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Approximately 350,000 adults in the US experience out-of-hospital cardiac arrest each year, with only around 10% surviving. The key factors that determine survival are bystanders administering CPR and the use of an automated external defibrillator, though currently only around 40% receive CPR and 12% have an AED used. High quality CPR, early defibrillation if a shockable rhythm is detected, and advanced medical care upon emergency response team arrival can improve chances of survival. Post-cardiac arrest care is also important for recovery.
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4) For ventricular fibrillation/pulseless ventricular tachycardia, up to three quick successive shocks may be used in some settings, and adrenaline and amiodarone are recommended
2015 acls
This document summarizes guidelines for adult advanced cardiovascular life support. It outlines the key components of basic life support including immediate recognition of cardiac arrest, activation of emergency response, early CPR, and use of an automated external defibrillator. For advanced life support, it describes the treatment of shockable (ventricular fibrillation, pulseless ventricular tachycardia) and non-shockable (asystole, pulseless electrical activity) cardiac arrest rhythms. It also reviews adjuncts to CPR including oxygen supplementation, capnography, ultrasound, and airway management techniques.
Acs0801 Cardiac Resuscitation
The document discusses the chain of survival and approach to cardiovascular resuscitation for a patient experiencing cardiac arrest. The chain of survival involves 4 steps: 1) activating emergency services, 2) beginning CPR, 3) early defibrillation if needed, and 4) providing advanced care. For a patient in cardiac arrest, rescuers should confirm unresponsiveness, call for emergency help, begin CPR, and use an automated external defibrillator or defibrillator when available to analyze the patient's rhythm and administer shocks if ventricular fibrillation or pulseless ventricular tachycardia is detected. The likelihood of survival increases when each step in the chain of survival is quickly followed.
S436.full
guias, reanimacion, rcp, rccp, cardio pulmonar, cerebro cardio pulmonar, ace, aha, ilcor, circulation, hearth, guidelines, cpr, ecc, 2015, adult, bls, basic life support, svb, devices,
http://circ.ahajournals.org/content/132/18_suppl_2.toc
Cpet in cr in lvad saudi prevent 2019
The document discusses the role of cardiopulmonary exercise testing (CPET) before, during, and after left ventricular assist device (LVAD) implantation for advanced heart failure. CPET is useful diagnostically and prognostically before LVAD implantation to help determine candidacy. It can also help guide cardiac rehabilitation and monitor recovery after LVAD implantation. CPET values are important criteria used to select candidates for LVAD and heart transplantation.
Advanced cardiac life support(acls)
1. The document discusses advanced cardiac life support (ACLS) guidelines for treating cardiac arrest. It outlines the chain of survival and emphasizes high-quality CPR, defibrillation, airway management, monitoring during CPR, and drug therapy.
2. Key ACLS interventions include chest compressions, rescue breathing, defibrillation, and vasopressor administration to treat cardiac rhythms like ventricular fibrillation.
3. The document also reviews special considerations for cardiac arrest associated with pregnancy and post-cardiac arrest care.
Cardiac arrest seminar
This document summarizes a seminar on the management of cardiac arrest and cardiac arrest survivors. It defines cardiac arrest and discusses mechanisms and causes. It reviews changes to CPR guidelines including a compression to ventilation ratio of 30:2. It discusses factors that affect blood flow during CPR and prognostic factors for poor outcomes. Management strategies are outlined for defibrillation, antiarrhythmic drugs, vasopressors, steroids and extracorporeal CPR. Adjuncts to CPR like oxygen support and monitoring techniques are also summarized.
CPR during the COVID-19 era
Cardiopulmonary resuscitation , both out of hospital and in hospital , in the COVID Era , deserves special considerations.
Updates in resuscitation.pptx ( hpp )
The document summarizes updates from the 2015 CPR and ECC guidelines developed by the International Liaison Committee on Resuscitation (ILCOR). Key changes included emphasizing high-quality chest compressions, use of automated external defibrillators, and early defibrillation for cardiac arrest. The guidelines were informed by reviews of over 250 studies and recommendations were made using the GRADE methodology. Updates were provided for defibrillation, airway management, drug administration including epinephrine timing, and post-cardiac arrest care such as targeted temperature management.
ACLS UPDATES.pptx
1. The document summarizes updates to the 2020 American Heart Association (AHA) guidelines for adult and pediatric advanced life support.
2. Key adult updates include a new sixth link of recovery in the chain of survival, recommendations to start early CPR and consider adrenaline administration, and use of audiovisual feedback and end-tidal CO2 monitoring to optimize CPR quality.
3. Pediatric updates include a new pediatric in-hospital cardiac arrest chain, recommendations for higher ventilation rates with advanced airways and use of cuffed endotracheal tubes, and administering adrenaline within 5 minutes of cardiac arrest.
Consenso internacional de RCP - 2019
2019 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations
Which mechanical circulatory support should we use as first line option
1) Temporary mechanical circulatory support options like intra-aortic balloon pumps, Impella pumps, TandemHeart pumps, and extracorporeal membrane oxygenation (ECMO) can be used as first-line support for acute cardiogenic shock.
2) These temporary options are placed percutaneously in the catheterization lab and can provide partial to full cardiac output support.
3) Larger ventricular assist devices require open heart surgery and are better suited for longer term chronic support if the patient does not recover with temporary support. The optimal support strategy depends on the individual patient's clinical status and prognosis.
Polytrauma
The ABCDE mnemonic is commonly used in first aid training and trauma assessment to prioritize care for a patient. It stands for:
A - Airway, B - Breathing, C - Circulation, D - Disability, E - Exposure/Environment. Variations on the mnemonic order the steps differently or add additional letters to address specific treatments. The recovery position is recommended for any unconscious patient who is still breathing to prevent aspiration.
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Recomendamos muito.
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Cpr presentation
- 2. OUT OF HOSPITAL CARDIAC ARREST In 2015, approximately 350 000 adults in the US experienced non- traumatic out-of-hospital cardiac arrest (OHCA) attended by emergency medical personnel. Approximately 10.4% of patients with OHCA survive their initial hospitalization, and 8,2% survive with good functional status. The key drivers of successful resuscitation from the OHCA are lay rescuer cardiopulmonary resuscitation (CPR) and public use of an automated external defibrillator (AED). despite recent gains, only 39.2% of adults receive layperson -initiated CPR, and general public applied an AED in only 11.9% of cases.
- 3. ACTIVATION OF EMERGENCY RESPONSE
- 5. EARLY DEFIBRILLATION • Early defibrillation using the Public Access Defibrillator (PAD) is critical for survival if cardiac is caused by Ventricular Fibrillation (VF) or pulseless Ventricular Tachycardia (pVT) • Defibrillation is most successful when done as soon as possible after onset of VF/pVT • Improved chances of Return Of Spontaneous Circulation (ROSC) • Attach the AED as the pictures and instructions on AED suggests. switch the AED on and follow the voice prompts given.
- 6. ADVANCED RESUSCITATION ● Emergency Care Personal taking over responsibility for the patient will improve the survival chances for the patient by providing Advanced life support (ALS) resuscitation for the patient ● The use of Advanced airway interventions (Endotracheal intubation or supraglottic airway placement), the administration of epinephrine with concurrent high quality CPR improves the chances of survival, particularly in patients with nonshockable rhythms ● Extracorporeal CPR may also improve outcomes in specific resuscitation situations
- 7. POST-CARDIAC ARREST CARE AND RECOVERY Post cardiac arrest care is a critical component of the chain of survival and demands a comprehensive, structured, multidisciplinary system that requires consistent implementation for optimal patient outcomes.
- 8. REFERENCES 2020 American Heart Association. (2020, October 20). Part 3: Adult Basic and Advanced Life Support. Retrieved from 2020 American Heart Assosciation Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care: https://www.ahajournals.org/journal/circ Health Professions Council of South Africa. (2020). HPCSA emergency care policy & guidelines. Retrieved from Health Professions Council of South Africa: https://www.hpcsa.co.za/?contentId=0&menuSubId=45&actionName=Professional%20Boards The Resuscitation Council of Southern Africa ©. (2020). http://resus.co.za. Retrieved from The Resuscitation Council of Southern Africa: http://resus.co.za https://venngage.net/ps/HIGcBsydflw/save-a-life