(&+//".!"#$%#&()#*(+#,-.(/*(0+(12%+.3%!%456-2 &$-%7!-%*(08,!)9:;0<#% =!"#$%&()*+&,-.#)+/01+-!"(#230,.)4"5+-62378"9 :;%.#<9=$"*7.)><#?+@(*!"#$%&()*%+,(-.!/012/2345%67-!"#$%&()*+,-./0123*-45*6,4+71.89 :;-.,3493"#$<&9+=>5$?/3!@
  • 11. !"#$%&(!)*+,%,)*&,-*#.)*-*#.)* CPR !""#$%&()*%+,-.,/0 (Hand-only CPR)!"#$%&()*#+,-./01234+56$478!7(9#(337!4982:&!"#$%&#$()*+&,-./)01$2$01$234,-561!57& (DIspatcher) !"#$%&%#()*!+%,-.-+%/%#0+% CPR!"#2010 (!"#$) : !" AHA Guidelines for CPR and ECC !"#" $.%.2553 (&.%.2010) ()(&*+,-.+&#/012+3145367)!"#$%&#$()*+&,-./)01$23 4526#70.$8$29:%#4;$<&=&;$<1>?+#@2=.A!%6B()!@C&@2=D$D&/)5E@<F=E8>!4,?>$&1$27A28!"#$%&%()*% Hands-Only CPR !"#$%&()*+",-./!"#$%&()*+(,&(-./-/012+340$%&5.678!"#$%&("!()*+,-./%.0-1/23 )4536*6"7&8&940:6;<30=5)!>5*+!)?24-36+(("@(2$((A!"#$%&%()*+,(-(./012345%67%/89$::;<=>2005 (!"#$) : AHA Guidelines for CPR and ECC !"#" $.%. 2005 &()*+,-!"#$%&%"(")*(#+,-(.*/0123("!"#$%&$()*%+$,-./0+/#%0,./1+%22345%6* 7%$$1#%!"#$%& : !"#$%&$()!*&+,)+!"#$-+().+/.!01-234()5)6*7/8/9:;4!"#$%&()*+,-./0-12/34*5#667(89:;3,<,=>?-61/@?AB?A*#90<(,9$C, CPR !"#$%&()*+,-./!"#$%&#(!"#)*+,-./012%,$%&#(!"#34" CPR !""#$%&()#)*+(,-$.*/!"#$%&(#)*+,*-. +/0& Hands-Only(compression-only) CPR !"#$%&()*+,-./ 0)1234-&!563*(5",789:;<=>,?>5#@3A:36,:B95,1C#+6D+E:@E"&123!"#$%&#($)*+,-./01$ 2,34567089:02;98<=>?5,@"+A=5%:/#$%@B$ Hands-Only CPR!"#$%&()*+,-./012,34+/55607289:1;7.(<=<((;">18?.!"#$%&($%)*+,(-.#%&/!"#0,(+*01)234567861&9:(($";<%&$"&2!"#$%&!"#$%&() *+ ,-./0&123&4053&$%&61(7,89&6/9&!"#:;/4<$(#20&1=!"#8>?69%&@/>/%&0&1!%& Hands-Only CPR!"#$%&()*+,-./012,34+/556072890129:#9;&$#<4"<(=+(::<"#=4,:>2=,01?+"7+"<(@-&5A<!4)4A<@4"<(B#8?CD!"#!$%&( E!"#$% #&(&)(*(+,-.-/01+203+$45!&!67%1(3) 89%:167;<+-%=>-<&?*@A"(;(!,!-,.-/67;"8;-7(;-,3BCD(2E=&B.-/F!"#$%&()(%&*&+,%& Hands-Only CPR !"#$%&!"#$%&#()*"+,-./%01$!+)!&23&456%#"768)$*92$:;9!<6#=%&>-?@);#"76;)"")+A)6@)")B (#C4& ;D&3E))!"#!$ Cricoid (Cricoid Pressure)2010 (!"#$) : !"#!$%&()*+,%-)*.*/.$ Cricoid !"#$%&()&*+(,-./#0*01,22345652/768$2005 (!"#$) : !"#!$ Cricoid !"#$%&!($)*+&,-"./012344567 89:9;&<=40*+&%(".>?8@<!)/01 3!"#$%&$()*+,-(+)./0&12,+234,5678,-(+78 9:;-<=()*+!"#$%& : !"#!$ Cricoid !"#$!%&$&()*(+(*,+-(./.$ cricoid !"#$%&()*+,%),-./012)(1+,*2!"#$%&"%(&()*&+!,-$.-$)#%/$0.,&".1-)23456 7.81,983:;<=>1$.,?@A*&+"@3B+($)#3:(#!"#"$%&()*+$(,-."/0&1!"#(,)2("345#678/.(/9:$08/8+;< bag-mask ventilation!"#$%&()*+,!"#$%$&()$*+,!$&-./0+$0*10$!234567, %8!$&93!:$;<<#=.% 7 !$&93!:$(8>?</.$ !$&()$!7 cricoid!"#$%&#()*+!,*%#-$.)#/#(0!"#1+&2&#34 %(5*!"#$%&!,*%#-$.$),-# 6784-984!"#$%&/:;*#)<9+#()"#3=/#>7?@1+&!"#$%#!&! ()*+#%,!+-&./0%123-%#4536!7839:(-;<=>"/+?7:%!#%,"@,5!"#$%& ()*(+*,"-./", cricoid!"#$%&()*+,-.)/012345"6"7.89,:482&
  • 12. !"#$%&%()"$#*+,-!"#!./%&",!2010 (!"#$) : !"#!$%&"(!)*+&,-.&/(&0123$#-4!"#)&&56"79:;%<=">?6"<-@(5A"B>"! 8!"#$%&()*+,-./012!3456&78,9:556&;6+<.+::6;5<&!"#$%&&()*+,$-./012345607849+$:/!"#$%#&!"#()*+,-./0.12&"!($. !3/)#45()*+,-./0.126%% Hands-Only(compression-only) CPR !"#$%&()#$%!*+,-./*0(!1*)2345%"46.)7890":3% ;3)<2,=4"%"-./>?@>3*"%?A>“!"#$%#&($)*” !"#$%#&$(&)*+(,$ )-.,/0123414(567(8*9*7(:,&;<+()*+(!"#=>*?@A3#&$(-B 896C-<9!7( CPR!"#$%&()*+,-./#0$%&123,!445/ AED !"#$%&()"*+,-#./,$0 1+2-!0345$+%*6$7$)893:8;0!"#$<=()>=,?@46A5-!"#$%&(%)&%*+(,-("&#. #/0123!&%4!5&%67/,89:.#;.6<+=3>.+;>.?%.@AB.4,7%)1<!"#$%&"()*+()!,*-. */0+123245-$)6()()!,*-.7%(8762!"#$%&()*+,-./!"#$%&()*+,-.+/#0102%/34#,#"5)607"-$$89 !:%.;</=#>#%?&@# CPR !""#$%&()*+),-.(/01()!"#$%&()*+,-./0-12/.34!5*674*2005 (!"#$) : !"#$%&()*+,) AHA Guidelines for CPR and ECC !"#" $.%. 2005 &()*+,-./0123, CPR!"#!$%&()*+,-./"0121#/,34,2/&56/ CPR !"#$%&!"#$%&(&!)*+,-./01%&2)*345+/67!"#$%&&()*(+,-+%*(+.&/0123)45).67%(*&,)!"#$%&$()#*+,-(-./01234561%!787&149-81)9:(501!-#-01,;<=>?@A*B7A71%)#:6&148)CDED=FG(?)#H*,:7+,?I-?)#J1J-EB=!"# $%&()*+,-.#/01&234#56&4789$/:9;$9/<=:>? healthcare providers !"#!$%$&()* !"#$%&#$()*+&,-./)01$2 3!"#$%&()(%&*&+,%& CPR !"" Hand-only !"#$%&()*#+,-./01 234+56$478!7(9#(3:/8 89!;7!8"<8 =8 AHAGuidelines for CPR and ECC !"#" $.%.2005 &#()"*+,- ./012+,-3425()6"789* :);1,92<=-(!"#$%&()&)"*+,-!)-./%01 $-)231$-456,"78)4)"40!!"#$%&%($! )(*!+,#-!.!,#/012$3 AHA Hands-Only CPR!"#$%&()*+,-./+01"#2"3!24$567 2008!"#$%& : !"#$%&()*+,-./0123(0#45#%6%/5#%70839:;42<47,= 5#%+"# Hands-Only (compression-only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
  •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uidelines for CPR and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“!"#$ %$&( )*+,-.,/.-” !!"#$""$%&%()*+"$%,$-.#2010 (!"#$) : “!"#$ %$&( )*+,-.,/.-”!"#$%&%%#&#()&*+,-+./#&0102$34/#&05&675(+8&#$19*:&8$*4/5&6775;<(=8 ,>?(&#0:&8#&0@A:6B!"#$%&"()*+,-./0123#"4*256)#7)8$4$-9:;<=13#!"#$%&()*+,)-(.)%&%/(01 ,2)-3$145!6!"#$%&()*+,-.(/%/)012*(345(064/7&!8,149#%:;) <*9!-=&>*?!&@14*/06AB3C)(/4*/06 2 D95E?!"#$%&()!%*#+,#$%*%-*.&/0%1*2-3 30 2-(4)506
  • 14. 2005 (!"#$) : “!"#$ %$&( )*+,-.,/.-” !"#$%&$()$*$+,-"-.!/0$+,-1,2*314&53,+678!"9:6!"#$%&!()*+,-.!"#$%& : !"##"$%&()*(#"$+,-./01(23(+45678, (C-A-B sequence)!"#$%&(%)&*+!,)!"!"#-./0*12&34/56708+.9)+: ;<=670%*5$>%?@+6707"*?%*5$>!"#38A (BC0) 670%*5$>!"#$%&(&)*+,-!.)/0(1*.2) 34*54657."8"903:7."!.)/0!"#$%&()*+,-*.*"/#0&#12343-!+&!"#$%&()"*+*&#,-.$"/01",20*3456-078+9:# ;</.$*0<1=2$>?@A>40-$+>B7! 1!"#$%&()*+,"-./0123*.14563-7( $%89,-63-7( 2 +!:;*!"#$%&%$&()*%!& : !+,%-)*!+ 100 .$"/-#,!)%012010 (!"#$) : !"#"$%&()%*%)*+,"-%&*.$%,)/01-2$%*%)34563758(279:;<";)#3%3"295=; !>#!"!"#$%&#$#%()&*+,-.&/#$#%$0-1.#2$0.3*245%#2*6#1.2* 100 !%475621#&82005 (!"#$) : !"#$%"&#($%#)*(+,-.-/01 100 2-+34,5(&67!"#$%& : !"#$%$&()*+,*-#-./$0#,-12,$#345/%2#*-#62%789:$&;$64<!"#$%&(%)*+,-./0/123456*762,80*0/6*79:2!;/<$!2=5>9>?!5( (ROSC)!"#$%&&()*+,-.*/0123*$%&.4%2%562&#778&#9%..*/8$-, :4%5+5;&1<262“!"#!$%&"(!)*(&"+,+,-.+/#01”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”!"#$!” !"#$%#!& ()"*+,-%./0-1%2%3456-&789)1:.;<.=&/<% #%5#9>!)%"#,?#"1<%.!)"1 2 !0/ &
  • 15. !"#$%&()*+,!+--./+-+$-012- 1 1/2 34. 05.6789:;13"4 <3 2010 AHA Guidelines for CPR and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
  • 16. !"#$%&!"()*+%,&*+%-!% !"#$%&!"()*+%,&*+%-!%!"#$%&()*#+,-./#) !"#$%&!" 2 &()* (5 +,.) !"#$%& "()*+ 2 ($-./" 0$+#1 1 2 !"#$ (5 %&.) !"#$ (4 %&.) !"#$%&()$*+,-./012(+,-3456,(#7)*7*5,0-7$*!"#$%&()#*+!,-./0123* HCP !"#$%&"()*+#*+,-*./ 0+12+ 2 */1 !"#$"%&()*+)#&,-*.)/&-,-.012345#!"#$%&%()*+!"#!&),-".! !"#"#$%&("()*%#+,- ."/&0&.12#304.2123"0*5# 10 *61#+, !"#$%&(")*+ !"#$!"#-!"#$%& (()*+,-./0#123456!752 87- HCP () jaw thrust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
  • 17. 3. Healthcare Provider BLS!"#$%&$(&)*+,-./0-.1".23"4#,55678"!#9":!"#;/9< (Healthcare Provider BLS)!"#$%&()*!+),-./01)"2$/3456.$/78/,1!"#$%&()*+,-./#0*"$!/123.!/45/,067.89*4!:;<,=; American Heart Association (AHA) Guidelinesfor Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care (ECC) !"#"$.%. 2553(!.".2010) #$%&())*!+%,-%.,%/0-12345/,6 • !"#$%&()*+,-./012/31045!6," %(78(5,/0%()(9:;,(0<2) 19#%1(03!=#%) (Agonal gasps) !"#$%&()*&$+,&-(./(012*3./45*12*3&)67,892:;%<=* 9*&20*&>?#@508A(!"#$%#!"#$&%()*+",*-. (Dispatcher) .# !"#$%&!()*&+,-.&/0-/12.3)4567.89*:.2.&;<+-;.2=.-.&>?*@A%4 !"#$%&()*+*,-.%/01(23*45(6728%853&9:*2;<2&=8>1!?(9,#%0+3 • !"#$%&#$()*+&,-./)01$2$01$234,-561!57& (Dispatcher) !"#$%&(#)*+,!-./%/-01234,56"78+9:;82:<;!"#$%&()*$+,--.%/01)2.3145(-6758$98:;+:498:<506=>?$-@$<&A !"#$%&%()*%+%,-./,0.12345678569%6:;; Hands-Only CPR !"#$%!&()*+,-./0123&42!5&67/,8%",9*6:;<4"=/% •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• !"#$#%& “!"#$ %$&( )*+,-.,/.-” !"#$%&#()#*+,-./0%$/#)12345264/$ • !"#"$%&!()*+,-+,.(/01$234"5)"/67+$0,869(:;<=><?7 (.(.@A"#+.@#1$+BC(!(D1EF:518FG.=6*!76$!"# !"#$%&()*+*,+"!-%"(./0)*+123 !"##4!0,!"#!3*,+"!)*+,+(567123 8%9!"#*%6!:%67(;!"#<&0(*"()=567>"!:!?,@$) • !"#$%&%()(*+(),)*&,-)./ Cricoid !"#$%&(%$)#&)*+,-./%,01 • !"#$%#&()*+,-%./01+(-(234&5%6#0&&*067839:)*+,%,$9 ($)# C-A-B !"# A-B-C) !"#$%&()!""!#"$%&!("")(& 30 *#+,- !"#"$%&()*#+,-./012,13&+/4# 2 5-678 (9:%4;<50,=;/,.>,?48+,-(-@%=+<2#>,4+5-678!-+ • !"#$%&%$&()*%!&+,-./0)1%& 100 2$"34#5!)%6. +,7) !05%4)*!0 100 2$"34#5!)%6. • !"#$%&()*#+,-./#)0.12/0-34 56%789.:#,%& 1 1/2 - 2 !"#$ (4-5 !".) #$%& ()*+&,( 2 &-./ (5 !".) • !"#"$%&()*+,-.,/$/!0-12#!2-3456%"7895:.1";<0* ,/$/!0-,/20<*+,+.2"#4+=,6%*5:.7#$+6>+,;?4=@AAB !"#$#%#&"($#)*(+)",+-./01223(4,54($&$6789:;4<);:(/4=)8*>,;>?)",+-./0 • !"#"$%&()&$*+,-./&01)&.&"02%/*"!34"15067%2&!"#$%&()*+,-.,%/0!"#$%&()*"+,-"./01234! 56.!"#$%&#$()*+&,-./)01$2$01$234,-561!57&!"#$%&(! "#$%&()*+,)(-./0$1 23,,453.$(23!3678$3(9*! )6:2)3(+,;4<3= (Agonal gasps)!"#$%&()*&!"#$%&(&)*+,-(./,*+,-$012#34+56789, 4:,$+),$;<=>/)3?&=!-$0;$!-$0@A;3?BC-4BD) (Dispatcher)!"#$%&()&*+,-&./,.01-2(3456-789):-1-&;&7+<=-%749>?-0@A()!"#$%&$()*+,-./0121(3456.0)+40*(+578!9,2:;)/<*+,-./=>05?@A2B#2="C8,2010 (!"#$) : !"#$%&$()*+,-./01!"#$%&() (bystander) !"#$%&()*+,-#$&-./$0123!4% 20
  • 18. 3. Healthcare Provider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uidelines for CPR and ECC !"#"$.%. 2553(!.".2010) #$%&()**+,-*)./+01.$23)04)+&)(567898:;<51;1;!=>*+(1,?<);@AB23)0>C898*+,,()*D<E.DEF?!"##"$%&#"()!*+,*-.*/01.2345.%.2005 637,.8,9" :-(2"!"#$%&()$*+$,-./0!10,234,5/3*67(.89$:(!-7!"#$$%&()*+,-,.!"#$%&()*+,-./01*2034556789:;1<8=>?<)$@A3?BB./0C-<D<8)E4"FG*"/"F9#)<HIJ)4556 (shockable rhythm)!"#!$%&()*+,-%./0123422"567()++"(8)9%:;<!=>)?,% @/:?9A)BC>D!>!@#A)EF?;.)$*A);"G=?()+9A) CPR!"#$"%&()!*)+,-./0,1!23!041!"567$,8/)#19:! ;!"#$%&$()*+,-./012034)56!/78 (bystanders) !"#"$%&(%)*+",-./,01.2345678947:/8:; 517".87":;<=>82?!/<*("$@(Dispatcher) !"#$%&()*+,-*./$*%$.01/2,"-*34516",0+-7(&8.7-9*#9#%7:58;<-=#>0+-!"#$%&()*+,-."/*01.23/ 4567#+()*+,-."/ 8+0*+,-9.)!"!"#$%&%!()*+,-./01 2345+%456789:%$;<&8=(5,> #!"#$%&(#)*+,#-.+-/0123456(!",789":06;24<=(>#%?*06@A (bystanders) !"#$%&%()*+,%-)"%.!/0123456#!"#$%&#()*+,-./0123245467892:6/":.;/<8=)>0%?=0@3A%<B232<C,$DE#%!"#$%&#$()*+&,-./)01$23 45267028971!.:;5<$"#$!"#$%&#(#%)*&+,*-./01$2(34/1$#$%5%#061*7$,89,:29;<=(>?/@=? A=;-%<35B?,:/#%C"(&+//".!"#$%#&()#*(+#,-.(/*(0+(12%+.3%!%456-2 &$-%7!-%*(08,!)9:;0<#% =!"#$%&()*+&,-.#)+/01+-!"(#230,.)4"5+-62378"9 :;%.#<9=$"*7.)><#?+@(*!"#$%&()*%+,(-.!/012/2345%67-!"#$%&()*+,-./0123*-45*6,4+71.89 :;-.,3493"#$<&9+=>5$?/3!@
  • 19. 3. Healthcare Provider BLS!"#$%&(!)*+,%,)*&,-*#.)*-*#.)* CPR !""#$%&()*%+,-.,/0 (Hand-only CPR)!"#$%&()*#+,-./01234+56$478!7(9#(337!4982:&!"#$%&#$()*+&,-./)01$2$01$234,-561!57& (DIspatcher) !"#$%&%#()*!+%,-.-+%/%#0+% CPR!"#2010 (!"#$) : !" AHA Guidelines for CPR and ECC !"#" $.%.2553 (&.%.2010) ()(&*+,-.+&#/012+3145367)!"#$%&#$()*+&,-./)01$23 4526#70.$8$29:%#4;$<&=&;$<1>?+#@2=.A!%6B()!@C&@2=D$D&/)5E@<F=E8>!4,?>$&1$27A28!"#$%&%()*% Hands-Only CPR !"#$%&()*+",-./!"#$%&()*+(,&(-./-/012+340$%&5.678!"#$%&("!()*+,-./%.0-1/23 )4536*6"7&8&940:6;<30=5)!>5*+!)?24-36+(("@(2$((A!"#$%&%()*+,(-(./012345%67%/89$::;<=>2005 (!"#$) : AHA Guidelines for CPR and ECC !"#" $.%. 2005 &()*+,-!"#$%&%"(")*(#+,-(.*/0123("!"#$%&$()*%+$,-./0+/#%0,./1+%22345%6* 7%$$1#%!"#$%& : !"#$%&$()!*&+,)+!"#$-+().+/.!01-234()5)6*7/8/9:;4!"#$%&()*+,-./0-12/34*5#667(89:;3,<,=>?-61/@?AB?A*#90<(,9$C, CPR !"#$%&()*+,-./!"#$%&#(!"#)*+,-./012%,$%&#(!"#34" CPR !""#$%&()#)*+(,-$.*/!"#$%&(#)*+,*-. +/0& Hands-Only(compression-only) CPR !"#$%&()*+,-./ 0)1234-&!563*(5",789:;<=>,?>5#@3A:36,:B95,1C#+6D+E:@E"&123!"#$%&#($)*+,-./01$ 2,34567089:02;98<=>?5,@"+A=5%:/#$%@B$ Hands-Only CPR!"#$%&()*+,-./012,34+/55607289:1;7.(<=<((;">18?.!"#$%&($%)*+,(-.#%&/!"#0,(+*01)234567861&9:(($";<%&$"&2!"#$%&!"#$%&() *+ ,-./0&123&4053&$%&61(7,89&6/9&!"#:;/4<$(#20&1=!"#8>?69%&@/>/%&0&1!%& Hands-Only CPR!"#$%&()*+,-./012,34+/556072890129:#9;&$#<4"<(=+(::<"#=4,:>2=,01?+"7+"<(@-&5A<!4)4A<@4"<(B#8?CD!"#!$%&( E!"#$% #&(&)(*(+,-.-/01+203+$45!&!67%1(3) 89%:167;<+-%=>-<&?*@A"(;(!,!-,.-/67;"8;-7(;-,3BCD(2E=&B.-/F!"#$%&()(%&*&+,%& Hands-Only CPR !"#$%&!"#$%&#()*"+,-./%01$!+)!&23&456%#"768)$*92$:;9!<6#=%&>-?@);#"76;)"")+A)6@)")B (#C4& ;D&3E))!"#!$ Cricoid (Cricoid Pressure)2010 (!"#$) : !"#!$%&()*+,%-)*.*/.$ Cricoid !"#$%&()&*+(,-./#0*01,22345652/768$2005 (!"#$) : !"#!$ Cricoid !"#$%&!($)*+&,-"./012344567 89:9;&<=40*+&%(".>?8@<!)/01 3!"#$%&$()*+,-(+)./0&12,+234,5678,-(+78 9:;-<=()*+!"#$%& : !"#!$ Cricoid !"#$!%&$&()*(+(*,+-(./.$ cricoid !"#$%&()*+,%),-./012)(1+,*2!"#$%&"%(&()*&+!,-$.-$)#%/$0.,&".1-)23456 7.81,983:;<=>1$.,?@A*&+"@3B+($)#3:(#!"#"$%&()*+$(,-."/0&1!"#(,)2("345#678/.(/9:$08/8+;< bag-mask ventilation!"#$%&()*+,!"#$%$&()$*+,!$&-./0+$0*10$!234567, %8!$&93!:$;<<#=.% 7 !$&93!:$(8>?</.$ !$&()$!7 cricoid!"#$%&#()*+!,*%#-$.)#/#(0!"#1+&2&#34 %(5*!"#$%&!,*%#-$.$),-# 6784-984!"#$%&/:;*#)<9+#()"#3=/#>7?@1+&!"#$%#!&! ()*+#%,!+-&./0%123-%#4536!7839:(-;<=>"/+?7:%!#%,"@,5!"#$%& ()*(+*,"-./", cricoid!"#$%&()*+,-.)/012345"6"7.89,:482&
  • 20. 3. Healthcare Provider BLS!"#$%&%()"$#*+,-!"#!./%&",!2010 (!"#$) : !"#!$%&"(!)*+&,-.&/(&0123$#-4!"#)&&56"79:;%<=">?6"<-@(5A"B>"! 8!"#$%&()*+,-./012!3456&78,9:556&;6+<.+::6;5<&!"#$%&&()*+,$-./012345607849+$:/!"#$%#&!"#()*+,-./0.12&"!($. !3/)#45()*+,-./0.126%% Hands-Only(compression-only) CPR !"#$%&()#$%!*+,-./*0(!1*)2345%"46.)7890":3% ;3)<2,=4"%"-./>?@>3*"%?A>“!"#$%#&($)*” !"#$%#&$(&)*+(,$ )-.,/0123414(567(8*9*7(:,&;<+()*+(!"#=>*?@A3#&$(-B 896C-<9!7( CPR!"#$%&()*+,-./#0$%&123,!445/ AED !"#$%&()"*+,-#./,$0 1+2-!0345$+%*6$7$)893:8;0!"#$<=()>=,?@46A5-!"#$%&(%)&%*+(,-("&#. #/0123!&%4!5&%67/,89:.#;.6<+=3>.+;>.?%.@AB.4,7%)1<!"#$%&"()*+()!,*-. */0+123245-$)6()()!,*-.7%(8762!"#$%&()*+,-./!"#$%&()*+,-.+/#0102%/34#,#"5)607"-$$89 !:%.;</=#>#%?&@# CPR !""#$%&()*+),-.(/01()!"#$%&()*+,-./0-12/.34!5*674*2005 (!"#$) : !"#$%&()*+,) AHA Guidelines for CPR and ECC !"#" $.%. 2005 &()*+,-./0123, CPR!"#!$%&()*+,-./"0121#/,34,2/&56/ CPR !"#$%&!"#$%&(&!)*+,-./01%&2)*345+/67!"#$%&&()*(+,-+%*(+.&/0123)45).67%(*&,)!"#$%&$()#*+,-(-./01234561%!787&149-81)9:(501!-#-01,;<=>?@A*B7A71%)#:6&148)CDED=FG(?)#H*,:7+,?I-?)#J1J-EB=!"# $%&()*+,-.#/01&234#56&4789$/:9;$9/<=:>? healthcare providers !"#!$%$&()* !"#$%&#$()*+&,-./)01$2 3!"#$%&()(%&*&+,%& CPR !"" Hand-only !"#$%&()*#+,-./01 234+56$478!7(9#(3:/8 89!;7!8"<8 =8 AHAGuidelines for CPR and ECC !"#" $.%.2005 &#()"*+,- ./012+,-3425()6"789* :);1,92<=-(!"#$%&()&)"*+,-!)-./%01 $-)231$-456,"78)4)"40!!"#$%&%($! )(*!+,#-!.!,#/012$3 AHA Hands-Only CPR!"#$%&()*+,-./+01"#2"3!24$567 2008!"#$%& : !"#$%&()*+,-./0123(0#45#%6%/5#%70839:;42<47,= 5#%+"# Hands-Only (compression-only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
  • 21. 3. Healthcare Provider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uidelines for CPR and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“!"#$ %$&( )*+,-.,/.-” !!"#$""$%&%()*+"$%,$-.#2010 (!"#$) : “!"#$ %$&( )*+,-.,/.-”!"#$%&%%#&#()&*+,-+./#&0102$34/#&05&675(+8&#$19*:&8$*4/5&6775;<(=8 ,>?(&#0:&8#&0@A:6B!"#$%&"()*+,-./0123#"4*256)#7)8$4$-9:;<=13#!"#$%&()*+,)-(.)%&%/(01 ,2)-3$145!6!"#$%&()*+,-.(/%/)012*(345(064/7&!8,149#%:;) <*9!-=&>*?!&@14*/06AB3C)(/4*/06 2 D95E?!"#$%&()!%*#+,#$%*%-*.&/0%1*2-3 30 2-(4)506
  • 22. 3. Healthcare Provider BLS2005 (!"#$) : “!"#$ %$&( )*+,-.,/.-” !"#$%&$()$*$+,-"-.!/0$+,-1,2*314&53,+678!"9:6!"#$%&!()*+,-.!"#$%& : !"##"$%&()*(#"$+,-./01(23(+45678, (C-A-B sequence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“!"#!$%&"(!)*(&"+,+,-.+/#01”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”!"#$!” !"#$%#!& ()"*+,-%./0-1%2%3456-&789)1:.;<.=&/<% #%5#9>!)%"#,?#"1<%.!)"1 2 !0/ &
  • 23. 3. Healthcare Provider BLS!"#$%&()*+,!+--./+-+$-012- 1 1/2 34. 05.6789:;13"4 <3 2010 AHA Guidelines for CPR and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
  • 24. 3. Healthcare Provider BLS !"#$%&!"()*+%,&*+%-!% !"#$%&!"()*+%,&*+%-!%!"#$%&()*#+,-./#) !"#$%&!" 2 &()* (5 +,.) !"#$%& "()*+ 2 ($-./" 0$+#1 1 2 !"#$ (5 %&.) !"#$ (4 %&.) !"#$%&()$*+,-./012(+,-3456,(#7)*7*5,0-7$*!"#$%&()#*+!,-./0123* HCP !"#$%&"()*+#*+,-*./ 0+12+ 2 */1 !"#$"%&()*+)#&,-*.)/&-,-.012345#!"#$%&%()*+!"#!&),-".! !"#"#$%&("()*%#+,- ."/&0&.12#304.2123"0*5# 10 *61#+, !"#$%&(")*+ !"#$!"#-!"#$%& (()*+,-./0#123456!752 87- HCP () jaw thrust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
  • 25. 4. Electrical Therapies!"##$!%"&()*++," (Electrical Therapies)!" #"$%&(&) CPR !" 2010 #$%&!()*!+$,-.*/0,12345167+418%()3+(%9&.:$,*/;,#*<;#=>?.#&*%$,-@%()%&defibrillation, cardioversion !"#$%&(#)*$&)+,-./012345.2 67*5#%+8/ pacing !"#$%&(#)* bradycardia!"#$%&()*+,-./01+2!"#$%&&()%*()+),)-./&0/1 CPR 2005 !"#$%&!()*+(!,-.,/.(01+( defibrillation!"#$%&()&* (early defibrillation) !"#$%& CPR !"#$%&()*+$,!"#$%!&(&)**+,-.$/+01231.$456786&9:,5+:4*5,;<!=6( #><?2:@=!"#$!"#$%&&()*&+!"#$%&()*+%&,-(./"012 • !"##$% AED !"#$!%&()*+!"#$%&$ ()$*+(%&$,-..&/01)234!51#6-7-.89 • !"#$%&()*+" AED !"#$%&()(* • AED !"#"$%&(&)*+,-."$-/+( %("/#0#1 defibrillator • !"#$%&# ()*# CPR !"#$%$&()*+,-.+%/-,0123($ • !"#$%&()*+ 1 +,-. /0$12%,2%&()*+ 3 +,-.3"4%,565 VF • !"#$%&()**"+,--."/*012 30145!)5!"!"!#$%&()&*#++,-.-/,!01233!#4+5627" • !"#$%& electrode • !"# defibrillation !"#$%&()*+,-./ cardioconverter !"#$ defibrillator • +($,- synchronized cardioversionAutomated External Defibrillators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• !"#$%&(%)*+,-+!"#.")/0( /1234!56%-17.)8(6" !"#$%&()#*+,-./01/20/)3&456%&37860/1(0$90:01;97< • !"#$%!&"(#)*+,-./012(3456)78!"# CPR !"#$%&() AED • !"#$%&()*+(!,-#.--!"#/012345!$467 • !"#$%&#()*(+(,-./0%&#-)1(&230,(./0$
  • 26. 4. Electrical Therapies!"#"!"#$%&()*+,)-./&0.12*$&13453#6, AED !"#$%&#%()*+!,- $!"#$%& AED !"#$%&()(*2010 (!"#!$# %#&()*#+, 2005): !"#$%&(")*+,-.&/0&-,1 !2%-34&56&78&/0& AED !"#$%#&()*+","-./%!"#$%&()*+*,-./* defibrillation !"#$%& (<=3 ()*+ ,-./01#234,5"678)!"#$%&()*&+!"#$"#$%&()*+,-*./!01234/!/56!7/89(:%:;/<=>,<6?@-!%*A(7-* >8BC012D2CE1#FC7/G0A"4/ ,defibrillation !"#$%&&()*"+,-&"-.&-/012(34*#5*(&6/7#26489:;<*%=+0>6? @ABC#-&"3DE))"/7#2"-!"#$""%&()*+,-./012/3145!"#$%& AED !"#$%& ()*+,#$%&-.&2010 (!"#$): !"+($ defibrillation !"#$%&( 1-8 !"#$%&( AED!"#$%&()*+,-&./$#.0112.314*35567899:6;<6).31(=>? @#6AB ,%658.?>C6A@#6)6? AED!"#$%&()("*+,,-*.,/0.112344526728*.,9:;< <;62(2*=$%& AED !""#$%&$()*+ ,(-*./0$&/ (1$23 <1 45)!"#"$%&()*+%,-%&.( defibrillator !"#$%&%(!"#$%&%()* AED !"#$"%&(%)*+),,-./0-1%)2345 1%67 AED )!"#$%"& #"!(")*+2005 (!"#$): !"#$%&()*+,#-. 1-8 !" #$%&()*+,-./(01&% AED !"#$"%&(%)*+),,-./001-23-4%)56785(9.:).6);%8!"#$%& AED !"#$%"& (")!*!+,--,$. ,/0)!*!+1/2.%"&34+564789"1$2-."$:;( AED !"#$%&()&*(+, < 1 -.!"#$%&: !"#"$%&"()*#+,)-..+/012+3$1456 3$1!6&7)8/9+:32+ defibrillation !"#$"%&&()*+,-&)*+,./)*+,012)3defibrillation !"# $%&()*+",- ./01&(-234+15&6" .758/)99&:;:&" > 4 J/kg (!"#$%&(& 9 J/kg)!"#"$%&$()*+,-./0/+123& 45!-(.672589:!"#$%&()*+,-./0.1&2 3!$4(%()567"&89)$/):-;&9<=!"#$%&($)*(+,-./01(,/23 AED !"#$"%&()*+,,&-./&%0,12, 3$4#/3!"567+68+9:20;<95 =(5>$.$":*%0,3-"5,!"#?+(3@&!"#$%&!(&) *#+& CPR !"#$2010 (!"#!$#%&(#)*&+ CPR 2005): !"#$%&()*+,!-.#%/012345367+1-5+89-,:!"#$%%&()*+,-.-/(witnessed sudden cardiac arrest) !"#$% AED !"#$%&()*+,%-./*01"2 3#/4$+"*5.6!0+78*()98:;7-7( CPR !"#$%&AED !"#$%&()*+,-$(./()*01(2/3-# +2/"%455,67/8%(/98/%:;(<=!>?%9;</5/7 8&6%$%@*A(2/8/% CPR !"#$%& AED!"#$ defibrillator !"#$%&()*+,-$(.!"#$%&"!()*+,-.+)#/012. 3!4.&.!.#56#785.+9:$;<.2=<.>.?@*6#1!A +AB$6 CPR !"#defibrillation !"#$%&()&* +("),-$./01$.23453 AED !"#$ defibrillator!"#!$#!%$&()*+,-#./0"1!2"034567%58*09:;1% !%<=>*)*+,-#./0"1!2"03456#%<&?%"%#@)*+,-#$&05";A?2BC.:9 !"#5=D!"#$ +CPR !"#$%& 1 ! – 3 !"#$ %&!(!)*+,&"-.),/01/2-+,*%")3.4!5-+2,(/678%")(94 AED !"#$ ECG!"#$%!&()*+,- defibrillation !"#$#%&()"*+,-.$/01 2 23456378 9$".:;<&=># CPR !"#$%&()*+,-./01234456"1"7(89:04;defibrillator!"#$%& (#)*$&)+,!"#$%&()(*+,-"./.0 12324!0567.(%-4",-894:;<=5$=.( !>?8"?("5(6.> CPR !"#$!%&(%defibrillation !"#$%&()*$+,",-./$*01%2*#-(34 VF !"#$%&()*+),#$-./00$1)2$#34506$7#8" 3 ",&9 2:%06$&;,
  • 27. 4. Electrical TherapiesCPR !"#$%&()*+%,-./0)1&2 defibrillator!"#$%&: !"#$%!&( VF !"#$!%&(!!"#$ 2-3 !"#$ %&"()!*+,-./0112)345(6"7,,%84)1! 9&2:&.;;"!!"#!$%&"(!)*+,-./%01234($53*63788"&9:231;.8!3"02&4;(%7-/) <=>82:?&!"#26@>0A(!"B#7!C" VF !"##"$%&"defibrillation !"#$%&&%()* ROSC !"#$%$&($)*+!, CPR 2005 !" 2 #$%&#($ )"*+,-+.#/,$#$%)0$ CPR 1. – 3 !"#$%&!%"()*+ ,!(-./&"0#$1 EMS !"#$%&(()%* 4-5!"#$!%&!()*+,-."/."00-12$3)45-6789:;3<=%3>?=<@149! -<A"6B0.C4"+ >!-$. 2 ."0DE.F"GHH randomizedcontrolled trial !"#$%&("%)%* CPR !"#$ defibrillation!"#$%&()&*+,-.&/+0)12)34561401)78-19:1;<-!""#$%&()*+,##-.!-/",01!2!3 4#-.!-4&516,7&-!"8+-9!:22retrospective !"# 1 #$%&#($)"*+,-.$/0123-4 VF !"#$%&()*++,%-./012324 !"#56.73%2.!82 CPR !"#!$!"#$%&()*+,-./-./%0112%03$44"56"#,7$#$%48$ defibrillation !"#!$!"#$%& 1 #()* +,-./!(/!"#$%& 3 #()*!"#$%&!" #$%&( 2010 )* 2 +,-./+0,1*23-*4531*45+,-#678 1 8-9:&+95+,-#678 3!"#$%&()#*+*),""#)-,.,/01#/+2134(5&6*2,) VF !"#$%&#"()*+,&-+ 2 #"./0#1"2345" #".67*8!"#$%&()*+,-&$./0123455674 8#$9,4:4554&0;<%%&()8&5*37-&$=>%643=?4@&;A!"#$%&(#$)*+",,)-./!"#$%&()*+,-&./0.12.3#4 5*,6)* CPR !"#$%&$()%*+,- defibrillation!"#$%&()*%+,-!./#001"# 2/345!6#/#78$#*9#*"1/0:;0#*<=5>?!@:A1.20B4,10:;C=2@B,$#00#*D,E0D!(#50!"#$%&%()*+,(-(./012,34&2.56# $4&7819+:;-(.,( CPR !"#!$!"#$% (waveform) !"#$#%&("&))*+2010(!"# $%&()*+%&,-./ 2005): !"#$%&())(*+,)-(./01234&53#)6*178(9(&9:1;<0=:( )(*;>#?@"=8 biphasicwaveform !"#$"%&&()*+,)*-.,)/ 01234+567/61893:;<7- 200 J monophasic waveform !"#!$%&()*++"),*VF !"#"$%&()*+ ,-./"$)0( /1(2!-)34(5 1*2!55$6#/7-897:(,-*;-!"#$%&#()*+,-./(!0/01(.2#$3(24567"89:biphasic waveform !"#$%&" &()*#%+,-./0-1 waveform !"#$%$ &()*+,-. ROSC !"#!"##$%&()*$$!+"!,#-./"0"1 213-+"!42*5!"#6723(8+2/5%4*9:!" #$%&&()*+*& biphasic defibrillator !"#$#%&&()*+, monophasic defibrillator !"# waveform !"#$%&("#biphasic defibrillator !"#!$%&(&)*!+,-.-/&"!012!3.-45678649.!"#$%&(#()*+,-.,)$/-0)$/.,1230435+678(89:$; <%&8%=8>?&@A,7BC,1<%/6D%&&+8"+(0)EFGCFD3"!818H+ (120 I,JK 200J) !"#$%&(#)(*+,)-.,//#01234"3.5670*08# 9:"9;"(*+,)-.,//#0<4/<=+!"+($,- defibrillation!"#$%" defibrillation !"#$2010(!"#$%&("#) *+,-.+(/.+!012): !"#$%&()*+,-"./" 01+.234.556"789*:;61<;"./").5=;>;8?%@<0A&!"#$"%&()!*+#,"-%.,/0123/0$+/&&456-74893 :+28*&893874;1/0,41<74 defibrillation !"#$%&()* +,-./01&22/)345/-!"#$%!"!#$%&()*+,-.//0( 2-4 J/kg !"#$%&()*+,-*%.+/01+ 02)&("30+/4+!/3$5-(67(8, 2 J/kg !"#$%&()*+,-)./0 4J/kg !"#$%&())%*+,-.(/$ ($0120$%3$!&415*,,$"67,#8.$"9+:;4 <-.:/.=#2" 10 J/kg!"#$"%&()*++,-./+.0&1234564-7/64!892005(!"#$): !"#$%&$(()*+!,-./0*12)3!"#$%!&% defibrillation !"#$%&(#%) *+,-./)01232#4,-567 monophasic!"#$ biphasic !"# 2 J/kg !"#$%&($)*+ 4 J/kg !"#$%&()*+,
  • 28. 4. Electrical Therapies!"#$%&: !"##$%&(&)*+,+-./0+1234-()4056783!2-9(:!2);<7:=<736-9(>6&%8=?&% 42&))75678@<7defibrillation !"#$%&()*+ ,-.%/)&01&22#3 2 J/kg !"# monophasic waveform !"#"$%&() VF !"# 18%-50% !"#$%&%(")*+,-./012.312*)20#4)25")66,-37896*:&,-; %*,00,16,-<:,%8=,.0>?@-*,03=, defibrillation!"#$%&()**+, 9 J/kg !"#$%&%()*+,-./#- 012-#3-4+5-6,76,78169,.:;2%.4;%<=5=,/4!"#$% &()#*+,-./0!"#$$%&2010(!"# $%&()*+%&,-./ 2005): !"#$%&%()*+,-.+/01,"2,34"256"##0789:1%03+%;7<0,=>*??,"@#A,<!"#$%&()*+ , -. /01234 biphasic waveform !"#$"%$!&()*"+,-$./01/2(345$67889:"$!"#$%&$(()*+,-./0.*1)!/2344!$5(67389:;(4<!=+,>%=+7) ?!@3AB(1<7)1)!/234.*4!$%/$+ 5!"#$%&( Electrode2010(!"#$%&("#) *+,!-./): !"#$%&()*+,-*%.+/-01 234.+/&(56+7/8( -9+2:*) anteroposterior!"#$%&()*+,-#.*(/0* 1-2()*+,-#345 6 (anteroposrerior, anterior-left infrascapular !"# anterior-right infrascapular) !"#!$%&()&"$*+#",-!"!#$%!#&#!()#*+,-./01%2 345,)!#!67 defibrillation !"#$%& 4!"#$%&(2005(!"#$): %&()*+!,-./0*12#"3%)4 AED electrode !"#"$%&(&)*+$,-./0"12%3#"4) sternal-apical !"#$%!&(anterior-lateral) !"#$%&"()*+) (sternal) !"#$%&()"*#+,-&#+*./+ !*$0+1"*23 superior-anterior(infraclavicular) !"#!$%& apical electrode !"#$%&()*+,&)*(-)*. /)+.01!"#$2*3(14 inferior-lateral!"#$%&("#)$*+,-./* 0 12/!#3#%4(567689:;.- (5612/68#*<8#,$*8#-91&=, 2 <8#, (biaxillary) !"#$%&(!)*+ apical!"#$%&()&*+)&, "-./0"123*4*56%0647-()&*.!"#$% &()*+$,-./#!"#$%&: !"#$%&($)*+,-(".(/01)2 342*(0)- electrode !"#$ 4 %&()*+$ ,-./012!32456!+6!-7,8"*9*8//"8:!"#$atrial !"# ventricular arrhythmia !"#$%&()*+,-*%.+/0%1 23)45*56.+/!786$,19:+;1<1:+2+.7= 2005 2+.!>?5!"#$%&%()*+,(-)./0*#1%234"56!"#$%&(!)*!%+( electrode !"#$%&()&*+,-.#/0&+1)& defibrillation!"#$%&&()*+,-!"#$%" defibrillation !"#$%&()*+,-+ implantable cardioverter-defibrillator2010(!"#$): !"#$%&( anterior-posterior !"# anterior-lateral !"#$%&()$*+,-./012,&3456$785"9:;,-.0-implantable cardioconverter-defibrillator !"#$ pacemaker !"#$%&()* electrode !"#$%&"&( paddle!"#$%&()*+,-)&() defibrillation !"#$% &$()*)#%+,#&-./%01% electrode!"#$%&#()*+,-./(01(12345678&9:(1#;/<.)=>?;@3A>#2005(!"#$): !"#$%&()*($+& electrode !"#$%&!"#$%#&()&*+,-./01$23"4567893:);822"#$5:2 1 5<=8 (2.5 !"#$%!&$)!"#$%&: !"#$%&%"#()*)+!,#)-./(-0*%)#1234%1,*#5/6)!"#$%&(")*$&"+,)-./0)-(+123*$&"+,).4&.1567891:;<0)-=>/7.?%@AB5$C?#9D$. 0)- +123&11&:0E& defibrillation!"#$%&"()*+,!-./-01234-567 8+-%!"#$%&$()*+$,-$&!./& cardioversion!"#$%&"()*+,(%)-%./01.234*+,56)!"#789:;1<8= 8 >?"#@>A#2BA(C()9D#(/.%2*$%)%"E/)/01.234"7F" G C7HH%3(spike) !"# pacemaker !"#$%&()) unipolar pacing !"#$%&(&"$)*"+"(,!+ AED !"#$%&()*#(#+,-+./01
  • 29. 4. Electrical Therapies!"#$%&VF !"#$%&()*+,#$( -./!!"#$%"&($%")#*+,-./012)345 &45 !"#6789+/: electrode !"#$%& paddle!"#$%&"()*+,-.%/0.1234561789*+,:;)!"#2<=>?6@<A BCAD.(*$%!?1%7 defibrillation !"#$%+($,- Synchronized cardioversionSupraventricular tachycardia2010(!"#$): !"#$%&$(()* biphasic !"#$!"#$%"&(#)*+# cardioversion !"#$%&()*+,-. atrial fibrillation!"#$%&($) #*+ 120-200 J !"# 200 J !"#$%" monophasic !"#$%&(#)* atrial flutter !"# supraventriculartachycardia !"#$ % !&()*+,-..&$$*!/012& 34/5$6$7&()*89:#;<*$=># 50-100 J !"#$ monophasic /*0 biphasic!"#$%# cardioversion !"#$%&"()*(+,-. /0,1234)2.#%%567891:;6.<5+#= $62005(!"#$): !"#$$%&()*&+&,%-&.%/,% cardioversion !"#$%&()*+*,- atrial fibrillation !"# 100-200 J!"#$%& biphasic cardioversion !"#$%%&()*)+, -./01,2%/%&3)45"678&$-9/(1:9!";$4,"!"#$%&#()!"##"$%&()*&+,()-.+/01-#"$23" elective cardioversion !" atrial fibrillation !"#$%& rectilinear !"#truncated exponential waveform !"#"$%&(&)(*+,--%"./0123("451 100-120 J!"#$%&%#(&)"&**+,-./,0+123+145+6$7, 8.9*1:;<=+>$%#>23+1>5+6%?4 80-85%!"#!"#$#%&(#$#)%*+,-./012-34-#%5(# biphasic cardioversion !"#$%& tachyarrhythmia !"#$%&" (!"#$%&: !"#$%&()*+( biphasic cardioversion !"#$%!&( 2005 )*+,-./01+2340567%4$34817.96!"#$%&$()*#"+")*&"*,&$-./$$*"012!34!"5*60)* cardioversion !"#$%&#($)%*+,-.,/$01!" waveform!""#$%& ()%*+,*-.%/()% biphasic cardioversion !"#$%& atrial fibrillation !"#"$%&())$"!"*+,) 120-200J !"#$%&()*+ waveform !"#$%&()Ventricular tachycardia2010(!"#$): stable monomorphic VT !"#$%!&()*+,"*-./)(* monophasic !"#$ biphasic waveformsynchronized cardioversion !"#$%&()*+,#-./) 100 J !"#$%&$"()*+,#-./011-2345-,!"#$%&()*+,-./0)12*+-3*##45 60%078394):"9;4<=4>)*+94))*9;48?@(ABC593D%057E!"#$%&%"#()*##+*,-./)0123.45%!"#$%&%"#!"#$%&%()*+),+ synchronized cardioversion !"#$%&()* VF !"#$%&()%*+),-./012(0(,34,567 QRS wave!"#$%&()*+,-./0).)123456-7, VT !"#$%&%""()* +,- polymorphic VT (polymorphic VT)!"#$%&()*+,-./01&*234+5( synchronized cardioversion !"#$%&$&()*+,-!.. unsynchronized!"#$%&(()*+*)!,-( (./0 defibrillation dose)2005(!"#$): !"#"$%&()*+,-$./-0,-1203+4+5*6+*7-&//*+60/ biphasic cardioversion !"#$%&monomorphic VT !"#$%"&( polymorphic VT !"#$%& stable !"#$%&%"#%() 2005 $%&%"#*+,+-#.,/0! $11unsynchronized!"#$%&: !"#"$%&(&) CPR 2010 !"#$%&()!*+$,-.-+$/-$01233$-/43 biphasic cardioversion !"#$%&monomorphic VT !"#$%"&($)*+,&,-./)01(23)45/)+67,8,$)**9$:) polymorphic VT!"#$!%&()*+,-./0(1*(2314%!5.$ 678,-./0(9&:;<# stable
  • 30. 4. Electrical TherapiesFibrillation waveform analysis to predict outcome2010(!"#$%&()*+%&,-./ 2005): !"#$%&#"()* waveform !"# VF !"#$%&()*+,-./0 defibrillation!"#!$"%&()*+,-"./0!Pacing2010(!"# $%&()*+%&,-./ 2005): !"#$%& pacing !"#$%&%()*+,()%-./123*42)5*3.678+%$99 asystole 0!"#$%&() symptomatic bradycardia !"#$"%"&( )*+%,-./0123456-(/7(".$789 transcutaneous pacing!"#$%&()*+,-./0123"140/1)5 657!3/ pacing !"#$%&(%)&*" (transvenous pacing) !"#$%&()*#+(,-!"#$%&!()*+%, -"."/01" transcutaneous pacing !"#!$%&
  • 31. CPR Techniques and Devices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precordial thump) !"#$%&()*+(!,*)-./0%""123456)7879:;<=>?>;#$%68/*@"!"#$%&#()*+),#-./0123,45+26"- unstable VT !"# VT !"#$%&%""()* !"#%"+,*-./-,%0122,3"(456&!"#$%&()*+,-. !/0!"#"$ defibrillator !"#!$#%&()#*+*, -./(0/123*4&!"#5&3 CPR !"#$%&()*+,)-,%))$./2005(!"#$): !"#"$%&()*)&+#,)-).)$/!"#$%&: !"#$%%$&$()*$#$%+,-.(/$0#1$!$%2345"6&( VT !"#$%&()*+,)- ./0$%)*+,)-1%"$230)4056) 2!"#$%!&" !"#()*+,"-!./012/32+45!2)!!"#$%&!(#!")*$+,(-.+$/01)12+034.56278,- VF!"#$%&(()*+,-#!.(&/01+2&&(.345+01& 678+ &(#9:&5+01&5;&, &(#9:&<=967>?1, stroke!"#$%&()*+,-(./0*1)23,-4+1,562!57$.872*-9+!"#3:)(;< 2=+0&+2>8 +&5$6?(2)&=+0@7AB<C/5$%&()+&5 CPR!"#$%&()*+,)-,%))$./!"!"#$% CPR!" #$%&()&*+,-./0,1-2,+34%,)5678,.9:;+3#$%4;<- CPR !!"#$%&$()*+, -./(,012+#345!,"$1-.4!67"1890):/$;<(!"#$%&$() *+,-&$."*/01)23)345!#67) 3"-8."9/:!"# CPR !"#$%"&$ ()*#(+,-%.$/0!"#$"%$&()*+,-./0123#4+56!(5"7895:;8<(1=895>)(1?@85AB$"%$=98*!" #$%&!()*+,-(.-/012,!/)*+)(0"3*!)!"#$%&()*+,,-%!"# $%& impedance threshold device !"#$%&(&)*+%%,&(-.)!/,01!)234-45!36!"#$%&&()*+,-./&#0#123/./456.789:*;72+.<70=(>-6//$?&@A0%B%" !-9CD9>A,;D$%&&()*+,-./&#0#0%+!"#$%&#($)"*+,-. multicenter, prospective, randomized controlled trial !"#$%&!$%& load-distributingband CPR (Autopulse) !"#!$%&$ CPR !"#$%&()*+",-#$./#(0.$1!23"))45678$9:9;8:#<9 496(="1,46>?)@A!"#"$%&()*+",-./,01023&%&045$6*37/ 4 52+68"1 9:;"$%&<=>/326,01;??@;A&BB$+9C#%6#&!"#!$%&#()*+,-"*.+/012(/%1(%345/*)267*895:!!86/*)267*890;<=>)2 ?@$5,$A9*+,BCD=*+,%1E%8<#F5*,BC
  • 32. CPR Techniques and Devices!"#$%&(")*+,-./0.1#23+4)5$" 6789,7%:;<=>?=5$"$%3?@A#7B2%>=2)/%C;,-7?D-7E7@#+6FG=#7)E*@+9H7%:67&IG!"#$%&()$!"#$%%$&$()*+",-*$#-*$&./#$%012/34#%56178& CPR !"#$%&(!"#$"%$&#()*+,&-*.-/01/$23-$4-*.56789-4:;<4-* CPR !"#$#%&()*% (+,-. /.012#-34)30*0#5#%.%567$809)!"#$% &()!($*+),-!.(*!/, 012&3!)456-1.47849,".:+.;5 <=+>/-?(),-@A)B3%? C45C,?!"#$%$&()*+,-./0+1-.(23+4256(78349: CPR !"#$%&(
  • 33. 5 ACLS.docADVANCED CARDIOVASCULAR LIFE SUPPORT !"#$%&$(&)*+,-./012.304256%!"#$%&()*!+),- ./0 1)"2$/3456.$/78/,1!"#$%&()*+%&,-(./"0123*+*4-",!"#564)547891:*.;,3*<;=3>26 %? 0.@. 2010 %#A!BCD%E=4)• !"#"$%&()*+%,&-( Quantitative waveform capnography !"#$%&"&("!"#$%&()*%#+,- $./ !"#$%&(&)*(+,-./)"0%12)345) CPR• !"#$%&()*+,-.+/-0123*45()*6*456*789:&,9:3;<3)9=8,).(-,);2& !"#$%&()*+,,*!))-.&/0&0123+456*+-.&78+9:3+7(;<,6*+=>81=?8@A,1>+69?B#:@CD@E+F• !"#$%&()&$*+,*-,&./01/&(2&%34&5(.6.%047&&,70859:;< !"#$%&!"#$%&()*+,-./01+2324-567,8.98:*%&(%;.<=;#-;)*+>.=?.@:! !"#$%#!&()*+,-./01",23(+!#%435!5$6)(32%78-9:3(#;)<=%=&#%4>?;.3&(!@"*.;0"A>A-."*B;-3?40">=2• !"#$%&%()*+),+ Atropine !"#$%%&#$ PEA !"# Asystole !"#$%!&• !"#$%&(#%%&()#*+,-./0 Bradycardia !"#$"%&!"#$%&((!)*+,-./012. #3%34!5.6+7*89! chronotropic drug !"#$#"%&$()"*(+)" *,-.)/0&%&*(+)0$.123.0&44506& .)0*$.+)7&00&4389 pacing• Adenosine !"#"$%&()*(+,-"./0+*12,304#5/$4!67861"9 72:.&;<"$&(=9>?+-@,@6;6AB2, 304<"$$2<C" undifferentiated regular monomorphic wide-complex tachycardia• !"#$%&()*+,-#&./01#%,2-3.)45"67+8,0%9*-*+,-#:(0;"+6<;0=>&:&);>? >6@-?;4AB#199 /01C@?D@>,-##%,2-:46%?(>3.)45"6>-,-#(<%, !"#$%&()*%+#,*-./-0121-3-)3(-45,$647)$891:-,7;-< physiology !"# neurology !"#$%&()* +,-#./- !"#$%&!"#$!%!""&%!()*+%!",*-,./0.1234/5 (Therapeutic hypothermia) !"#$!"#$%&%"#"#()*+,#)-./ Capnography2010 (!"#$) : !"#"$%&(&)(*+,-./0 Capnography !"#$ Quantitative waveform!"#$%&#!()*!%+(,-./01"23*+4#2#!5$"+6&7!89#1%17$23*:8.;<=>$;9#1"931?& @8">;A3,-./!"#$%&()*+,- .&/&01*+)*2)#3456 (1) 0!"#!$#%&()#*+,*-)!./ (2) .01234%56%7(89:;9275#<=>?@A; CPR !"#$%&#!()*!% (3)!"#$$%&#()*+,-#./0%&1(12/("3405#2.65078939+58:;0+#4"7831 <9.=%>:41962> ?@+/("9*A( end tidal carbon dioxide (PETCO2)(!"#$%&()*+, 3)
  • 34. 5 ACLS.doc2005 (!"#$) : !"#"$%&(&)(*+,-./01,2334567%8 CO2 !"#$%&"(!))#&*+)(,-)./#*012*3!!45#"*(6787)&"(!9:-"&$);)"&"*(esophageal detector device) !"#$%&(&)(*+,-.(/01/%.,&23 3,4 AHA guideline !" #.$. 2005 %&()*+,-%./0.-1#2-PETCO2 !"#$%&()*+,-.,/#.+01&2,34!!"#$%&!(& noninvasive !"#$%& cardiac output !"#$%&()*+,-./ CPR !"#!"#$%& : !"#$%& waveform capnography !"#$%&#!()*!%!"#$%&()*$)+$,-./0$123140.)56%1.4)715$08498:;43(<!=*<4>*4?9@:.A3(<BC95$DEF$(G /8F!"#"$%&()*+"$,-./-0"1023"4&54./2460&789":370/1;!"#$%&$(&)#*++,#-* <!"#$%&(#)*+,-"*(.)/012*3*456$7)")89#:;<4&/</=>7)!(%?3%&()/8, !>%$@/=?A"%"*012*8B3*4"*(.=$C)D0)"%):9<4&5<&:3*/E:3%)!"#$%&(&)*+,-./01234#5-64&57$-.#89:;(&)7<=.;><?"@;8,:;>&#AB >)=;,:;>&#AB@#CD72<-.#,-. 6=;E:48)F>4:&8(&)76!"#$%&(&)*+,-&!"#$%&(%)&%*+(,-./0120&%3/*$4&5%#6#7,84)9&:&%2%,1;<7)./0=>6,#6!#/?@=&4!&%3/ capnographic waveform!"#$%&$()*+!*&,-+.&),*!"##"$%&()*+,-.)(/&012345+,(6*+7)#(5)&01#8"9 carbon dioxide !"#$$%&()"&*+,- (.,*/0&12,3/ capnography!"#$%&(!)*+,-(!./01*210)3405(607385*690:%7;<=&>59?2=2=59 @-A05B#% 30)0C2<&(3*6D*40":%7@0@2E+=0%@!"#$%&()*+,-./01.234563-6"78439:".5;<")+090&+= (ROSC) !"#$%&()*+ ,-&,.%/#-(,0123&4560768-9)*+:91;<9((!"#$#%&()*+&%),-&&./+0%12.)34567890,:$!"#$ %&#()*+,&&-./0#$123456!"%7#) (/89:5) PETCO2 !"#$ %$&(" cardiac output!"#$%&()*+,+# -./" $%&()*0123145.4+67358-+9)1*:9+/",8,&9"#;+&)4+678-6)<=-*>,9?&:@AB5 C535.D0B5<-&EF5 PETCO2 !"#$%&()*+,-+!"#$%&%()"*+$, -./0$1,234,5($(6).,$7861/59"1624!"!#$%& (ROSC) !"#$%&(& PETCO2 !"#$%&()*+#,-./0!"#$%&()&*+,-./0-1/&)2.$,($,345678,104.+09:;# !<= !"#>?@&56@.8A&B@8)&@2010 (!"#$) : !"#$%&()&*+,-./0-1/&)2(3#45675*$,($,869+*:;&< =>?4+<+,7:2?+9@;?6.+02A3# !BC:D&E<*+,=>?F/+<4G+F(H2I6*+,JG+CPR !"#!"#$%&()*+),!- ./0"%&1234567 1!&14895!21*$0:;1<52" , =41!&&31691!&14895!21>859527*$0(?4 @=!"#$%"#&($)*+,-!)./0#&1)$%$2345 36$/)$3#7 $)*+,-+#-289:73;<(:(%5=3$)**:$>)0#&?-*4@A*:B$)*B*2!)*$)*0C)()36,)(%5=3*DBB!"#$%&%()*+,-.*/(012.,$%&34)567131(0&!"#$%&%&()*!+,-.%#(/01234.5)6784 89:;21<3/0 %3. 4(!"#$%& 4)
  • 35. 5 ACLS.doc2005 (!"#$) : !"#$%&()&*+,-./0-1/&)23&4567$8 9.:. 2005!"#$%&()*+,-./01234#567894:319//:1;9<:4=9)>59?89>:@!&19/"A56",5*=!"#$%& : !"#$%%&#$($)*+&)!,+-./"&0" #$%12)-13)456&0"789:3;/3,*<3%!"#!$%!&!""!()*+(,*-./01$231$#!$40$56"4789*+"!:;!CPR !"#$%&()*+,-.,/$0 1023!10,3&4!5$+5$)5678&$&5$)9:61;"<162!=9=>1!% (ROSC)!"#$%& .(. 2005 !)*+#$!)*,"-.,/-01234$+567$289$34$:5!;,<=#-")>?@AB)!)* CPR !"#$%&()*+,-./01/23"*43*%(3$56#7!"#$%&()*+,!"#$%&%(#))%*#+,-./+0-/1234#2#)567899:# (defibrillation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oxygen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pulseless VT !"#$%&(%)&*+,$-*($./01%"!"#$%&"(")%*+,-*.+, /*0!"#1+,(2+%"$345645)/4047"$%&89:;5<:+=2!"#"$%&(#)*+,-./0&+1)+!"#$%&()*%++,-%!$./%+01&2334%!"#$%&()*+,-"./01-2010 (!"#$) : !"#$%&%()*+),+ Atropine !"#$%&(#%%&()# PEA / Asystole !"#$%!& ()*&+,-!+./ Atropine!!"#$"%&()*+,-*"$./012/31*-4,5678%9:1;/0", "$..,"<$ PEA / Asystole!"#"$%&()*+",*!"-.%/0%1!2"!"#$%&#()*+,-*.,#&/%012345$$6+(278!"#$%&()*+#%%&+,# Tachycardia !"#$"%"&()*+,-./(01/(2345+36789:;< $".7(=<><?745+4%+ Adenosine!"#$%&()(*+*,-.)/012.3456789:() tachycardia !"#$"%&()*"+,-./012 31456778(9,:50;; regular monomorphic wide-complex tachycardia !"# ($%&()*+),-./012/314567-8.%9+:#(8;0*<=>"?,) @#AB1..=1%67-B%;BCA !D0B1.(/# Adenosine !"#$%)*+ &(irregular wide complex tachycardia !"#$%&$()$*+,-./01-0%!234 VF !"#!"#$%&()*+#%%&+,# Bradycardia !"#$%!&()*+,*-./.012345./6*7506%.1892:.;6*7#<3=/>< !"#$%&%()*#)+#,(-./01Chronotropic drug !"#$%&()!*+#$*,+#-#& .,+$/01233425()$*,+2+62()1+2$!1,+7223 pacing.2005 (!"#$) : !"#"$%&(&)( Atropine !"#$"%&()*+,-./01.20*3)4"567!"$68%901 Asystole !"#$ slow PEA !"# $%&()*Tachycardia !"#!$!%!&!"#!$# Adenosine !"#$%& tachycardia !"#$% regular naroow-complex reentry supraventricular
  • 36. 5 ACLS.doctachycardia !"#$%&% ()$*+&,-.% Bradycardia !"#$%&"!()*+ Chronotropic drug !"#$%&!(#)*(##+%!"#"$%&(&)(*+,-%./0123(456789(7% Atropine !"#$%&()*+,- ./0123041!"#$%&(#)*+, pacing !"#$%"&(&!"#$%& : !"#$%&()*+,-*.!/0,12$3/04"0*252)*46$-*..7-8*9:/;(2 arrhythmias !"#$%&#"()"*+%,(,#-(./!!01&( 2134"#"5-67Atropine !" Asystole / PEA !"#$%&()*+%,%-./012314453617!8 !9:;#$<=(->)?20@17$9A! Atropine!!"#$"%$&"!"#!$%&%()*+,-*.!"/01#/21*-!"#$%#!&()*+&,-)#.%!/,+01&230*40% Adenosine !"#"$%&(&)*"$+$,-#.) /.0.1234 56, $3*7" Tachycardia !"#$"%&()*"+,-./ )!"# $"%&(()*+,-&!.. regular monomorphic wide-complex !"#$%&()*$"+,%-*.!"#/*"0 -1&1#$(2)345*674!889-::regular !"#$%&% ()$*+&,-.% Bradycardia !"#$%&" Chronotropic drug !"#$%&()*(+,-)."/)0123.43,%56# externaltranscutaneous pacing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cute coronary syndrome !"#$%&!()*&"%+,-+./($#012+0$&3"4*5&678 4. !"#!$%&$()*%+,(-.(%/01%.234&5678/7/59:/;/<=&;50##>501/9,(-1/%/5?@AB<C6"DE- 5. !"#$%&()*+*,&$-./0123%45 multiple organ dysfunction !"#$%&("!"#$$%&!()*+,-."/0 excessive ventilation )*+ hyperoxia(!"#$%&$()*+ 3)!"##$!%"&#(#)!*+,(-./!"#-0123$45#)++ cardiopulmonary !"# neurology !"##$!%"&()!"#*(+*,-.,/012-3(Therapeutic hypothermia) !"#$%&()*"+,-".+,*/!"# (percutaneous coronary interventions, PCIs) !"#!!"#$%&()*+(,-.+/012,3 (+0&456*(76(84/$ Acute coronary syndrome) !"#$%#!& #%()*#+*,-./01.2"+3!451678+9183$9+:0;<1!!"#$%&()&*+,-&.&%!$/012334-567# (EEG) !"#$%&()(*+*,-.)/0123(,45678%)9!"#$%&()*+!"#$%&%!&()*"+,-.+"/01)12+034"2,456-#373)%6(829:!5#, ,2005 (!"#$) : !"#$%&()*+"!!"#,-./,0.123$145%!#.46/%-789:!"#,-./,0.12;)<8=%*=>"(#)9?%@7(A-2"4&8.BC19)21!"#,-./,0.12BD E.F.2005 !"##$!%"&()!"#*(+*,-.,/012-3 (Therapeutic hypothermia)!"#$%&()(*+,-#!"#!$%&#()*+,-.)!/-*01/23$435678*292:;99<+,=+%&#>-?$>-@0326AB;:CD:E,$FGGH2-.)!/;63>I$;99 VF !"#$%&%!"#$%#!& ()*+!,!-%./0 (1) 123(#%45-%*%!6"*4,77 hemodynamic , respiratory , !"# neurology (2)!"#$%&()*+,%-%.$/0123$*456$7089:;6(-%<%)=)*+,%>8" (3) /?!"#$!%&()*%$+,#-.&/0%1234-5678)1,#99:,;# &-<#/=9,>"#$!"#$%&()*+#,+-./01#23#456789)349:
  • 37. 5 ACLS.doc!"#$%& : !"#$%&( ).*. 2005 +,&%-*.&/%0##1+2342+5"6782%9 2 9%!6:$"8;,<=>!0## concurrent control !"#!"#$%&(&)*+,-."/012)344 historical control !"#$%&#$(!"#$%&(#) *)+,-) therapeutic hypothermia!"#$%&()*+,-.+)/+(01!"2345)6768 (in-hospital cardiac arrest) !"# $%&()*+(,-(./01234536789,2:2" (out-of-hospital cardiacarrest) !"#$%&#())*+,-./0123456 PEA / Asystole !"#! $%&()*+,-./!0()1.2/3!4"!!"#$%&!"##(!"#$%&()#*+(,-"#$./0*.1023!!!&$4#"#$5%*6+6#7#02.#.18 98:;<./0*6=,!6=>="#$?@#-#=7<-$A!!hemodynamic , neurology !"# $%&()*+,+-%.)"/0+1 (&(+234$%&()*+5*6789+/ therapeutic hypothermia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therapeutic hypothermia!"#$%$&%()*+%,&-./0"%1234506!"#$%&() therapeutic hypothermia!"#$%&()*+,"--.,/"0)1(23",,"-4-56(702&8&79)(":-;"1!!607( <=>,"-4-56(702&8 neuroelectrophysiology!"#$%&&()&*%+$%,-%+&#../&#0%-12(32-45 3 2362)#.*+746(*%89:/;(,<=*=4$%&>.02>+!"#=4?,%$&@AB&C-45<=*D4$E%=!"#$%&#"()&*!"#$%&$()*+,%#$!$-.-/01230+456+7$!-89:"";+<9&$=-/,,.-/>$&?$1%2<@0A21!"#$%&"%"()*+"%",-./0"1(234(5,*67.89:0;<=$>.(?@1"((?1A">.:0 therapeutic hypothermia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oxygen !"#$%%&#$()&*+$#,-#$%.()/0-1"/)234.45/3*!"#$%&()&*+,+-./%0.12-3/4 oxyhemoglobin2010 (!"#$) : !"#$%&()*+,-."#/0&01&23!"4-1.54"67838*47$9"*-:-2;<&&2=2-%9">=?8=&0-#8:@&:-&07?A0=#-B7$oxyhemoglobin !"#$%&(#)*+,%-."$")/,0"12345./"567"8"95:;5 !"#$%&&#(#)*&##)+&,-.&#/01 oxygen!"#$%"$&"#()#!*&+, oxyhemoglobin !"#$%&()*+),+-./01,+22,*+%34-56*+217 94% !"#$8& Fraction of inspired O2 (FIO2)!"#$%&()* +,-#./&0+/&$12345 Hyperoxia !"#$%&()*+,-./0.1"2345*26/0 oxygen !"#$%&(%)2005 (!"#$) : !"#"$%&"()*+,-.,/0$12)#,34562,7879:2,7;#3<=,<>* (weaning)!"#$%& : !"#$%&%&#()*&#+,(-!.&!"&/012(" oxyhemoglobin !"#$%&()* 94% - 99% !"#$"%&(")$*+,!-.&/01,234$55647$"%&+%!"#$%&(%!)*)(%&%++,&-%./0 ACLS task force of the international consensus on CPR and ECC !" #.$. 2010 2,3!"#$%&()*+$,-./.,01)#%123)4!"5/"/6.5/73.%,.898$:*8;2,.8*#(.0<8;42%=(7#*.#>!&?@ 5A(!.,,.8BC,D.+(.EF?5!"#$%!&()*+,-"./012034 Hyperoxia !"#$%%&#$()*+,-./0#1&2/$/0#$%3415-0."51678579 :8.5/6;7-&8<=$7>;/?&-@79#A$B oxygen !"#100% !"#$%"&()*+" PaO2 !"#$%& 80 () 500 **.+!,-./0 1)*2*3456&78"86&1&9:;0<=2>?$=&@-AB ACLS !"# PALS!"#$#%&()*%+,-./01#/23#4#5/67/ 8!+9:#%#+;<=;#&8"#8!#&(<>&;6!?(@ oxyhemoglobin !"#$%&$%()*+ oxygen!"#$%&$()**+(,) -./$0&12)13)456#47+35/82!"# 94% 9:!"#$%&"&()* 100% ;
  • 38. 5 ACLS.doc!"#$%&%"()*+,-#.)/-0)1+23456789:;.7<=2010 (!"#$) : !"#$%&()*+*(),+)*-.(/0(11203(4(-+&50&(%6789:-#6.:$6;8/<=),!>?*"#!@3!>?* 15 AB(*0(1CD >1+08E<;-F!"#!$% , anaphylaxis , !"#$%!&()*+,$,!-./*"0/12234 , 1#567.(89*.:;/ electrolyte !"!"#$%&$()*+%,-./ , #!"#$%!&()*+,%-..-/0(+/"12-/345 , !"#$%!&()*+,678).78&#),98:;%-..-/1-()%<1 , accidental hypothermia !"#$%&()*+,-./)(0 12.!"#$%&"()"* (morbid obesity) , !"#$%&()%*+,+-,./01213+, (pulmonary embolism) , !"#$%&(&)*+,"!-./0+*102*!"#$%!(avalanche) , !"#$%&(&)*+#,-)."/!"#%)0-1)23 PCI , !"#$%&#()*+,-,.&/ (cardiac tamponade) ,!"#$%&()*+),-.&#/,0%1$%&20%.34/3,56 (cardiac surgery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
  • 39. ! ! "#$%&!()(*+),!-,*.)(/&0!! ACUTE CORONARY SYNDROMES !"#$%&()*+,"))"-./+012!"#$%&()*$+!,$-.,#$-!/012$345+6/7,/8!"#$%&()*+*,-.*/-0"1$*2345.$*6723!809,:!"#$%&%(#)")*+,-!./01!.2%#/$345)0*%%(6708,"!"#$%&()*$+!,$-.,#$-!/012$345+6/7,/8 (ACS)!"#$%&($)$%&)$*+ !"#$%&()*+,%-!,.&(//0&1(2)3&0--456(&/7(8&(/9"7:;!"#$%&()*+,-.+&/012!"#3(*14(!"#$!"#!$#%&!"#$ ACS !"#$%&%(!"#$%&!()*!"#$%&()*&&+!"#$%&$()*+,*$))-*.$/01"23456&5 ACS !"#$%&"()*+,-./(/0#1+%0)(2/!"# ECC and AHA/American Collegeof Cardiology Guidelines !"#"$%& !"#$%&()*+,-$./)0$1&2 • !"#$%&(&)*+,-./%0!/1-&2,3!4#5%6.78*1,9 %.4!4#$%:3,*,-;,7)-&2,3!4#5%6.78*1,9<.0"&.4 (AMI) !"#$%&()*+,&-.$/0,120$034.$56)7%58.$9(0$!80*, +:.$/63;0)&56)7%98<=59) !"#$%&()&*+,)-"./&0+12304&05(67$!"#5"8)+"98)42:8&$+,).;<=>&35"(0 • !"#$%&%()*+!,-./01"2(&345(67,8*)9:(,*;<= Major Cardiac Adverse Events (MACE) !"# #")!"#$%#&(, !"#$%&"()*+,!"#$%&()*+,-+./01#2345)65$7 !"#$%&#()*+%,-./0123+%!"#$%"&("()*+,-*.+,+(%"& !"#$%& • !"#$%&(!"#"$%$&(")"*+,-.,/0.$1231*0!"#$%&()*+,-$."/-0,11,2!"#$%&()!$*+,-+.!/!"#$%"&#$ !"#$%&()*+",-."/ 0"#&()*12(/ ventricular fibrillation, pulseless ventricular tachycardia, unstable tachycardia, symptomatic bradycardia !"#$%&"()*+%, !"#$%&!#%&()*+%&$,-./0123456&6",7 !Systems of Care for Patients with ST-Segment Elabation Myocardial Infarction!"##!"#$%&#(!)"*%+,-./012314".5!+"36789:;(.<=>"$68:$?7@$01231!"#/!>:A ST-Segment!"#$%&#(!)" STEMI !"#$%&()*+,, -.!%!$/0"1$*23$%$)*#4510)!"#$%&()67*%8#$"-09%:-#;<5;) ,!"###!$%&!%&!()*+,-%.,$/, !"#$% !&()*"$+,+& -./*)01234.*5+)678(9)*5+):;<90+1)=!"#$%&$ !"#$%&()*+*,- <!"#$%&(#)#" ACS !"#$%!&()*+%(,, ,-(."/0-(122("2%34$%516"*$,-( EMS !"#$%&%(!"#)$%&&$%(#")!"#$%!"#$%&($)*+"%,-)./01#232456)*+,"-"(, !"#$%"&()"*+(,-.(/0!1/2! "#$%&()*+",-.*+"/+01!2-3)"4.-5"46#7+)89!*!"#$#%&()*$)+,(-(" .+/012%3453$6-7($58!"$679(:;0.%<(#=<
  • 40. ! ! "#$%&!()(*+),!-,*.)(/&0!!Out-of-Hospital 12-Lead ECGs!"#$%&()*#+,-(./012.30!(456$74*!8( STEMI !"#!"#$%" 12 lead-ECG !"#$%&"()*++%,-" )%./0120,)!34&5(4.)*+,"-"(!"#$%#&%()*+,#-.& /01234$5641758+9#40:;"<:1!=>$!"#$%&%()*!+/0* AHA %( ECC !"#$$%&()!" 2000 !"#!"#"$%&()$%*%+,+-./012"3445%6-&. 12 leads!"#$%!&&()*+,-$./$01+2+3 !"#$%!"#$%&!"#!$%!"#$#%#&()&*+*,!(#-.# reperfusion with fibrinolytic therapy!"# !" # $ %&() * +, - + !"# $ % &" ( )(")(* + , - . /01 ) 2)"!"#$%"&&()$!*+ , -./ ! Primary PCI!"#$% & ( ) $*!"#$%& "$()*+ , - . / 0 1!"#$2& 34 ! 15!6 # 37 ) 8-0& * .)*+,"-"(!" # ! "#$%&#()!"# $ % EMS !"# $ %&() * + ! , $ -./ 0 1.2 3 %4, - 56, % 4, - 7!, % 830!9 : 74 %;<* = cardiac catheterizationlaboratory !"#$%&%%()*+(,-,.#*% reperfusion times !"#$%&()*+,%-./,0Triage to Hospitals Capable of Performing PCI!"#$%&!#()*+,-./012345"67(8,/%(9#(1/":";<=3>=?%!/@"1A4!"#<5" PCI!" Criteria !"#$%&!"#$%&()*+,-./%0123+4-/+56+3,!"#$% PCI Center !"#$%&()*+,-*.%/%-*Comprehensive Care for Patients After Cardiac Arrest With Confirmed STEMI or Suspected ACS!"#$%&(#)*(+,-."/#0!"#$%&()*+,)+-./(01234$5+!6/5(78(+89/:%;8 STEMI !"#$%&()&*+,- ACS#")1$ PCI !"#$%&()*+,-./012.1$-3)4567/892:6/!;2<!"#$-!6=> ?)@2?A/?B/"CD1/0#712../1E2()*">2BF!;!"#$%&()*+&,%-#,./%0!123$452/65 Cardiac catheterization !"#$%& post-cardiac arrest protocol!"#$%!&()*+(,(-$./%.#)-2&#")!"#$%& !"#$%!"&$ neurologically intact survival !"#$%&()*+,-."/0!"#$%&()*+,-+./(0 out-of-hospital cardiac arrest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immediate general treatment(!"#$%&(!)*+!"!#$%&()*+,!-./0()2010 (!"#$) : !"#$%&()*+,-.!"#$%$&()*+!+,-#./0123456763890:!"#$%&()*+ !"*,-./(01 oxyhemoglobin saturation3 94% !"#$%&&#()&#%(*+,&-./0&1234-456/78%9 Unstable Angina2005 (!"#$) : !"#"$%&()*!"#$%&()*+,-./01"23/0456473.89:30;.6,!<045=><%& !"#$%& arterial oxyhemoglobinsaturation 4 90% !"#$%&()*"+,-.#/0121345&.6/6*7089:; ACS !"#$%& ()*+, 6 !"#$%&()*+"&%,-.).(.
  • 41. ! ! "#$%&!()(*+),!-,*.)(/&0!!!"#$%&()*+,-./)01-23,456/)70+89!"#$%&(%)$#%*+,,-*.+/012!(3$,4 !"#$%#!&&()*+,*-,*&./,0123456%57)88 :!"#$%&!"#$%&".Why (!"#$%&): !"#$%&()*+*,)*-.+/01!"#$%&()*+,-./.!0$"1% +%23456)!789")$9(:);"($%<=-:>4?789.1":@% ACS !"# 2!"#$%&(#()*+%,-./$0/$%/12)$&2345&,.67*819:!"#$%&(!)*+",-. Uncomplicated ACS!"#$%&()*+,-").!"*/012"3"# !456+,-").7"8696#:;<0=/=<1568 !456+,!>)/01&+<!1)?>8<0= $%&/!&#"48%@1A)44>3/!&!"!"#$%&%()*(+,&-*%./%01,!234564 Oxyhemoglobin saturation 3 94%, %(!"#$%&!"#$%&"()*+#,!-.#,/-+0!"#$%&unstable angina/ non-STEMI !"#$%&()*+,-(./0,(.12.*2"34)2+%256(5(78/$19&:;<".
  • 42. ! ! "#$%&!! !"#$%&(%)&*+&, (STROKE) STROKE!"#$%&()*+*,-.*/-0"1$*2345.$*6723!809,:!"#$%&$()*$+,-./+0*1$!"#$%&(%)&*+&, !"#!"#$%&()*+)!,-+.%/01%/23454%678$09 :&;!"#$%234<=>50?)"!"#$%#&()*+,-% ./0+123(.45!"#$"%&&()*+,-./0,1+2)*+!34&5$6+3367+83, &9:(:,:5;< “D’s of Stroke Care”!"#$%&()*+,-./.012%13,4-5&* (!"#$%&(&)*+,-., /01.(2#034",/5(6789(!!*9:(;8(<&) !"#$%#!&()*!"#$%& +!"#$%&(")*("*(")+,-".#/&)!012.1*, !"#3456!"##789":"+, !"#&*%")+,4;!#<6306=#689":!"#$%&(!)*(!"#$%&&($)*+,-./0.12, ($03$4,5*672($%&&($89):;9<=>?, !"#$%&(%)&*+&, !"#$%&(#)*+,,-!"#$%&()*+,-.+/012!"#$%&(%)&*+&,!"#$%&( )*+,-./011203 !"#$%&(%)&*+&,!"#$%%&("!"#$%&()*+,"&-(./*0-1. • !"#$%&&()*+,-.*/#0&1 !"#$!%&%())*+,-./-0"$/12$0*34+5$6+7.6 !"#$%&($!)(*+,-.%/012#$%&!"#$%""&()*+#*,!-.!-/0-#*1%$!.2#.34!5!)#*605 !"#$%&()*+$%&,-.(/*$-01231# )#456789:3“stroke-prepared” hospital ; !"#$%&(")* ()*!"#$%&!&()!"#$%$&()*+&,-.$!"#$%&(%)&*+&, !"#$%!&!"#$%&()!"#$%$& !"#$%&()*+,-"(./.0123!"#$%&()*+,,+,!-.,/ * ()*!"#$%&"()"*"+,+$-,+.+!%/"*012+34*5/"% !"#$%&()*+*,-./*/.%0!.12*,3456 !"#$%&()* • !"#$#%!"#&"(!"#)*+,-./!0.%( 01#234&"#$%&!"#!"##$%!&()!"#$%&(%)& !"#$%&"&#()!"#$%#&( !"#$%&()*!"#$%&(#)*+,-./"!"#$%&()*+*,#-.#/*0102 * !"#$"%&()*+,-*./012.&3*4.5627/8297/:$7;!"#!"#$%&($)*(+,)!"#!$%&! • !"#$%&&()$*)+")$&",-./012345678.9%$.1.:;<=.&(,>!0?>#7@$A !"#$%&(%)&*+&, !"#$%&()*+(,- .*+/%-0-*12"!"#3"4/5367-89$,::#;5 (!"#$%&()*+,-). < 90 mmHg) !"#$%&(!"#$%&()*$+,-./$(-0"1,&23*45"($1+678$9$, • !"#$%&!"#$%&#5&6!"#$%&%()*+, -./,%0123-!"#$!() !"#$%$!&() 1 !"!"#$%&()*&*+, 01&5%&5&#7 !"#$%&()*+,-. /012345678,9:;6<=>?(<;5!"@ABC(>=AD+20+EAF,9 !"#$%&(%)&*+&, !"#$%&()*+,+%-$%.&%/0#/1,023451,067!"879/:); !"#$%&(%)&*+&,()*.89&$ • !"#$%&%(&%)*+,-.$*/0$1%(234(5*6"7, 23413$! +89234:-%%9-* ;!<=4>?@$%A$B13 recombination tissue plasminogen activator (rtPA) ()* American Stroke Association/ AHA recommendations. • !"#$%&(()&*!"#$%&()*$+%,-./01234.*56(7!"#$%&(%)&*+&,-./012$")&&304.542 !"#$ !"#$%&() rtPA :&*+ 3 !"#$%&()*+,"-.*&/0.*.), *.)12-.)3.045.)06706 !"#$%!& rtPA !"#$%&(%)&*"+,-./01234567-3#(3%" 3-4.5 !"#$%&()"*+,#&&-./0/+ !"#$%&(&)*+,$-./0!!"#$%&()*+,- ./0120%34!#5/%6!"#$%&()*(!+)*&!"#$"!%&("!%%#")! :&*+ 3 !"#$%&()*. !
  • 43. ! ! "#$%&!! !"##$%&()*+,-.(-/-.0123-4()5/.&6(78.9,- (FDA) !"#$%&"()#*+,-. rtPA !"#$%&(%)&*"+,-./01234 567-3#(3%" 3-4.5 !"#$%&()"*+,#&&-./0/+ • !"#$%&())(*+,)-(./012$34#5$67(7$(789 !"#$%&(&)*+,- stroke unit team !"#$%!&%!%()*+%,-./,"+$0% ward !"#$%& ()*"+,-.(/0123$4567%&7-48(1*&9. !"#$%&#!()*+,-./0123425#-6789/60 stroke unit !"#$%!"&()*+,%-./0$123456+.78* rtPA !"#$%&(%)&*". • !"#$%&%(&%)*+$%$*#$%,-./%#0$12$!,34/56+7-*839-&:2*!"#$%&(%)&*+&,. !
  • 44. Pediatrics Basic Life Support!"#!$%&()*+,(-+,.",/,012! (PBLS)!"#$%&()*+*,-.*/-0"1$*2345.$*6723!809,: !"#$%!&()*+,-#.-/)012(&3,243,5#,+,678-9")#$9":;-&<+,=/)+!>? .@A:;!&()*7&;B?*CD,13 • !"#$#%&CPR !"#$%&$"()%*$ +,($%&-./#%#01 (C-A-B !"#"$A-B-C) :!"#$%&" % !"#$%&!($!&!"#$%&%()*+,-./#0!12!3%34$1567)3,28!9: 0!02&*8;0<!9=>?!0 (&8.9=*1> • !"#$#%&$()*+,)$"-./01)23,) CPR !"#$"%&()!*)+,- • !"#$%&%()&*"+,-./$0-1-/$)#"+,2#(.2$!*3#4"+)5!$16!7-#$%#85-9$:# )&;-:,<$=-9:, 1/3 !"# AP diameter !"#$%&"( )*+#,-.(/012345 1 ! !"#$ (4 cm)!"#$%&()&*+,"!-.+ !"#$%&()* 2+,-. (5cm) !"#$%&( • !"#$%&$ “!"#$,%$&(,)*+,-.,/.-” !"#$%&#()*&#+,-$.$#&/CPR • !"#$%&()&$*+,#-./0 1*21&343%5678539-02:$/&13;&01&3<8;.= : !"#$%!&()*+(),)-./+,0/123/41/256378 9!.(/!/2:;2-<6+="6<29>$%7./42->?2@- !"#$%&(!"#$%& ()*+,-.%/0123$456#-7#865#0)+0+96:&7 ;<9$45*)=>? !"#$%&"%"()*(+,-./0-,($123"456 10 +76"80 .9:;"#(8"<#"(=-84>:+(?(7@%5!2#"(CPR • !"#$%& (#)*+,%-+(./0$1233+/4567/48 (AED ) !"#$%&()& : *+(,)-.#$%&()& !"#$%&()*+$!#&,-./!01")2344manual !"##$%" &()*!"#$$!%&()%&* !"#$%&&()*+,-*-$./-01$2(34566manual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
  • 45. Pediatrics Basic Life Support!"#$%&()#*+,)-#.2010 (!"#$): !"#$%#&"($)#)*+$,-./%0123425$6 78(9+:*;<=)>:%#&)!"#$%&! 1/3 ($ AP diameter !"#$%&"(!"#$"%&(")(*+(,-.(/01*2%3/0 1! !"#$ ( 4 cm) !"#$%&()&*+,"!-.+ /01#+(&23 2"45, (5cm) !"#$%&(2005 (!"#$): !"#$%&!"%()*+,-./0&!1-./23-4&5#%#$%&!)678,9+30&: ! !"#$ !%&()%*+,-$( AP diameter!"#$%&"(!"#$%&: !"#!"#$%&$&()*$+&,&-./&0(#1234(516$789:$ 2#;2<5/&$&($9!=&"*$ ! !"# AP diameter!"#$%&"(")*+,-./-01*+,2&/+304) "5.#,0(46- (0(2$%&"(*78-790:/;*<;=>*78?%:%+ @A"(0(2$%&"(B$&?0#>",!"#$%&()*+,-&. 1! !"#$ ( 4 cm) !"#$%&()& *+,-),.(/ 2"012 (5cm) !"#$%&(!"#$%"&($)*$ “!"#$,%$&(,)*+,-.,/.-” !!"#$%&"()*+!*"&,CPR2010 (!"#$): “!"#$,%$&(,)*+,-.,/.-” !"#$%&#()*+#,%-.$.#+/)/0123.#+/4+56* 780#+/1)9&:+;1&3.4+56*2005 (!"#$): “!"#$,%$&(,)*+,-.,/.-” !"#$%&$()*+,#-./.0123#-.4-5$6 7801/9:;-<1:3$%"&!!"#$%&: !"#$%&()*"+,"!-./ 0%10&-"2%,0 345")*"+,"610 0%17$% CPR !"#$%&()*(+#,&-./#012(3$2!"#$%&()*+,-./0*$123$4*0$(5"("6*783 !"#$ ./0!59:; ( !"#$!59:;%<#$( ) =>6%"?-/*83&8@9(5"(&!385$((0$3 ( C-A-B )!"#$#%&()&# – !"#$%&(%#)*2010 (!"#$ ): !"#$%&(#)"*# !*+,&(#-.)/0123.,%45,6.3,#"*#*7.895 :;7123!"<=> !*+,!"<=>&?+,##(."2!"#$%&(%)&%*+(,-.%/01234$%5673&89 10 489%(: 09&%;4/<%1:+/ (brachial !"#$%&()& *+, carotid !"#femoral !"#$%&( ) )*+(,-./01234+5!" 10 -6"+78 9,:;/01<"1!.-1+08=82.,9,:!"#$ %&()*+#,-./.)/0&1.!/,21,32005 (!"#$ ): !"#$%&()*+"#,-".#",/0-12 3!401"1"5*+6"7809, :;1374$<+"=5>$#? 10 <?"-8!"#$%&: !"#$%&%"#()!)*+,-.%*/0, ,1+2(34#%5%(65%7%89#67!2#3:;#)3#:$<;=>,95#,#:?@:8AB1<A:.9#:8/*:C8!"#$%&()&(*+,-.$+/0 $1&($23456$7456!"#$%&()*+,-./012*+,*3142+(*045+67186091&:3#;24!"#$"%&()*+,-(./01%23*-)41.15.67+,1-.8+9+)*(:;2<=>5-(?0 AHA guideline !" 2010!"#$%&%()*+,-*%+(.,*(,/0+12345*67.892$%2)!32(9:1:;!<*<7.892!"#$%&!(()" *+,!"#-$./0#12&3$%&!456-7*88&59:;<59= (AED ) !"#$%&!"#$2010(!"#$): !"#$%&()*+ +#%,-.(/%0123-*2+$&4,56 manual!"#$%&()*+,-!./01234561,7616-234!+-/0(38019:,2;<==0:>?$5:>& 961@575* 16-234!+-/0(38019:,2;<==0:>?$5:>& (AED)!"#$"%&()*+),-./,0012344516.7#%89:(,-6;<( %1=89:3;:69>2(,2 ?@>A1(3$>B1$1)CA13;:!"#$%&$&()$!"#$%&()*+!,%-!./01$#233!0456704890+1:;2005(!"#$): !"#$%&()*+,-" ./012&345&#67,8!9++&7:;<7:= (AED ) !"#"$%&()*(+,-"./0+*12, 304#5/$4!67861"9!"#$%&()* 1-8 !" #$%&()*+,&-$.-/01#-23(-%45/$5# 6/789:;9;<&=>1=?1=;4@+*6&)*#&$A;1#$*B%& 1 !"
  • 46. Pediatrics Basic Life Support!"#$%&: !"#$"%&"#"$()#*"+,-.+/01234% 567"4."#"$+819:$;<=&8>=#,?4+!5@@=?AB-?AC (AED )!"#$%!&()!"#$%&#()*+),-./01234*-4!"#$%&()%*+,()(,,%-./01+234")*5)(,6-7,*5)(,.8%)699:(!;#$%!)1-<=#$"699:(>*0?@/$+7%&)(,)(,.8%) (shockable rhythm)!"#$%&#($)*#!"#$%& #"()*+,-./&01)((,2334,56(#7+89,2:92#&-);+,-<=>+$1!!"#$%&()*$+",%-.,(/$0&+#+$(1234560,76080($9:;<=>3!%:)!=-,?94@77!,*A0+,*B (AED )!"#$%&()&
  • 47. Pediatrics Advance Life Support!"#!$%&()*+,-$./,012! (PALS)!"#$%&()*+*,-.*/-0"1$*2345.$*6723!809,: • !"##"$%&%($$)#$$* +,"-.+/012+,/#3(#"$#415670/8(94:3(;<=#*6#"$>$/&>$?:@A"B(C(A"%6D*62-4E;<F* !"##$%"!&(")*+*(",-!% ./0!123&45674!587!.9:*!";("-<=>#"<?%$@?&$785AB#3"<# !"#$%&()*+,-./01#231-456786*1089:%;):!)<=0$.:% !"#/01#*108%3.("2:)>?!"#$%& • !"#$%&(#)*(+,(-. capnography/capnometry !"#$#%&&()*+,*-,./012!0&!"&3()%+&4#542+)!*6 !"#$%&()*#+,-./*#012%34%*56%CPR!"#$%&(!)*+ ,-(&./&01&(2*34*56"7%18689:+;6%8 • !"#"$%&()*+,-./012+3.$+45.,67-89# :;.($<-7=& >?&@;4.9%*,ABC# @$C%#DC-E0F1-#9#&!"#$%$&&()*!+, !"#$%&() 2 "(*+,-).(#./%"0(-.*+12345.#6.&" • !"#$$%&($)%*+,(-.//0% 1*2345%) 2-4 !"#/$$.%&()!*+,- monophasic !"#$ biphasic !"#$%&()*+,-*%.+/0%1 2 234/...%+2&5(67(!5*1.81 (9/:;+<!=*+!7:;&1>?+@1A1?+B%)9C2005 ) !"#$%&(#%)*+,,%&-./01!+. 234,!"#$%&()*+,-+.-/&0$1-/ 4234/55. 64"$$01)77809:;<3$5=&0 4 !"#/$$.(%&($)* 10 !"#/$$. +,-./,)&01%22304"546789:;<=%7=;*>"=;+?) !"#$%&(&!)*"+,-./0123425"6780.8!(59):%*;<9; =():>6"0<"/$%&?*";:@/AB!+%C!@D9E$#7FF biphasic • !"#$%&#"()*+,-./01/2%3-*4!"##"5)*!"#$%&()*+,-./0 1234-5-236789,:0!"#+;*<8+=*8+$><0(3$?$%&$5"%& + !"#$%&$&(&)*))+,-%.(/0123 456/7(/0/01$0+#8+97:$#;<9%"06(%9=)5%>?(>+@- !"#$%&()*+,"-.)oxyhemoglobin!"# !94% !"#< 100% !"#$%&%()*+%*+,-./0.)).-123-*45.67%%)89!0+:+!;#%2<=(!)9+1& • !"#$%!&#%!"#$%& ()*+",-.)/01/203!$#4.)-567(89-42+&2:0.&;38<-!3=",%>0$?5!-@.(#38 A8B5- !"#$%&()&*+",)#,-$./0)123& 45&6$-%0785+%19""):5#&5;7,1<=+,>/0$%&()&*+",)#,-$./0)123& !"#$%&#&%()*+,"-./0123+45) • !"#$%&%"#(#)*)+#,-./0)1.23)#4/.#5-6(/0)%$6(, 5147689,.#5:;$!"#$%&()%&*+,-./,01234#56/789:/;,<=% !"#$%&(%$)*$%&+,-etomidate !"#"$%&()*(+,-./01#2,33,45678/9:1!"34.;<8=917 • !"#$%&()*+,-./0-,-.12#3456789.%-&,-:;<=>#,-..?,@- (Therapeutic hypothermia)!"##$%&!()*+,&)#-./ • !"#$%&()*+),-!.,/0)*1/(2340)*56"47"18()0-31,(!"#$%&()*+,-(!-( (sudden cardiac death) !"#$%&($)&(*+,-(./0(1 • !"#$%&()*+,-!./- 01*.!#2%34542%67*+8&9%()*:;<=>?;%@64A<=A<=A2%01* &BC4&%67* amiodarone !"#$ procainamide !"#"$%&()!*+,&"-./*(0)1 23453678$9+)3:"+;<";6,. (hemodynamic stable)!"#$%&%"#()*+,(-.(#/0120#3/&2-.(4#5!#/6.7%8277(85269%:3;#+9<77(2010 (!"#$): !"#$%&(#)*)+,#-,+./012"1#3.&45,&&/52,3647891:6*&&/ (capnography/capnometry)!"#$%!"#$%&%(%")$*+*!,-."/$0!"#$#% &()*+($+,$-./01$2342*1/+565$&78%4/9%09%&%#7 &78%4/9% 0":&78%;-!"#$"%&()*+,-./01232+!4%56&+%&78 ((9:+ +-%;.<=&>&? /*-.@4%(@A+ /-BC*DE1=1A%) /-BC*DE1= F?G/*-.B:&)0H)
  • 48. Pediatrics Advance Life Support!"#$#%&()*($+,(-).+/$)01(2(" !"#$#%&()/$)01(2(" ($34 3A !"#$ 13) %$&()$*capnography !"#capnometry!"#$%&#!()*!%+,$-.$/0, !$1234567"8(9:(56;<#$%=$5-.$ CPR !"#$%&())*+(!"#$%&()#*+#,-+./(0,12,3&4)+5/5"678)5 (/9. 3A !"#$ 13)2005 (!"#$): !"#$%&()& *+,#$%&-. /01/2/34) &()!25#6)7089.):4:;$),$;<&=(>6()?<8"@$88&@>$?!"+1A(B!488&!"#$%&()&*)+*,-./0*1231(0.)!4 *(5672%).8.9 !*672%).8.9 /9:7:0;1.25.7*-.<12=>#?@;)!"#$%&: !"#$%&$"#(&)*!+",-"#.*/01&//!1,&.2034"526//!(capnography/capnometry)!"#$%&()*+,-./&0#/1#%123456178$7064#*9*1$48-":164#*9!"#$%&()*+$,-.,/012132($4%*-&5"63$.4"7898:!"#$!%"&((")(!*!"+*,#*&!-#./0"&$12&12344(5,$+363$784#$3894:+((!"#$%&()*+),-*./0) "12&3#0+3"45&)67(8+!"$%&(9$:;<6=>9+)7?!"#$%&$"#(&)*!+",-"#.*/01&//!1,&.2034"526//!$3/&783"9-8":;"-)<5%=>20:?"0!"#@.7AB009C!"#$%!&"()*+,-./012 304(56789:;<!"#$%&!#$($)(*+,-(*./"#0/120345!"#0346(7 PETCO2 !"#$%&&$(%)*+,-.+/cardiacoutput !"#$%&(&!)*&CPR !"#$% PETCO2!"# <10-15 mmhg !"#$%&#&(#)&*$+,-*$&./0+1#(!#&#2,0-&"#+,-23456789:0!"#$%&!()*+,)-./)0),12-1*+/-3+(435(.6 !"#3-74859/:;<(&1)-=>(=?!"!"#$%&($)*$)+!,-. PETCO2 !"#$%&()*+),-./.!"#$%&()(*+,*-%./!(*0123-45$!26/)((ROSC) !"#$%&()*)+ ",&*,-*+%./0#1.234&5.675)"5%8.9",:PETCO2!"#$%&()*&"+#,"-./0102"3342&02"32)506"!2-789!:3&#$;7#3<)6!"#$%&$(()*+,,-)./01231*4)!25672010 (!"#$ ): !"#$%&!"#$%&#()*+,)--"./001" 2-4 !"#/$$.%&$()*+,,(-./0($ 0123456+%78/2912+$(:+& $(%78 2!"#/$$.%&!()*+),(-.$/. 01&23/4 VF !"#$%&()*+,,-*.+$/012334+ 5678*+,9:;0,!"#<=>?/@A-BB+82334+!"#9CBDE&8!"#$$%&(()%*+,-./-&0#1&234567895:&4;3%$&/4; 4 <="/>>. ?"@A=$>!"#$%&$ (")*"+,-$ 10./0/,,. 123450%66#$7/6789:;<=>?=$@/?=1A"2005(!"#$ ): !"#$%&()*+,-*&./#01233manual (monophasic !"#$ biphasic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oxyhemoglobin !"#$%& ()*+,-.&/0,12345+67!"#$%&$()*+,& oxyhemoglobin !"#$%&!()!94% !"#$"%"&()*!"+,-#&./0123!%"4$%5*6 !7)8%1#"&5!7391:;#7)<=>;%"!"#$%&%()& FiO2 !"#$%&()*+,%-.+&!"# oxyhemoglobin !"#$%& !94% !"#$%&()*+,-./0123+12.4(567&86#//39:+!;
  • 49. Pediatrics Advance Life Support!"#!$%&(%)*+,-./001234$5)14678960 4$:;09)1 oxyhemoglobin !"#100% $%&%()*+%,-./%, PaO2 !"#$%& 80-500mmhg !"#$%&() *+,-)./0123452$6&*78" FiO2 !" #$%&()*+,-(./01#,",,23-4564&*+!"#100% $%&()*&+,-./01%"#94%2005(!"#$): !"#$%%&()*+,-.)&(+/0 12$&"3)&(4reperfusion injury !"#$%#&$()*+,-.+/, AHA guideline !" 2005!"#$%&(#()*+,!-.-+,/)0123,.14,.4&5-6,787%97.:%9;;6<=14-/)05>?!"#$%&: !"#$%&(#)*+,-"./0 1!02342$)5/64 oxyhemoglobin !"#$%&!()&*+,-./ 94%-99%!"#$%&()*+,-./0-.1.23"4"25&&#678!.*+,-(98#7.:; (<5=/0 PaO2 !"#$%&) !()*+,-./ oxidative injury!"#$%&()&*+!",-)./,"012+3,")4.$,5""67)89&2,"012 ,:;/7)8,<2=&.!"#$&*:;-.>?@/A0/:)B%&=&-C!#-D%!.E2,FG/!"#$%&()*+,-#.%-/0 oxidative injury!"#$%$&%( )%*+",-,./,0%./ FiO2!"#$%&()*+,%-(. PaO2 (!"#$%&%()#*+,%+#-*.%/0oxyhemoglobin !"#$%&) ()!"*+,#-)./0"12&34"5!6.578-&&/9:#6"87/#;-)3;& 67/*2&8<$/7=>?/@7!"A<2!BC5#8%D&#=E.F"-5 G!"#$%&(&)*+,$-./0112/30456!78/980:0//01%&;;/<=(:*!"#$#%&( )*+,#"-./01234&56&.789"#:"0;)+0<9)1=>$?@&!"#$%&$(&)*+,-"#!./0123!-(45(6&"57)28!*)9:;<=&+>.*%!?"1,)22010(!"#$ ):!"#$%&%"#()#&*+,)-./0-/123%/#)4.56789:,;#<#=&>:=6?>@AB08%6%BC,D#9,$E&BC,F0DG.!=#/H-BI,0-15J>:=6?KB8$,L!"#$%&#()*&+*,!-./&!"#$(single ventricle),Fontan or hemi-Fontan/bidirectional Glenn physiology!"#$%&#&%()*+,"-./0123+45)2005(!"#$): !"#$%&!()*+,-./).0%1233()*#1456+ AHA guideline !" 2005!"#$%&: !"#$%&#()*+,-./0123&45#56788#9:;<#!=6>-./>.,)>?*@:#5*A87B");0456#12<*!!"#$%&()*+,#-!&#!#.$/(#012,.13,)4 5#(+&#6+07897:;2010 -3+"#</=/"#>?#=@"#%0AB(#012,.CDE/+F/13?$/<42G=@H#/(#0IJ!"#$%&()*+,-.$/&0-&(1234!056073+489:;<7 extracorporeal membrane oxygenation!"#$%!&()*+!,-!"#$%%&#$()*+,-./0-1/2345$6%&748$")0$7$9:1+;1<&#0=$)!"#!"##$!%"&"()$*+,-./,#01234!-22010(!"#$): !"#$%&()&*+#,)-. QRS !"#$% &$()*% +"$!"#$%,-% QRS> 0.09 !"#$%&2005 (!"#$): !"#$%&()&*+#,)-. QRS !"#$% &$()*% +"$!"#$%,-% QRS > 0.08 !"#$%&!"#$%&: !"#$%&"()*+,-(.(/012&3(/4 56*3( QRS !"#$%&()*!"#$% &( > 0.09 )%*+,-.*/!0#(+12$34+#)5+ 4 "6789 !0.1 !"#$%&!"#$%&()*+,-./(0 4-16 !" #$%&()*+,- ./*0123$4,&+ PALS guideline !"#$%&()*+(*,-(.*#/0123,*4$,$5*3%67 QRS!"#$%&()*+,$-* ./0 >0.09 %*1!" 023(45$6-789:5;<.%7875=>0(82-71?@2A473875=B!"#$%&("()%*+,- 0.01!"#$%&() (*+#*,#-.+/)0+123450+/3!-2645#778$9*!:-%&5;$<$3=0>$#?6@(A20<B"!1/03C 1B4502D$#!E2!$<F!)$+G0+ QRS!!"#$%&()*+ millisecond!"#$%"&()&#*(!+,-./$ 01%"&2345
  • 50. Pediatrics Advance Life Support2010 (!"#$ ): !"#$%&%"#()*+,(-.(#/012$!34)+567((38#,69:5#(;9<%(,8# guideline !"#"$%&!"#$%&()(*+,-.,/.01234#%,(5+6)-76,8-#9"2:.(;4<$%&%4-17=>+(?(7@?(9(6&+%45+6)01234#%,(21AB":<*+ $".#+=19&% Calciumchannel blocker!"#$%$& (&)*+,"$-!.-/,0123$!456 7856(&)*9:+;0!.-/,0123$!456,&"<6$!"#$%&()*+,-.*/01/#234"$15"62%76!"#$%&()*+,-,./012$3*4 56178"/9*7:*(08$Etomidate !"#$%&&()*($#&+),-.#&+(/,0,12&.(3 ($456#0&+# 789456#:; :5.<=8;,1#&+>284-<.$$*1.!"#$%#!&&()*+,*-,./0&/12()3()+14567,/89:.;<=>?@%?+A4=B)&3C34:D)9-<EF2)==)1"G;.-HIE*&=1!3.AHE;2005 (!"#$): !"#$%&() AHA guideline !"2005!"#"$%&()(#*+,-./0123405675#"!8(94:&30;<=4.&(4>8(0#?!*7)(#-),9@A(&"+B&*!+3%C0D,7 -D.8(&( “!"#$%&%()*+),+”!"#$%&()*+, AHA guideline !" 2010 #!$%&()*+,-.#/%0(123(4567389:823(;(/0*;-%<=(>?.@Etomidate !"#!$%&(()#*+&,-./ AHA guideline !"2005!"#$%&: !"#$%&()*)%+*),)-%./0)!(&&12(3%.34()&(56-473$/8"9!6)5:#12(;#%160#9,./<4)!"#$%&()#*+,&,-."#/01)#*%2()+2(3-1)#*$%&452+6(- -)+7&, $,)*8(!(3(%29):#,;,9<;,=,7>#(?#7@452+6(-$,+2ABCD3"# EC&-# )2=>Calcium channel blocker!"#$%$& (&)*+,"$-!.-/!"#$%&()*+ ,-)*./012345"678!"#$%&()*+!"#$%&()*)%+*),)-.( !"/%)01(23(&&(1456 etomidate !"#$%!&()*+,-./01231456+7.89:5//5;<=-,7>?8!"/;+)@,*>8-!"#$%&()"#*!+!"#,-./0102-342-.563#7/01 etomidate !"#$%&"(Etodmidate !"#$%&()*(#+(*(#+!"#,#-./,01/2%23(40 56!"#$"#%&()*+#,&-.& endogenous steroid!"#$%&()*#$)+,-./0(123&45678#98:,5;<=>-?,@@,AB*C%<DE>0(@A;F)%GD>C!"#$%&(")*+,("-.*+-/0*)1$23452010 (!"#$ ): !"#$%&()*+#,%(%-.)/0-12%1345.)/6758#$99 prospective randomized trial!"#$%&()&*++,&-*.$/&*+0$12345678 (therapeutic hypothermia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sudden cardiac death)
  • 51. Pediatrics Advance Life Support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hannel !"#$%&(channelopathy)!"#$%& : !"#$%&()!(&*+,)-./012345(6)7(8.(29"0!"&(.-:"2;"4<=125(8&.>9%)#%)6)-?@&9(.& -?@&A=!"#$%&()*+,-$.-/+01$-+2304&$56.73%83-93"-&:%(;)<=-7:%(;)399+!"#$%&!"#$%&()*+,"-.+/01-(2!345/6(00-/01"2789!::;(/013<=8 >?@12$68<--<A=ABC@0%( channelopathy!"#$%&#$()*+,-.,/+01%2*3+456,(789:;&<135&=>*+$4?,@4$:,A/+9(6%->B-8&5!"#$%&!"#()(*+,-.-/"012!3&.0."*456)!"#7/-78(39:"7(!;).<=)>$);#.?;#,@8=-,0:878(3.-2/
  • 52. Neonatal Resuscitation!"#!$%&()*+,-!."#!!"#$%&()*"+,-&(+,./0&12*&3 2005!"#$%&#()*$+,-.+!/-012345"6207$3-41-8.& 3&92/$&*$+, asphyxia !"#$"%$&(!")*(+,-./*01,2.34/"#5#678$ A-B-C!"#$%&()*+,-(-".,/($- : -(0*+#.(#12345, 3:1!"#$%&&"()*+*,-.#/012345.$6/7$8/!19#0%&#":98."!"#$%&()*+,-.* /0123451+657!"#685!2"-&(4,2(19:,$9,;2010 !"#$%&()*+", • !"#$%"&()*+,())-.( positive pressure ventilation !"#$ %&"!( oxygen !"#$%&()*+#$,-$+(.#/0(,1&+*+#2345+*62%*+##4*7+ 8-9.#/0(,15+* 3 &9:+-41); : !"#$%&%$#()*!+,"-./, !"#$%&%$!"#$%,&"()*+,-./0 12"3) oxygen !"#$%&%( (!"#$#%&()*+,,+#-./&!#0123 pulse oximetry !"##$%"#"&()*+,-#./0123"456#) • !"#$%&#()*+,-,.&$%/0$)*+,#$12"3$#3+1 45&4-+&$6#(7893+1:,3%5;&$%&<3=>?9 • !"#$%&#(#)*$+,-+.-$&##/&01234-31*,5614 • !"##$!%"&(!"#)*+ oxygen • !"#$%$&()*+,*"#-.$),./0 • !"#$%#&()*+,-,./ (01*!2345,$/&26 2005) • !"#"$%&()*+%,&-( exhale co2 !"#$%&%()*"(+,-./012$34"567.685.95:;4$;!< • !"#$%&%$&()*%!&#+!&%$,+-.(%./0 • !"#$%&$()*+,-(.( thermoregulation)!"#$%&%&(&)*#+,-./*&0/"&1$2"*(340(5.+,6"7$&58 2005) • !"##$!%"&()!"#*(+*,-.,/012-3 therapeutic hypothermia !"#$%& post resuscitation care • !"#$%!&()"*)+(,-)"&"#.#-/(0 • !"##$%&(#)*+,-.!"#/01+!23/41.-(5607894:+;<"!8= 2005)!"#$%&#()*+,-,.&$%/0$)*+,#$12"3$#3+145&4-+&$6#(789,3%5:&$%&;3<=>?2010(!"!") : !"#$%&%&(&)* #+,(&)*-$&.$*$#+,/.0.+12--34(5+,46%7890$6&$%:3;6<%%=>!"#$%&()*+,"-./01$%&!/2345/!5&2 ()*+,"6/778219$*/:7;5<=6>?@/8<.*4A4:/7/!"#01B2$77CDA4E.*2 37-39!"#$%& ()*+% ,-.%!/0123-45!+/+-6+*7&%7589$94 :2+()*+%;0<*%;23-4.%=.%=6+*7&%758:!! mask ventilation!"#$%&()* +,-#.+!"/0120!341!"#56.789:";1<9!3&=>.&56.7!"#$"%$&$()*+,!-.#/0,#12340526*,789:7;<+=,5()52612*:(1>(1()?5@( mask ventilation !"#$%&()*+!"#$%&()*+,-./&"&012/#3#-4#567&62$!8,!"#$#%&() *+,#"!"#&,-).*/0+123 ,*+,#"!"#0"423,#$% oxygenation2010(!"#$) : !"#$%"&()*+,()-./0+(0*1230*-, positive pressure !"#$ %&"!( oxygen!"#$%&(#)(*+,-./$01&,2,3405(6"&,,#7& 89:-./$2,3405(%& 3 "#7;39#$-</=2(1):!"#$%&%$#()*!+,"-./,!"#$%&%$,%0./,1%-2 oxygenation !"#$%&&()*+,-./)$&0123%4! pulse oximeter!"##$%"#"&()*#+,-./0"123#
  • 53. Neonatal Resuscitation2005(!"#$) : !"#$ 2005 !%&#()*+",-./0+10/*2/. 340/./)0&"536%47!2,340/./%/8!2,!"#$%&()*+,-#!"#$%&()#*+(),- #-.)/01"22"3*34#56-+72894!(:",-/2-7;- <=;-27>2"3*34#56-</0?%@+4>&AA+!"#$%"&()*+",-,./)01$*23)4!"#$%&() *+,-.$/)012+3&45--67%&89:19;7<=.$."(2 >.<, oxygenation!"#"$%&(&"#)$*+#,(-.(/0(123/ +4$56789:( pulse oximeter!"##$!%"&(!"#)*+ oxygen2010(!"#$) : !"#$%&()* pulse oximeter !"#$#%&()*+ probe !"#$%&()#*+)(,+!"#$%&()*+,$-.+/01#,234546)!"#$%&"()*+,-.$,-/0)-12 oxygen!"#$%&(#%)*%)+),-(./012-0%)"#$3-04%+%,/5673)#%)879.4,6-74:)#%;972#)#<=)6,5#))4>#)#%;$7 oxygen 100%!"#$%"&()*+,-.!+ oxygen !"#$%&()** +,-,./-01 234-5* ++-617$8 69:;/#14,<-,#&=(3,4,#>&(70#?:+;"5@pulse oximeter !"#$%&%()*!"# $%&(% probe !"#$%&()&%*) +,-.*/ %(0120 3,20 45)1202005(!"#$) : !"#$%&"( cyanosis , bradycardia !"#$%&$(")*+,(-*./("!012$#3456$/."(!"#$%&()*+,-./)0 oxygen 100% !"#!$!"#$%& : !"##"$%&!()*+,#-"./01!.%2" 3.4"$#5$#1#&04*67,807$9#:"+.05!"#$%&#&()*+,-.!"#$%"&&&()*+,)- aterial oxyhemoglobin<60% !"#$%&()*+,")-)((,.) 10 /)01 *#234 aterialoxyhemoglobin !"#$% >90% &%()#*+,-. hyperoxia !"#$%&()*+,-.&/0*1234,5!"#$%&()*+,-+./012"-32*-45*"!"#$%$&"#($)*(+,2010(!"#$) : "#$ suction%&$!"#$%&(&)(*+,-./!0*123#4!50/6%/)"+*1237890:1(*05&);7<=(2%7>(+?0,)&0/7%@(<051>$A%B(>(&C01<3#C0D0!"#$!%&%()*+$, &-$ )./+0-1$02!%&+&310)./!%&.#4(%()*566 positive pressure ventilation!"#$%&%()"*+,-*,./01"!2345!#56231748)3!-9:,;-7-:,<-*,.."*=,2,.*8>0?"@!"#$%&#!()*+,!%&-./.+0.123% 0(%)suction !"#$%&%&(&)*#+, (-." non vigorous !"#$"%&( meconium stained2005(!"#$) : !"#$%&()*+,-./$01213,)(045-/67#/4 suction !"#$%&()#*+,"+$-.*),/01()!"#$%&()*+,-./+$01$12,&3$,"()*+,-4$%"/"25,3,,365 !"573()089&07&.!"#$%&()*+,-./0 suction!"#$%&(")*))+&,"-. /0123435+36&.7 meconium stain *+$ suction !"#$%&() *+(,% -*./01)!"#!$!$%&$()*+,-,,./0 (intrapartum suction) !"#$!%&()* thin ,- thick meconium.#"/#+- meconium !"#!$%&()$&*+,-./0(&$&1+&*(&23 ,-+&*4541601 muscle tone ,!"#$%&%$#()*!+,"-./ < 100 0$"1+/)%23 0-$#(!+24% direct laryngoscope !"#!$%&()!*+,+-./. meconium!"#$%&((()*+,+) hypopharynx !"#$%&()*)+,)-#.%#/012 suction %!"#$%#&()*+!"#$%& : !"#"$%&()*+,-+,+./01+2#*3+4*5(4$6789:75:1;!/<=5;>,.+?)#""#$23 airway suctioning!"#$%&(")*&$( meconium !"#$% &()*+,-./$%0123450)6074!891:;<92.)!"#$%&%()"*+,-./01!#12./345-"65-7-(892 :;<05=*,8>5&.&2?&@!(,!>3019/2.A,*,8 suction !"#$%&#()*$+,meconium stain !"#$%&&()*(+,-
  • 54. Neonatal Resuscitation!"#$%#&()*+,-,./2010(!"#!"#$%&()*"+ 2005) : positive pressure ventilation !"#$%"&("&!")*+,-./01*)23* 45/672$%"&81(!"#$%&%$#()*!+,"-./0123425*67) ,$8! 09%.,(0$-+!&*:%:#"-;1*67) <#=#(!+$>5";$>-"+!"#$%&$()*+,$-./0123456!7089:%1;$</0=#$>=?<9<.8.*(01$#123+@<.?<0;$&0. <>?$68#A!"#!"#$%&(%()*)+,-."/$/01&(2&(3/45672&(89:4;%(+%!"# inflation time ,tidal volume, positive end expiratorypressure !"#!$%&()*+, functional residual capacity !"#$"%&()!*)+,-(./!"#(01 !"#$%& positive airwaypressure !"#$%&#!()*!%+,-#$./0123"4(5.$67(8$1!"#$%&(!)*!+,-*( !"#$%"&()*+!,- LMA !"#!!"#$%&$(#)(*+,-./012(#34( face mask ventilation !"#$%&()*+,-%./0*&123!"#,",%45#6#78#91:,15/!;<!"#"$%&()*+)%,-%./0+ exhaled co22010(!"#$) : !"#$%& exhale co2 !"#"$%&(&)(*+,-./,"/0"1$%!"2342.)25/%/&652%./7!"#$%&$#()%*+ 2!"#$%&%()*+, -"./01"(2 cardiac output !"#$%&(")*(+ ,-.+ +/0(12314534*$67!"#$%&()*+)+,#"&-.$-/0).2005(!"#$) : !"#$%& exhale co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asphyxia!"#$%&#()*+#+,-./0+120+#32"4-45& )67 15:2(+#(6)67869:/)*+#32"436"%1 2 !.)!"#$%&()*+,-./0 1/2*345678%*2849:4;%#+<=#1><-?@A(/,-:4B%@!"#$%&(%)*+,%-./!012$Post resuscitation hypothermia2010(!"#$) : !"#"$%&(&")%*+),-./0100+2%),-2,0%34.**562%++78%*90:)8%+;< 36 =;>1%6),-2,5%7# hypoxicischemic encephalopathy !"#$%&()*+,$-./$0120/134+.56+07.890*:5;1: )*$<&=$(5+$$5>+&=*?@+*%hypothermia !"#$%&#(&)*+,-$./0/12342$5/&##6&789#1:1:"
  • 55. Neonatal Resuscitation2005(!"#$) : !"#$%&#($)*+,-.,/012 32456127,8)9:;)<$ #$%.=$1>?7!@0@-A<12B$)6 hypothermia!"#$%&#()*+,-$ asphyxia !"#$%&()*+,)-&)+./0&1(2.3452672$8+9!"#$%&(#!)*)+,-./)+,0-1/2)34#,2*(53,67839,-):)!;*!"#$%&()*+,-./),.(!"#$%& : !"#$"%&!()*++ randomized controlled multicenter !"#$%&%()%*+,-&./0%#1 hypothermia(33.5°c-34.5°c)!"#$%&#()*$+,-%%./-0*1#()$&&23$4%5*6#3$&78 36 97:1$4/ !"#$"%&( hypoxic ischemicencephalopathy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hypothermia !"#$%&()*+,-./01)*2-$(/034-&(5/(6789/-&(:+;5<;%=8!"#$%&()*%*+,-../0 123*41567.6-8%9 /*(:&;6*.<52=7<)7.6!6;9 >?$="@A%6*BC16*..%9D@(;<"@1E%+"*6!"#$"%$&$()*$*%+,-./0#1233(4/5*67.
  • 56. Ethical Issues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”!"!#$%&(%)*!#$!+,-./01(/2(3#( (BLS termination resuscitation rule)”!"#$%&()*%+,*-".(./012$34+,$5+,6,74+897:.:;,.(3,*:8"0<#(=$#>? @A5B;*C<D3;8E/0FG<#7(87A30;.HI,"!"#$%&()*+!"#!"# - !"#$%&()&*+(,-./0123"45!6!"/+1%(21%3"4788879:%7:%7;<3,=>-:/>92 (7?@ /+1%<2):A%2:B1C"<D)E2012 - !"#"$%&%()*"&+,-.)//&01$2(ROSC) !"#$%&(!)&*+,-!#,(%.&/01-2)345 !"#$%&()*&%#+,-%$)*&./01$&#2345+67-06285962( *&: 3 &0: - !"#"$%&()#*+%,-.!//0&**%1&%234!"#$%&()*+,-. 5!"#$%&!(#)*#%+,-./$)012*345.67&8)!39::*;<=&>=*#%5012?$@A:B34C$D0-./E.F#1G$&1CH$2IJ?>4)):*K%962##@ LJ4E.*#%H&J-"#”!"!#$%&(%)*!#$!+,-./01(%+2 (ALS termination resuscitation rule)”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
  • 57. Ethical Issues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lectrophysiology)!"#$%&()*+,!-"./&0.12 (Biomarker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eta-analysis) !"##"$%&#" 33 ($)*+,!"#$%&"( )**+,-./012&34567282"96/0.2://";<!8=>*3.2:!*?/: (anoxic-ischemic coma) !"#$%!"##$%&()*+,-.*/,--$012&(3%* 4 3 !"##$% 56/ - &()!"#$%&()(*(+,-./*0"#,12,314516789," - !"#$%&()*+"!,)-.,/!,0#+&1$2)3.#4.567-+& - !"#$%&()*+"!,)-.,/0,/1-2.3"4-+5&61768.59:/-,/02+/ $+**+"*"4!;2.5+/*"4<-%==>+(Somatosensory- evoked potentials) !"#$%&(&)*+,-./$%012*3"45674 ./$"/*+,-89":+%;:+<)(%; 72 =$,8"< +!"#$%&()*$+#,-++./01234!),-1!5+-!"#$%&$()!"#*+"+",-!"#./0+!12.3*$","#4!#567"8)29+/":41!;29:6":<#%+=##,-!#>33&!"#$%& : !"#$%"&"()*+,-.&"/*.01#/23/4567.-8!"##$%&()*+,-.*/,--$012&(3%*4/+,56!78%9-$+:;8<9$8=#9%>?@.6A&(B?6C$DE;CC$EF;?68%:;8</>G9:5!"#$%&($ )*+,#-
  • 58. Ethical Issues!"#$#%&()*+!"#$,+-.,/ N20 !"#!$% (N20 peak) !"#$%&$()$ *)++),+,-./(0!)$+,-1%2334)(Somatosensory-evoked potentials) !"#$%&&(($)&*+,-#.)&(/0 24 1/2$34 5%6 (&+7+$89):0./;4<=>(>+>?&@-4(+68(7& 5%6+A)&"7&!"#$%&&(($)&*+,-#.)&(/0 3 $/" *%/!"#$%#&()&*"(+,-./01 (2)$3#14#!$#5674+849:";#$)-611;#<9$&=# $#5/5&"Glasgow Coma Scale !"#"$%&(()*+,-./01+,-.)*+/2*+341 2 5.6*(7*#,89- :(;8<- 3!"#$%"&()*+,(!-$"!.)%"+/(012#03&(ROSC) !"#$%&&()*+,%(#-.$/012345(Status epilepticus)!"#!$%&#()*++,-./0123!"#$%&()*+!,-.%/0+1,.+23,!4567(89:;<5(=.>?0==.?@05(+!/0+1$4A,/BC?0!7;D0 289D08$%65:!+?.8!"#!$%&"()*+,"#-./0!1%,(Consciousness) !"#$%&&(&)*(Cognitive)!"#$%&()*!"#$%&()*+,-,$.!&%/-01,234.56789&4:574/;5.<+=>,-?"@*+,A7)%&AA7%B&+,4.9&4:$<C591!D%&.>@E&!"#!"#$%"%&#()(!*+,#()-,./-0 N20 !"#$%&$()$ *+,&-+./012034$25678(&4!"##"$#$%&()*+(),$%+"-./*0/1)0(21#$%3+4556" (Somatosensory-evoked potentials)!"#$%&()*+,-./01$2/(),)3456#,76,8-(80+45(9219 :)-9()456#,76,*,$;)<4:-=>=#&($;?)@-=5=AB (Biomarker)!"#$!"#$%&!()$*+,-*.$/(0!%1$23)$04-4(23)5657189:6(;<=%1$>&$?)(0!@<23)56558#(A$B5C9 %EDUCATION, IMPLEMENTATION, AND TEAMS!"#$%!&#( !"#)#*+,!-./01 23*45(!"#$%!&#( !"#)#*+,!-./01 23* 45( 6)789:;<1&/9(=/8 28;)>?:-?!"#8;@9:;/A$"+)&@!B105C )D 2010 <&E AHA !"# ECC!"#$%&%()%*+,-!".$/012)0%*345+6,)7,*+,-8"79:7;$<;7;$(=< !+;$9>+5+,-?@+%-/75+AB+,-+CDE;"!"#$#%&!()*+,-./012.340!"##45+6/7( (Chain of survival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asping) !"#$%#&()*+(,-(./012-3!"#$%&()*+,-(()"./$"0(12(341/50678
  • 59. Ethical Issues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writing tests : !"#$%& ()*+$ !),- -+.*+$) !"#$%&$(%!)#$* !"#$%&%()*"+)%%,"-./012(-2$34#.5%)!"678#+19%#12:;<-8="+1/ >8=/!"(?@#A7!"012!6BC !"#$#%&()!"#*+,!"#$%#&(Performance assessment)!"#$%&#()*+,-*./-!0-- !"#$#%&()*++,-.(/0-")1#234! .5#6!"##57)189!:;4#!"#<=!3+#4-3,$ !"#$%&(!)*+,-./&+012)23!4-+5,14671!289:%;<=(!:(12>,4?@0%A24&+012A22BC,DEFC)236;5G:%;HBD06=E2 !"#$%#&()*+,-.,&%/01234"56-78%- !"#$%&(!"#$$%&!()!*%+$,%-.+($/*012 34536(784$%&.9:;<=: ) !"#$%&()*+,-.,/"01/!2$345.65/"+78*96:;! !"#$%&()*#+,-./0.1*2&3452%67%28.7%0.6%*)9:;<1:6%*.238.7%$6=%,)$3647-(>0.?47)@2,&*:A- !"#$%!&"()*"+,-.(/)0(Debriefing) !"#$%&()$%*&+,-!.*./+,-012!&,3$(learner-focused) !"#$%&()*+*,-./01%02.+*,32.24536+78$9&6:;<$202.32.245=>7!4*?$9&6+*.-@7 !"#$%!&"()*"+,-.(/)012#/!"##2()3*456,%!738#!39:/;<%=573+ !"#$%&()*+,!-./-01!12)314,56780901:*&,*3-01;<;(3(.=2-01*3-01>?.<@A.B1.C !"#$%&()*(#+,-./#(+012/(#+(3&45,6*& %7-891$&#,(-$%&- !"#$%&!"#()"*+,-.#/00(Systems-based approaches) !"#$%"&()*&+,-+).+/012" !13( !"##$%&(%)*+,-./,01)234560 &" !"##72#87)2-/93!,$:!;,193<9!&=1->?@<:?50 !"#$%&()*+,-.,/"0123"$45/56"78!7/"!1+%395#"/:"3(;<3.#;*=1>5?, .,4560(@?!7@%AB1?
  • 60. Ethical Issues2 !" #$#!"#$%& $"()&)*!+#$,-".*"()"/0123456(2010 (!"#$): !"#$%#&#()*+, -./+#&0%1/23456&73%8.9&: 2 0; <=:=&>?1=#@&"A=:!"#$%&()*+,+-$./012301415$67$89:;<1 =5>;?884321!"#$%&%()*(+),-.*/!/012)32/145()*670,%)/8%9-()*:*/0%4-;1)%*<=>?+) ,*@A()*8-"B8-C-D=A%<"!"#$%& : !"#$%&()*%+,-*(.+/012!3%/456()*%+,-*(.+/789%:;<=;>??@AB9%!@CD=*%+&@E=%;+2BFGHF$%&()*%+*IJK5&!"#$%&() *+,-.*#/,&012+3&45,&6*+,72+*8%96:,;<;=5>+ 2 ?@!"#$%!&(")*+,-./012345674879:"8;("./01<1!"##=!>"#?@=)9ABC"DE+5!"#!FGH7D!"#$%&()*+,&-./0&11(02!"#$%&()*!+,-./!"/0123+45-6789:;<9=9>?.,-.=@%/:0A",-.:4!&%9BC/-&"D=@!EF=;.!"#$%&()*+,-!"#./#0)1(&0)()*23)4)-561&370 &0)!706&0)$%&()*&"#89:40*5,1&;"4)/< AHA !"# ECC !"#!!"#$!%&()*+,-.)!/0+$12$ )+.34)56.785( American Heart Association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recoil) !"#$%&()**+,(*%-).!/0!1)2-).3103()4- 567381)*$()$)949:)2;<2!"#$%&()*+,#-)./01+,#.2-)34256-)78#%(9$5%:;$"5<3=5*8-$>?5" 8(*1(@1!"#$%#&()*+,-./0#*123#,4+)&,56#78&-9:5.5:)&,())&,:836:#&*)*;<&1$6-&/9- 7=&>:/:=&5:!"#!$%&()* 2010 +,-AHA !"# EEC !"#$%#&()*+(&,-.,/.(01+($%#),23$45(67#89.:/0) *()(0;1+(.(03"%3#(:.!"#:<5(=;7.>#:=!"#$%!&()*")+,-".!"# “!"#$%&( &)* !"#$%+,-” !"#$%&()*+(!,)-#.,/"01234&0#5&" 6"7458142"!6,/"$82!*&"+*!8*)-*%!"#$%&()!#*+,-./0!!"#.123.&"!"#$%&!()*+, -./-012.!#3%456785 3/9:;#1!#3"<!=:9=)#&!=7>=!"#$%&%()*+,&-.%&/01234%!5!6%750!"#$%&%!(")$*+,-+("./012314!"#&564!70&,$2010 (!"#$):!"#$%!&#()*#(+!"#,-./01!2"3,14+567189:7&)*"(!#;:<&#<&#=>?&18-=@#;6AB:C)>3#!D>!"#@EFG:F!"#>*.B>="&!$"H@&!"#$!"#!"#$%& : !"#$%&"()*+,-./"012&3)+,-45"0!"#"$%&"()*+,+-.,*,*/01"$()*2/"#$3*41560/1782/"#4!560-&569&*:$;-&56<":41;,=>?@AB<C3*DB/04)+E< 9+FA7/C3*GH/04<-
  • 61. Ethical Issues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ew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
  • 62. First aid!"#$%&(")"*2010 AHA Guidelines for CPR and ECC !"#$%&($)%*+(,"- AHA !"#$%&&(&)*+,-./0 (American Red Cross: ARC)!"# 2010 AHA/ARC Guidelines for First Aid !"#$%&(&!()(**(+,-,.&.++/*++! 0&12.345,"678(92:;<(=> ?@A5(B2AInternational First Aid Advisory Board !"#$%&()*+,-./0$12/345%67.8.9-./ 30 43:;+< ;=>.3?)%!"#$%&$()*$+$,)-./%0)1.),!&1 ILCOR International Consensus on CPR and ECC Science with TreatmentRecommendations !"#$%&$()*+,-&.,/,012342 ILCOR!"#$%&(")"*+,-!"#$#./&012*.!"##3!4"567 89:;"&"#<8=">6?!"#$%&()*+,-./,-0123456 (-478!"#$%&9:;#,8<)!"#$%&(&)*+$)%,-.&/)&%01.#- 2%3*45678915#/9:;)<8*# =>8.?&)&%$@41#&A&: B"80)C=>8.5DB"8%EA)&%FG)*A%4)&%$@41#&A&:!"#$%&(%)*+,-./!0.12 3#45!"#&67-8./!0.12 79:;3)!"#*<=6-">"(%)*+,-2?:205@!"#$$"%&()!*+,-. /0%,1+2!"#$%&("#)*#+,!"#$%&()*"+,- 2010 AHA/ARC Guidelines for First Aid !"#$%& - !"#$%&!()*+,*-#). (supplementary oxygen administration) - Epinephrine (adrenaline) !"# anaphylaxis - !"#$%&()*+#,-$-./&0123-4-%-&"(! ($%54) - !"#$%&()&"( (Tourniquets) !"#$%&(%)*"+,! - Hemostatic agents - !"#$% - !"#$%&(!)*+ (jellyfish stings) - !"#$%&(%)*+",#"-./0* (heat emergencies)!"#$%&()*(+, 2010 Guidelines !"#$%&&()*+,-&(.+/-01023 .4. 2005 5)6!7# 7891:6 inhalers !"#$%&()*+!,-./01/, 23415,!"#$%& $&$%&(&)*, +,+-./ 012"3/)0&4*, spine stabilization, !"#$"%&($)*+!,-".&/01*2,3!#3%4!, !"#$"%&($)*+56/,!"#$%&(%)*+",#"-(./* (Cold emergencies) !"# $%&#()*+,-%).+/ (poison emergencies)!"#$%&!()*+, (supplementary oxygen)2010 (!"#$#%&%()*&+, 2005) : !"#$%&%()*+ )*+,,-./01%023/"045!"#$%&()#*#+ ,!-./%01)23"$#)2454"#$6#),789:(shortness of breath) !"#$%&&!&()$* (chest discomfort)2010 (!"#$) : !"#$%&#()*+,,-.%/&0/1#%2 /34015"0*06789,8-#3:2$;<= 0>-?@0A@BC72C decompression injury
  • 63. First aid!"#$%&: !"#$%&()*$+ ,.-. 2005 ."#/010234"5&*62!"#$%&$()*+,-./0110(234551678/-8"(79 2-:;4<=+>?@9?10(30+2/AB# 7(shortness of breath) !"#$%&&!&()$* (chest discomfort) !"#$%&()*+,-%.!/01231456789,:;<1)+5=&><<)?@AB,A/5@$!"#$%"&($)(*+,-+ decompression injuryEpinephrine (adrenaline) !"# anaphylaxis2010 (!"#$) : !"#$"#"%&$ anaphylaxis !"#$#%&!()*+"#,*- epinephrine !"#$!"#$%&&()*+,-&.&/01(2&01&+341-52/67$&8&(9,$-:47;$<=>?@2# epinephrine !"#$%&()*%2005 (!"#$) : !"#$%&()*$+ ,.-. 2005, 2010 AHA/ARC Guidelines for First Aid!"#"$%&()*(+$%,%-./012%3%45!"#$!%&()*+,+! -./*+,+!-01)2*) anaphylaxis !"#$%&() epinephrine !""#$%%&()*+,-!"#$%&()*+,-.(/0+,!1#2%34(567(!"#$%&: Epinephrine !"#"$%&()&*(+,-./01()2*3#* anaphylaxis !"# $%&()*+, 18%-35% !"#$%&()*+,-.,"/0/1!"#$%&%!()*+$* anaphylaxis !"#$%&"() epinephrine !"#$%&()*+,-.) /0&12$2345 anaphylaxis !"#$%"&()"*!"#$%&()*+,-.&*/(012345657896#06/$89:;0<=6% $>(06/?@& epinephrine !"#$#%&(#)*+#,-./0$#%12"3+456#70-&10 ($8,&!"#$%&"()*+,-./#012"3)&+-3456&7 .8+-)%93./#01):*;931/7.#$) ."%0.0*;<=>#5?@A(9!"#$% anaphylaxis (!"#$!"#!$%&#()*+,-./$012"345.3645"7)!8) 579$7:$%&#+;<=<1>?@*<A<38B92)1.1,*=C42)<?DE)*."364FG=.FH$ =E4$!"# epinephrine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ourniquets) +*,!"#!"#$%&()2010 (!"#$#%&%()*&+, 2005) : !"#$%&())(*+,"-.!"(.%(/0(123145!64(.74 6*#%!)829:+3(&!;<=&/<$%(!>?"%,"@*(=123!"#$%# &()#"#*+,-./*+0+12$#3"4#+"4!5+",#67.89:;/<=>?@A+?+1B0CDC;E1(/<=F+C)6G -1HI0+10C#$%#>?@A+?+1B-;JC4GHIC>C.!"#$%&()*)+,-./0)1)"23+45!"#!$%&#()*#$)+$*,-#./0$1234567!"#$%&: !"#$%"&()*++%,-,./0123453"5+26!(7", &08#59-43:*-7"6-.;6<3=>"3!"#?:@A"B"5 473 <3=3"&#C!"#$%&()*+,$-.*/&01&2341305&1/60 6)/&78219(- 85/5-:,65+"2672;<1&2:;0=#>0&#$-.$%&()*+,$%&1&2?@5A)&<&"!B/6)/&7C(
  • 64. First aid!"#$%&()*+,-.*!"#$%&()*$+*,-%. /0* 1%-2%345$36478"*59$,%. (ischemia and gangrene) !"#$!%!&!"#$%&()*+,-./(0%1#23 4567589:(5;<#=">1?@.("*;1;*5A<"B#C!"#$%#&()*+,-./0+%(1+-234056748-./0+%-547#94+#!66:;+/< =8>(5?@A$!"B@!"#"$%&(&)(*+,-./0123**-!445%6789:;%#72-<=%-!"#"$%&()*+,Hemostatic agents2010 (!"#$) !"#$%&%()*+),+ hemostatic agents !"#$%&()!*#%)+,-./012".3.*!"#$%&: !"#$%&(") hemostatic agents !"#$%&()*+,-!$./0"12/3/-4"!"#$%&#!()(*+,-.,/.,($+01234+5+67(89:;<+$=>?+-6+$-6+4@:;10)ABCDBE+3$+0-4FG768:G"#!"#$%&()*+,*-.&/(012.3245&+67% (892 (2:;.(+:-.<=>,?&#&+ 59@A>3B>&5(>C7 proembolic state!"#$%&()*$+,-.%/&%(01%2.3$,4*3 (thermal injury)!"#$%2010 (!"#$) !"#$%&#%()*+,-./01&234 (pressure immobilization bandage) !"#$%&()*"+,-./(0)1 40-70 !!."#$%!"#$%&(!" #$%&%()*+ 55-70 !!."#$% &()#*+,( -*./0$123(!4(3,$56,.)#7$,(%89:1.;*1!"#$%&!()*+*,%-./0"12-34/56-7!89:-/89:4;-$*1!<.=!>?9$;-@.= (lymph flow) !"#$%&()*(*+,)-.%/"01/22005 (!"#$) !"#$%$&(.). 2005 "%*" +","-.!/0!10 2.34%"3%5+67!/089:;"<=> (pressure immobilization bandage) !"#$%&(!"#$%&()*+,-./0123*&4*01251#6789:;%((,;%<$0 (neurotoxic venom) !"#$%&(")(!"#$%&: !"#$%%$&$()*+,-"."/0#1-2$##$%34(%4-5+,-4#,6$789$:9( ;(+<9=>7&."/)<#<31?@(1-AB/(C (;(A0!%1#$) #4--97&!"#$%&(!)*+ (jellyfish stings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heat emergencies)
  • 65. First aid2010 (!"#$#%&%()*&+, 2005) !"#$%&(")"*+,-$./(0123$45678#9/:"!8/"&#-;5 (heat cramps) !"#$%&!()*+$,"-.$,!"#$%#&#()*+,(-./&, 0/1)*+2345,6$347&2345,/3!"#$-!"#$%&()*#+ ),-. ./0"1234, .3 5#67)!#6879*683):267;#-<=8>"9?"@+"3<479+2"*!"#$%&("$!()"*+,%-., /#01&)2$,-3"4567, 4(0181,2&1#9+2:;8</2&=0>?2$(&."!"#@&) ."!"#A.14&& (heat exhaustion)!"##$%&()*%#+,-./-01"*232#4+25678*92 :3)8;<=3.-33%+,->%567;?) !"#$%&#$()*+,- ./01!-2-3(%&#!4567$89#:;$+"1%--<3(*+,-!"#$%&()*+!,!-%.!%.!(/01234%53-6 %.!57869$(:: (heat stroke) !"#$%&"()*+&,-./+*)011.+**+-234560*7689(EMS providers) !"#$%&()*+,-()./0(1($+2345263440()78%4,89 :;,10(()<=%>9(?(2@%7A8)>9(9(%*+,:;,<B8!"#$%&((()*&+,-#!"#$%&: $%& 2010 AHA/ARC Guidelines for First Aid !"#$%&()*$+,-.#/-012$#3+$!%451 (heat emergencies) !!"#$%&3 !"#$%& ()*+()",-."/ 012.34 #*"5+6(3*+()"27- (heat cramps), !"#$%% (heat exhaustion) !"#$%&()!*$%&+(,-./!"#$%&(( (heat stroke) !"#"$%&()!(#"$*+,-./% +$0#!12+345!"#"$)!(6!1%!"#$%&()%)!*+,-.(-!/0!/+)1+"#2%3)- (central nervous system)!"#$%#&()*+,-./#0&112(3451(,$6*+,17&!8*-!9#,)0:;4*+,<=(>+,#%?+@+4=31-A311?+1()B!"#$!"#$%&&()*+,-+. 2005 AHA Guidelines for CPR and ECC !"#$%%$&$()*+,-%$%+./"01-2+345670&8,09:8&;.<-5(!$#2*=(!"#$%&()*+,-&./00#".123#-*14256!"#7486"(9 +3"(:.#;<4!"#$%&()*)+,-./*!0%123-4"56(478*!6,-7%*9:;3!+,-<5=>?)=>:@6(4AB=<%!#=C?6)-D!=08()"E) FCG)-D!=69)6*8(0%1H*4!"#$%&%()*+,$-&./) +)(0/.1+2!"#$%&(&)#*+"),-./0123/4564 789:6;<=#2>"?*1@!"#$%%;14A@;*BC/*@678D84C/*!3#2C6;!"#$%5E/F*GH 3(post-cardiac arrest care) !"#$%&()*+ ,(-.+/01234-5(.+67/(89-:$.+/.;(<$2(.+6=%)>$!%) ?@A"3A7($-4B012%C6$D*2!"#$%&()*+!"#$#%&!"#() #*+,-.!"#/0!/)&12(+34"$(+) !"#$%&()$*+,"-./%+01/23%.415267859:5"0;-68<6=+>!"#$%&%(%)( 50 *+ ,-./0,1 Kouwenhoven, Jude, and Knickerbocker!"#$%&(&)*+,-#.&/.%01.2+,3+,*+,4&56)789-2+(3:+;,<=1.*+,>?26>%2$"#26*+,*"@.#+A*=+*B+6.A*4 !"#$%&&()*&+,-.!+!"#$!"%"&()*+,-./01+2(.*03456172!"#$%&#$()*+,-.$/0*)123& (!"#$%&()*+,($-(./012-34/5167!"#-(.83!"9"%:-(./012-34/5167;<(=.>?@9485ABC70DEF

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