features the areas of changes in new (2015) CPR and ECC guideline of American Heart Associaion

1. Dr. Habib Md Reazaul Karim
MBBS, MD, DNB, IDCCM

2. Chain of survival
2010 (what we know)
2015
Modified to system specific
Different for IHCA
Different for OHCA

3. System-specific Chains of Survival.
Steven L. Kronick et al. Circulation. 2015;132:S397-S413
Copyright © American Heart Association, Inc. All rights reserved.

4. Chain of Survival - ihCa
Surveillance- RRT / EMT (for prevention)

5. Some updateS / ChangeS
Use social media- to summon rescuers to
perform CPR to a suspected OHCA victim
Untrained bystanders should perform
compression-only CPR on OHCA victims
“Dispatch-guided CPR”

6. BLS Healthcare Provider Adult Cardiac Arrest Algorithm—2015 Update.
Monica E. Kleinman et al. Circulation. 2015;132:S414-S435
Copyright © American Heart Association, Inc. All rights reserved.

7. Some updateS / changeS
HCPs are encouraged to simultaneously perform
steps, like checking for breathing and pulse
Upper limit of Compressions rate 120 per minute and
depth of 2.4 inches
Advanced airway- Breath 10/min

8. Adult Cardiac Arrest Algorithm―2015 Update.
Mark S. Link et al. Circulation. 2015;132:S444-S464
Copyright © American Heart Association, Inc. All rights reserved.

9. Some updateS / changeS
For witnessed adult cardiac arrest when an AED is
immediately available, it is reasonable that the
defibrillator be used as soon as possible
It may be reasonable to immediately resume chest
compressions after shock delivery without a pause for
a rhythm check
Use of Naloxone in suspected opioids overdose
patients

10. Updates- post arrest care
Regionalization of Care
Coronary Angio – As early as possible
TTM- 32 to 36 degree C