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ACLS 2015 Guidelines Highlights
Chains of Survival
CAB
High-Quality CPR
Timing of Intubation?
LMA
HK Version
Transtracheal USG for ETT
Confirmation
Endotracheal Intubation
Esophageal Intubation
Colorimetric CO2 Detector
Other Updates
• Role of impedance threshold devices and
mechanical chest compression devices
• Role of ECPR
• Role of steroid and beta blocker
• Targeted temperature management for first 24
hours and beyond
• Prognostication after cardiac arrest
• CPR in pregnant ladies
• etc
Impedance Threshold Device
Mechanical Chest Compression
Devices
Mechanical Chest Compression
Devices
Flail Chest
Scenario
• A patient intubated for ICH is being
transferred to repeat CT brain
• Suddenly…
Oximeter
92%
Oximeter
Desaturation during transfer
• DOPE
– D : displacement of ETT
– O : obstruction of ETT or circuit
– P : pneumothorax
– E : equipment failure
Oxygen Hose
Capnography
Progress
• Noted bradycardia then PEA arrest…
Technical Data
Thank You
Questions?

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ACLS 2015 Highlights.pptx

Editor's Notes

  1. From 2010 onwards
  2. C
  3. AB
  4. Limited rescuers, prolonged CPR, CPR during hypothermic cardiac arrest, in a moving ambulance, in cath lab, while preparing for ECPR
  5. A Inspiration B Mixture of dead space and alveolar gas C-D Expiratory plateau
  6. Oxylog 3000 alarm PB840 alarm Philips intellivue ECG leads off Philips intellivue low RR then apnea SpO2 pulse sound and then desaturation
  7. Change to VC mode for big ventilator or manual bagging via Ambu bag