SlideShare a Scribd company logo
Review of New :
2015 American Heart Association
Guidelines for CPR & ECC
CHANCHIRA TAESAKDATHAM
Second Year Resident of Hatyai Hospital
Present at Rajavithi Hospital on 16th October ,2015
Adult BLS and CPR Quality Overview
• Seventy percent of out-of-hospital cardiac
arrests (OHCAs) 50%.
• Early CPR, and rapid defibrillation.
• Chain of Survival are unchanged from 2010.
• More data are available showing that high-
quality CPR improves survival.
2015 Guidelines Update
Recommendation Recommendation Comments
Emergency dispatchers determine if a patient is
unresponsive with abnormal breathing information
the location of the event
Class I, LOE C-LD updated
unresponsive with abnormal or absent breathing
assume that the patient is in cardiac arrest
Class IIa, LOE C-LD updated
Dispatchers should be educated to identify
unresponsiveness with abnormal breathing and
agonal gasps across a range of clinical
presentations and descriptions
Class I, LOE C-LD updated
 Immediate Recognition and Activation of
the Emergency Response System
2015 Guidelines Update
Recommendation Recommendation Comments
Similar to the 2010 Guidelines, it may be reasonable
for rescuers to initiate CPR with chest
compressions
Class IIb, LOE C-LD updated
 Early CPR
2015 Guidelines Update
Recommendation Recommendation Comments
Untrained lay rescuers should provide compression-
only CPR, with or without dispatcher assistance
Class I, LOE C-LD updated
The rescuer should continue compression-only CPR
until the arrival of an AED or rescuers with
additional training
Class I, LOE C-LD updated
 Untrained Lay Rescuer
2015 Guidelines Update
Recommendation Recommendation Comments
should add rescue breaths in a ratio of
30 compressions to 2 breaths.
Class I, LOE C-LD updated
The rescuer should continue CPR until an AED
arrives and is ready for use or EMS providers take
over care of the victim .
Class I, LOE C-LD updated
 Trained Lay Rescuer
2015 Guidelines Update
Recommendation Recommendation Comments
chest compressions and ventilation for all
adult patients in cardiac arrest, from either a cardiac
or noncardiac cause
Class IIa, LOE C-LD updated
 Healthcare Provider
2015 Guidelines Update
Recommendation Recommendation Comments
For witnessed OHCA with a shockable rhythm, it
may be reasonable for EMS systems with
priority-based, multitiered response to delay
positive-pressure ventilation by using a strategy
of up to 3 cycles of 200 continuous compressions
with passive oxygen insufflation and airway
adjuncts
Class IIb,LOE C-LD NEW
 Delayed Ventilation
2015 Guidelines Update
Recommendation Recommendation Comments
Dispatchers should instruct rescuers to provide CPR
if the victim is unresponsive with no normal
breathing
Class I, LOE C-LD updated
 Recognition of Arrest
2015 Guidelines Update
Recommendation Recommendation Comments
For a patient with known or suspected opioid
addiction who has a definite pulse but no normal
breathing or only gasping administer intramuscular
or intranasal naloxone
Class IIa, LOE C-LD new
For patients in cardiac arrest, so naloxone
administration may be considered
after initiation of CPR if there is high suspicion for
opiate overdose
Class IIb,LOE C-EO new
It is reasonable to provide opioid overdose
response education with or without naloxone
distribution to persons at risk for opioid overdose in
any setting
Class IIa, LOE C-LD new
 Suspected Opioid-Related Life-Threatening Emergency
2015 Guidelines Update
Recommendation Recommendation Comments
Consistent with the 2010 Guidelines, it is
reasonable to position hands for chest
compressions
on the lower half of the sternum in adults
with cardiac arrest
Class IIa, LOE C-LD updated
 Hand Position During Compressions
2015 Guidelines Update
Recommendation Recommendation Comments
rate of 100/min to 120/min Class IIa, LOE C-LD updated
 Chest Compression Rate
2015 Guidelines Update
Recommendation Recommendation Comments
A depth of at least 2 inches or 5 cm.
avoiding excessive chest compression depths
(greater than2.4 inches or 6 cm.)
Class I, LOE C-LD updated
 Chest Compression Depth
2015 Guidelines Update
Recommendation Recommendation Comments
avoid leaning on the chest between
compressions to allow full chest wall recoil
Class IIa, LOE C-LD updated
 Chest Wall Recoil
2015 Guidelines Update
Recommendation Recommendation Comments
In adult cardiac arrest pauses in chest compressions
should be as short as possible
Class I, LOE C-LD updated
CPR without an advanced airway pause
compressions for less than 10 seconds to deliver 2
breaths.
Class IIa, LOE C-LD updated
goal of a chest compression fraction as high as
possible, with a target of at least 60% .
Class IIb,LOE C-LD new
 Minimizing Interruptions in Chest Compressions
2015 Guidelines Update
Recommendation Recommendation Comments
compression-toventilation
ratio of 30:2 for adults in cardiac arrest .
Class IIa, LOE C-LD updated
 Compression-to-Ventilation Ratio
2015 Guidelines Update
Recommendation Recommendation Comments
untrained lay rescuers to provide
compression-only CPR
Class I, LOE B-R updated
Compression-only CPR is a reasonable
alternative to conventional CPR in the adult
cardiac arrest patient
Class IIa, LOE C-LD updated
trained rescuers, ventilation may be considered
in addition to chest compressions
Class IIb,LOE C-LD updated
 Layperson—Compression- Only CPR Versus Conventional CPR
2015 Guidelines Update
Recommendation Recommendation Comments
For victims with suspected spinal injury,
rescuers should initially use manual spinal
motion restriction (eg, placing 1 hand on either
side of the patient’s head to hold it still)
rather than immobilization devices, because
use of immobilization devices by lay
rescuers may be harmful.
Spinal immobilization devices may interfere with
maintaining a patent airway.
Class III: Harm,
LOE C-LD
updated
 Open the Airway: Lay Rescuer
2015 Guidelines Update
Recommendation Recommendation Comments
As long as the patient does not have an advanced
airway in place, the rescuers should deliver
cycles of 30 compressions and 2 breaths during
CPR. The rescuer delivers breaths during pauses
in compressions and delivers each breath over
approximately 1 second
Class IIa, LOE C-LD updated
Bag-Mask Ventilation
2015 Guidelines Update
Recommendation Recommendation Comments
1 breath every 6 seconds (10 breaths per
minute) while continuous chest compressions
are being performed
Class IIb,LOE C-LD updated
 Ventilation With an Advanced Airway
2015 Guidelines Update
Recommendation Recommendation Comments
We do not recommend the routine use of passive
ventilation techniques during conventional CPR for
adults, because the usefulness/effectiveness of
these techniques is unknown.
Class IIb,LOE C-EO new
However, in EMS systems that use bundles of
care involving continuous chest compressions,
the use of passive ventilation techniques
may be considered as part of that bundle.
Class IIb,LOE C-LD new
 Passive Oxygen Versus Positive-Pressure Oxygen
During CPR
2015 Guidelines Update
Recommendation Recommendation Comments
For witnessed adult cardiac arrest when an AED is
immediately available, it is reasonable that
the defibrillator be used as soon as possible
Class IIa, LOE C-LD updated
For adults with unmonitored cardiac arrest or for
whom an AED is not immediately available,
CPR be initiated while the defibrillator equipment is
being retrieved and applied
Class IIa, LOE B-R) updated
 CPR Before Defibrillation
2015 Guidelines Update
Recommendation Recommendation Comments
There is insufficient evidence to recommend the
use of artifact-filtering algorithms for analysis of
ECG rhythm during CPR.
Their use may be considered as part of a research
program or if an EMS system has already
incorporated ECG artifact-filtering algorithms in its
resuscitation protocols
Class IIb,LOE C-EO new
 Analysis of Rhythm During Compressions
2015 Guidelines Update
Recommendation Recommendation Comments
It may be reasonable to immediately resume
chest compressions after shock delivery for
adults
in cardiac arrest in any setting (Class IIb, LOE
C-LD).
updated
 Timing of Rhythm Check
2015 Guidelines Update
Recommendation Recommendation Comments
use audiovisual feedback devices during CPR
for real-time optimization of CPR performance
Class IIb, LOE B-R updated
Chest Compression Feedback
Significant New and Updated Recommendations
• Early recognition of stroke by using a stroke
assessment system by first aid providers.
• If a person with diabetes signs or symptoms of
mild hypoglycemia
Significant New and Updated Recommendations
• Education in first aid can increase survival
rates, improve recognition of acute illness
• Reviewed for the 2015 ILCOR consensus.
No evidence was identified that showed a
decrease in neurologic injury with use of a
cervical collar.
2015 Guidelines Update
Recommendation Recommendation Comments
Education and training in first aid can be useful
to improve morbidity and mortality from injury
and illness
Class IIa, LOE C-LD new
We recommend that first aid education be
universally available
Class I, LOE C-EO new
 First Aid Education
2015 Guidelines Update
Recommendation Recommendation Comments
If the area is unsafe for the first aid provider or the
person, move to a safe location if possible.
Class I, LOE C-EO updated
If a person is unresponsive and breathing normally,
place him or her in a lateral side-lying recovery
position
Class IIb,LOE C-LD updated
If a person has been injured and the nature of the
injury suggests a neck, back, hip, or pelvic
injury, left in the position in which they were
found, to avoid potential further injury
Class I, LOE C-EO updated
If leaving the person in the position found is causing
the person’s airway to be blocked, or if the
area is unsafe, move the person only as needed to
open the airway and to reach a safe location
Class I, LOE C-EO updated
 Positioning the Ill or Injured Person
2015 Guidelines Update
Recommendation Recommendation Comments
If a person shows evidence of shock and is
responsive and breathing normally, maintain the
person in a supine position
Class IIa, LOE C-LD updated
simple fainting, shock from nontraumatic
bleeding, sepsis, dehydration raising the feet
about 6 to 12 inches (about 30° to 60°)
while awaiting arrival of EMS
Class IIb,LOE C-LD updated
Do not raise the feet of a person in shock
if the movement or the position causes pain.
Class III: Harm,
LOE C-EO
new
 Position for Shock
2015 Guidelines Update
Recommendation Recommendation Comments
The use of supplementary oxygen by first aid
providers with specific training.
Class IIa, LOE C-LD updated
supplementary oxygen to persons with known
advanced cancer with dyspnea and hypoxemia
may be reasonable.
Class IIb, LOE B-R new
Although no evidence was identified to support the
use of oxygen, it might be reasonable to
provide oxygen to spontaneously breathing persons
who are exposed to carbon monoxide while
waiting for advanced medical care.
Class IIb,LOE C-EO new
 Oxygen Use in First Aid
2015 Guidelines Update
Recommendation Recommendation Comments
It is reasonable for first aid providers to be
familiar with the available inhaled bronchodilator
devices and to assist as needed with the
administration of prescribed bronchodilators
when a person with asthma is having difficulty
breathing
Class IIa, LOE B-R updated
 Medical Emergencies: Asthma
2015 Guidelines Update
Recommendation Recommendation Comments
The use of a stroke assessment system by first
aid providers is recommended.
Class I, LOE B-NR new
Medical Emergencies: Stroke
2015 Guidelines Update
Recommendation Recommendation Comments
Aspirin has been found to significantly decrease
mortality due to myocardial infarction
Class I, LOE B-R updated
Call EMS immediately for anyone with chest pain or
other signs of heart attack
Class I, LOE C-EO new
While waiting for EMS to arrive, the first aid
provider may encourage a person with chest pain to
take aspirin if the signs and symptoms suggest a
heart attack (no allergy ,no contraindication)
Class IIa,LOE B-NR updated
If a person has chest pain that does not suggest that
the cause is cardiac in origin.
Class III: Harm,
LOE C-EO
new
 Medical Emergencies: Chest Pain
2015 Guidelines Update
Recommendation Recommendation Comments
Dose of epinephrine is 0.3 mg IM for adults and
children greaterthan 30 kg,
0.15 mg intramuscularly for children 15 to 30kg
Class I, LOE C-EO new
When a person with anaphylaxis does not
respond to the initial dose, and arrival of
advanced care will exceed 5 to 10 minutes, a
repeat dose may be considered.
Class IIb,LOE C-LD updated
 Medical Emergencies: Anaphylaxis
2015 Guidelines Update
Recommendation Recommendation Comments
If the person is unconscious, exhibits seizures, or is
unable to follow simple commands or swallow
safely, the first aid provider should call for EMS
immediately
Class I, LOE C-EO new
signs or symptoms of mild hypoglycemia and is able
to follow simple commands and swallow, oral
glucose should be given to attempt to resolve the
hypoglycemia. Glucose tablets
Class I, LOE B-R new
 Medical Emergencies: Hypoglycemia
2015 Guidelines Update
Recommendation Recommendation Comments
It is reasonable to use these dietary sugars as an
alternative to glucose tablets (when not
available) for reversal of mild symptomatic
hypoglycemia
Class IIa, LOE B-R new
First aid providers should therefore wait at least 10
to 15 minutes before calling EMS and
re-treating a diabetic with mild symptomatic
hypoglycemia with additional oral sugars.
Class I, LOE B-R new
 Medical Emergencies: Hypoglycemia
2015 Guidelines Update
Recommendation Recommendation Comments
If the person’s status deteriorates during that
time or does not improve, the first aid provider
should call EMS
Class I, LOE C-EO new
 Medical Emergencies: Hypoglycemia
2015 Guidelines Update
Recommendation Recommendation Comments
In the absence of shock, confusion, or in ability to
swallow, it is reasonable for first aid providers
to assist or encourage individuals with exertional
dehydration to orally rehydrate with CE drinks
Class IIa, LOE B-R new
If these alternative beverages are not available,
potable water may be used
Class IIb, LOE B-R new
 Medical Emergencies: Dehydration
2015 Guidelines Update
Recommendation Recommendation Comments
It can be beneficial to rinse eyes exposed to toxic
chemicals immediately and with a copious
amount of tap water for at least 15 minutes or until
advanced medical care arrives
Class IIa,LOE C-LD updated
If tap water is not available, normal saline or
another commercially available eye irrigation
solution may be reasonable .
Class IIb,LOE C-LD new
 Medical Emergencies: Toxic Eye Injury
2015 Guidelines Update
Recommendation Recommendation Comments
There continues to be no evidence to support the
use of pressure points or elevation of an injury
to control external bleeding.
Class III: No
Benefit, LOE C-EO
updated
The standard method for first aid providers to
control open bleeding is to apply direct pressure
to the bleeding site until it stops.
Class I, LOE B-NR updated
Local cold therapy, types of injuries to the
extremity or scalp
Class IIa, LOE C-LD new
 Trauma Emergencies: Control of Bleeding
2015 Guidelines Update
Recommendation Recommendation Comments
Cold therapy should be used with caution in
children
Class I, LOE C-EO new
use of a tourniquet when standard first aid
hemorrhage control does not control severe
external limb bleeding
Class IIb,LOE C-LD updated
A tourniquet may be considered for initial care
when a first aid provider is unable to use
standard first aid hemorrhage control, such as
during a mass casualty incident, multisystem
trauma, in an unsafe environment
Class IIb,LOE C-EO new
 Trauma Emergencies : Control of Bleeding
2015 Guidelines Update
Recommendation Recommendation Comments
Although maximum time for tourniquet use was
not reviewed by a 2015 ILCOR systematic
review, first aid provider note the time that a
tourniquet is first applied and communicate
this information with EMS providers
Class IIa,LOE C-EO new
Hemostatic dressings may be considered by
first aid providers when standard bleeding is not
effective for severe or lifethreatening bleeding
Class IIb,LOE C-LD updated
Proper application of hemostatic dressings requires
training .
Class I, LOE C-EO). updated
 Trauma Emergencies:Control of Bleeding
2015 Guidelines Update
Recommendation Recommendation Comments
We recommend against the application of an
occlusive dressing or device by first aid providers
for individuals with an open chest wound
Class III: Harm,
LOE C-EO
new
In the first aid situation, it is reasonable to leave an
open chest wound exposed to ambient air
without a dressing or seal .
Class IIa, LOE C-
EO
new
 Trauma Emergencies: Open Chest Wounds
2015 Guidelines Update
Recommendation Recommendation Comments
Any person with a head injury that has resulted in a
change in level of consciousness, has progressive
signs or symptoms as should be evaluated by a
healthcare provider as soon as possible
Class I, LOE C-EO new
Using any mechanical machinery, driving, cycling, or
continuing to participate in sports after
a head injury should be deferred by these
individuals until they are assessed by a healthcare
provider and cleared to participate in those
activities .
Class I, LOE C-EO new
 Trauma Emergencies: Concussion
2015 Guidelines Update
Recommendation Recommendation Comments
With a growing body of evidence showing more
actual harm and no good evidence showing
clear benefit, we recommend against routine
application of cervical collars by first aid providers
Class III: Harm,
LOE C-LD
updated
If a first aid provider suspects a spinal injury, he or
she should have the person remain as still as
possible and await the arrival of EMS providers
Class I, LOE C-EO new
 Trauma Emergencies: Spinal Motion Restriction
2015 Guidelines Update
Recommendation Recommendation Comments
In general, first aid providers should not move or
try to straighten an injured extremity .
Class III:
Harm, LOE C-EO
Updated
In such situations, providers should protect the
injured person, including splinting in a way
that limits pain, reduces the chance for further
injury, and facilitates safe and prompt transport.
Class I, LOE C-EO Updated
If an injured extremity is blue or extremely pale,
activate EMS immediately
Class I, LOE C-EO New
 Musculoskeletal Trauma
2015 Guidelines Update
Recommendation Recommendation Comments
Cool thermal burns with cool or cold potable water
as soon as possible and for at least 10 minutes .
Class I, LOE B-NR Updated
If cool or cold water is not available, a clean cool or
cold, but not freezing, compress can be
useful as a substitute for cooling thermal burns
Class IIa,LOE B-NR New
Care should be taken to monitor for hypothermia
when cooling large burns .
Class I, LOE C-EO New
After cooling of a burn, it may be reasonable to
loosely cover the burn with a sterile, dry dressing .
Class IIb,LOE C-LD Update
Burns
2015 Guidelines Update
Recommendation Recommendation Comments
In general, it may be reasonable to avoid natural
remedies, such as honey or potato peel dressings
Class IIb,LOE C-LD New
However, in remote or wilderness settings where
commercially made topical antibiotics are not
available, it may be reasonable to consider applying
honey topically as an antimicrobial agent
Class IIb,LOE C-LD New
Burns associated with or involving (1) blistering or
broken skin; (2) difficulty breathing; (3) the
face, neck, hands, or genitals; (4) a larger surface
area, such as trunk or extremities; or (5) other
cause for concern should be evaluated by a
healthcare provider
Class I, LOE C-EO New
 Burns
2015 Guidelines Update
Recommendation Recommendation Comments
In situations that do not allow for immediate
reimplantation, it can be beneficial to temporarily
store an avulsed tooth in a variety of solutions
shown to prolong viability of dental cells .
ClassIIa, LOE C-LD Updated
If none of these solutions are available, it may be
reasonable to store an avulsed tooth in the
injured persons saliva (not in the mouth) pending
reimplantation .
Class IIb,LOE C-LD New
Following dental avulsion, it is essential to seek
rapid assistance with reimplantation.
Class I, LOE C-EO New
 Dental Injury
Thank you

More Related Content

What's hot

Anesthesia 5th year, 13th lecture (Dr. Aamir)
Anesthesia 5th year, 13th lecture (Dr. Aamir)Anesthesia 5th year, 13th lecture (Dr. Aamir)
Anesthesia 5th year, 13th lecture (Dr. Aamir)
College of Medicine, Sulaymaniyah
 
Acls & bls
Acls & blsAcls & bls
Acls & bls
DrVishal Kandhway
 
Acls update
Acls  updateAcls  update
Acls update
Mashiul Alam
 
C P R B L S
C P R  B L SC P R  B L S
C P R B L S
goolappa
 
Acls &bls
Acls &blsAcls &bls
Acls &bls
Avijit Prusty
 
Cardiopulmonary resuscitation & management
Cardiopulmonary  resuscitation & managementCardiopulmonary  resuscitation & management
Cardiopulmonary resuscitation & management
Gadang Haryo
 
Cardio pulmonary resuscitation
Cardio pulmonary resuscitationCardio pulmonary resuscitation
Cardio pulmonary resuscitation
https://aiimsbhubaneswar.nic.in/
 
ACLS 2015
ACLS 2015ACLS 2015
ACLS 2015
ebrahim jalili
 
Bls & als rs mehta
Bls  & als rs mehtaBls  & als rs mehta
CPR2015 update: Ethical issues
CPR2015 update: Ethical issuesCPR2015 update: Ethical issues
CPR2015 update: Ethical issues
Narenthorn EMS Center
 
CPR GUIDELINES-2005
CPR GUIDELINES-2005CPR GUIDELINES-2005
CPR GUIDELINES-2005
Unnikrishnan Prathapadas
 
Cpr
CprCpr
Cpr 2015
Cpr 2015Cpr 2015
acls
aclsacls
Cardiopulmonary Cerebral Resuscitation (CPCR) for Veterinary Technicians
Cardiopulmonary Cerebral Resuscitation (CPCR) for Veterinary TechniciansCardiopulmonary Cerebral Resuscitation (CPCR) for Veterinary Technicians
Cardiopulmonary Cerebral Resuscitation (CPCR) for Veterinary Technicians
upstatevet
 
New Guidelines On Cpr
New Guidelines On CprNew Guidelines On Cpr
New Guidelines On Cpr
Mourad Wezdou
 
cardiopulmonary resuscitation for students
cardiopulmonary resuscitation for studentscardiopulmonary resuscitation for students
cardiopulmonary resuscitation for students
Shahnaali
 
Cardiopulmonary resuscitation
Cardiopulmonary resuscitationCardiopulmonary resuscitation
Cardiopulmonary resuscitation
salman habeeb
 
Basic Life Support
Basic Life SupportBasic Life Support
Basic Life Support
Sherif Elbadrawy
 
17 Cpr
17 Cpr17 Cpr
17 Cpr
Deep Deep
 

What's hot (20)

Anesthesia 5th year, 13th lecture (Dr. Aamir)
Anesthesia 5th year, 13th lecture (Dr. Aamir)Anesthesia 5th year, 13th lecture (Dr. Aamir)
Anesthesia 5th year, 13th lecture (Dr. Aamir)
 
Acls & bls
Acls & blsAcls & bls
Acls & bls
 
Acls update
Acls  updateAcls  update
Acls update
 
C P R B L S
C P R  B L SC P R  B L S
C P R B L S
 
Acls &bls
Acls &blsAcls &bls
Acls &bls
 
Cardiopulmonary resuscitation & management
Cardiopulmonary  resuscitation & managementCardiopulmonary  resuscitation & management
Cardiopulmonary resuscitation & management
 
Cardio pulmonary resuscitation
Cardio pulmonary resuscitationCardio pulmonary resuscitation
Cardio pulmonary resuscitation
 
ACLS 2015
ACLS 2015ACLS 2015
ACLS 2015
 
Bls & als rs mehta
Bls  & als rs mehtaBls  & als rs mehta
Bls & als rs mehta
 
CPR2015 update: Ethical issues
CPR2015 update: Ethical issuesCPR2015 update: Ethical issues
CPR2015 update: Ethical issues
 
CPR GUIDELINES-2005
CPR GUIDELINES-2005CPR GUIDELINES-2005
CPR GUIDELINES-2005
 
Cpr
CprCpr
Cpr
 
Cpr 2015
Cpr 2015Cpr 2015
Cpr 2015
 
acls
aclsacls
acls
 
Cardiopulmonary Cerebral Resuscitation (CPCR) for Veterinary Technicians
Cardiopulmonary Cerebral Resuscitation (CPCR) for Veterinary TechniciansCardiopulmonary Cerebral Resuscitation (CPCR) for Veterinary Technicians
Cardiopulmonary Cerebral Resuscitation (CPCR) for Veterinary Technicians
 
New Guidelines On Cpr
New Guidelines On CprNew Guidelines On Cpr
New Guidelines On Cpr
 
cardiopulmonary resuscitation for students
cardiopulmonary resuscitation for studentscardiopulmonary resuscitation for students
cardiopulmonary resuscitation for students
 
Cardiopulmonary resuscitation
Cardiopulmonary resuscitationCardiopulmonary resuscitation
Cardiopulmonary resuscitation
 
Basic Life Support
Basic Life SupportBasic Life Support
Basic Life Support
 
17 Cpr
17 Cpr17 Cpr
17 Cpr
 

Viewers also liked

Evidence Based Medicine (Anesthesiology)
Evidence Based Medicine (Anesthesiology)Evidence Based Medicine (Anesthesiology)
Evidence Based Medicine (Anesthesiology)
Dr. Shaheer Haider
 
Anicipating Difficult endotracheal intubation-Xray Soft tissue neck A valuabl...
Anicipating Difficult endotracheal intubation-Xray Soft tissue neck A valuabl...Anicipating Difficult endotracheal intubation-Xray Soft tissue neck A valuabl...
Anicipating Difficult endotracheal intubation-Xray Soft tissue neck A valuabl...
Dr Shrikant Phatak
 
Obstetric physiology by dr shalini
Obstetric physiology by dr shaliniObstetric physiology by dr shalini
Obstetric physiology by dr shalini
Manu Gupta
 
Airway Management 3
Airway  Management 3Airway  Management 3
Airway Management 3
Dang Thanh Tuan
 
Hypertension in Pregnancy
Hypertension  in  PregnancyHypertension  in  Pregnancy
Hypertension in Pregnancy
sosojammoly
 
Emergency Airway Management 2014: Mark P. Brady PA-C
Emergency Airway Management 2014: Mark P. Brady PA-CEmergency Airway Management 2014: Mark P. Brady PA-C
Emergency Airway Management 2014: Mark P. Brady PA-C
markpbrady
 
Michelle Prescott Airway Lecture
Michelle Prescott Airway LectureMichelle Prescott Airway Lecture
Michelle Prescott Airway Lecture
Michelle Prescott
 
Dr Shahna airway management in ICU; 2016
Dr Shahna airway management in ICU; 2016Dr Shahna airway management in ICU; 2016
Dr Shahna airway management in ICU; 2016
Shahnaali
 
Techniques for the Difficult Airway
Techniques for the Difficult AirwayTechniques for the Difficult Airway
Techniques for the Difficult Airway
Faradhillah Adi Suryadi
 
Airway in Trauma - JK Pui
Airway in Trauma - JK PuiAirway in Trauma - JK Pui
Airway in Trauma - JK Pui
Amit Maini
 
Resuscitation in pregnancy dr.krushna patel
Resuscitation in pregnancy dr.krushna patelResuscitation in pregnancy dr.krushna patel
Resuscitation in pregnancy dr.krushna patel
Abdul Sajjad Pathan
 
DUAL ANTIPLATELET THERAPY
DUAL ANTIPLATELET THERAPYDUAL ANTIPLATELET THERAPY
DUAL ANTIPLATELET THERAPY
drskd6
 
Obstetric physiology by dr shalini[208736]
Obstetric physiology by dr shalini[208736]Obstetric physiology by dr shalini[208736]
Obstetric physiology by dr shalini[208736]
Manu Gupta
 
Advanced Airway Management
Advanced Airway ManagementAdvanced Airway Management
Advanced Airway Management
paramedicbob
 
Cardiac arrest in pregnancy
Cardiac arrest in pregnancyCardiac arrest in pregnancy
Cardiac arrest in pregnancy
Paleenui Jariyakanjana
 
Pregnancy Induced Hypertension
Pregnancy Induced HypertensionPregnancy Induced Hypertension
Pregnancy Induced Hypertension
Ayshwarya Revadkar
 
Difficults airway
Difficults airwayDifficults airway
Difficults airway
isakakinada
 
17.Pregnant Induced Hypertension
17.Pregnant Induced Hypertension17.Pregnant Induced Hypertension
17.Pregnant Induced Hypertension
Deep Deep
 
Pregnancy Induced Hypertension- Pathophysiology
Pregnancy Induced Hypertension- PathophysiologyPregnancy Induced Hypertension- Pathophysiology
Pregnancy Induced Hypertension- Pathophysiology
Dr Anusha Rao P
 
Advanced airway-management
Advanced airway-managementAdvanced airway-management
Advanced airway-management
Dang Thanh Tuan
 

Viewers also liked (20)

Evidence Based Medicine (Anesthesiology)
Evidence Based Medicine (Anesthesiology)Evidence Based Medicine (Anesthesiology)
Evidence Based Medicine (Anesthesiology)
 
Anicipating Difficult endotracheal intubation-Xray Soft tissue neck A valuabl...
Anicipating Difficult endotracheal intubation-Xray Soft tissue neck A valuabl...Anicipating Difficult endotracheal intubation-Xray Soft tissue neck A valuabl...
Anicipating Difficult endotracheal intubation-Xray Soft tissue neck A valuabl...
 
Obstetric physiology by dr shalini
Obstetric physiology by dr shaliniObstetric physiology by dr shalini
Obstetric physiology by dr shalini
 
Airway Management 3
Airway  Management 3Airway  Management 3
Airway Management 3
 
Hypertension in Pregnancy
Hypertension  in  PregnancyHypertension  in  Pregnancy
Hypertension in Pregnancy
 
Emergency Airway Management 2014: Mark P. Brady PA-C
Emergency Airway Management 2014: Mark P. Brady PA-CEmergency Airway Management 2014: Mark P. Brady PA-C
Emergency Airway Management 2014: Mark P. Brady PA-C
 
Michelle Prescott Airway Lecture
Michelle Prescott Airway LectureMichelle Prescott Airway Lecture
Michelle Prescott Airway Lecture
 
Dr Shahna airway management in ICU; 2016
Dr Shahna airway management in ICU; 2016Dr Shahna airway management in ICU; 2016
Dr Shahna airway management in ICU; 2016
 
Techniques for the Difficult Airway
Techniques for the Difficult AirwayTechniques for the Difficult Airway
Techniques for the Difficult Airway
 
Airway in Trauma - JK Pui
Airway in Trauma - JK PuiAirway in Trauma - JK Pui
Airway in Trauma - JK Pui
 
Resuscitation in pregnancy dr.krushna patel
Resuscitation in pregnancy dr.krushna patelResuscitation in pregnancy dr.krushna patel
Resuscitation in pregnancy dr.krushna patel
 
DUAL ANTIPLATELET THERAPY
DUAL ANTIPLATELET THERAPYDUAL ANTIPLATELET THERAPY
DUAL ANTIPLATELET THERAPY
 
Obstetric physiology by dr shalini[208736]
Obstetric physiology by dr shalini[208736]Obstetric physiology by dr shalini[208736]
Obstetric physiology by dr shalini[208736]
 
Advanced Airway Management
Advanced Airway ManagementAdvanced Airway Management
Advanced Airway Management
 
Cardiac arrest in pregnancy
Cardiac arrest in pregnancyCardiac arrest in pregnancy
Cardiac arrest in pregnancy
 
Pregnancy Induced Hypertension
Pregnancy Induced HypertensionPregnancy Induced Hypertension
Pregnancy Induced Hypertension
 
Difficults airway
Difficults airwayDifficults airway
Difficults airway
 
17.Pregnant Induced Hypertension
17.Pregnant Induced Hypertension17.Pregnant Induced Hypertension
17.Pregnant Induced Hypertension
 
Pregnancy Induced Hypertension- Pathophysiology
Pregnancy Induced Hypertension- PathophysiologyPregnancy Induced Hypertension- Pathophysiology
Pregnancy Induced Hypertension- Pathophysiology
 
Advanced airway-management
Advanced airway-managementAdvanced airway-management
Advanced airway-management
 

Similar to CPR2015 update: BLS, CPR Quality and First aid

CPR2015 update: Adult ACLS
CPR2015 update: Adult ACLSCPR2015 update: Adult ACLS
CPR2015 update: Adult ACLS
Narenthorn EMS Center
 
Neonatal resuscitation 2015
Neonatal resuscitation 2015Neonatal resuscitation 2015
Neonatal resuscitation 2015
Narenthorn EMS Center
 
Neonatal resuscitation 2015 aha guidelines update for cpr
Neonatal resuscitation 2015 aha guidelines update for cprNeonatal resuscitation 2015 aha guidelines update for cpr
Neonatal resuscitation 2015 aha guidelines update for cpr
Chandan Gowda
 
Cardiopulmonary Resusitation (CPR- AHA 2015)
Cardiopulmonary Resusitation (CPR- AHA 2015)Cardiopulmonary Resusitation (CPR- AHA 2015)
Cardiopulmonary Resusitation (CPR- AHA 2015)
Iranian Anesthesiology Network
 
Comparison chart of key changes 2015 aha guidelines for cpr and ecc
Comparison chart of key changes 2015 aha guidelines for cpr and eccComparison chart of key changes 2015 aha guidelines for cpr and ecc
Comparison chart of key changes 2015 aha guidelines for cpr and ecc
Elena Plaza Moreno
 
Updates of 2015 PALS guidlines
Updates of 2015 PALS guidlinesUpdates of 2015 PALS guidlines
Updates of 2015 PALS guidlines
Marwa Elhady
 
CPR , Basic Life Support 2020
CPR , Basic Life Support 2020CPR , Basic Life Support 2020
CPR , Basic Life Support 2020
Saeid Safari
 
Bls handbook
Bls handbookBls handbook
Bls handbook
niharika_katyal
 
Erc summary booklet_hres
Erc summary booklet_hresErc summary booklet_hres
Erc summary booklet_hres
Frederico Brandão
 
Basic Life Support (BLS) Provider Handbook by Dr. Karl Disque, Guy Thillet (z...
Basic Life Support (BLS) Provider Handbook by Dr. Karl Disque, Guy Thillet (z...Basic Life Support (BLS) Provider Handbook by Dr. Karl Disque, Guy Thillet (z...
Basic Life Support (BLS) Provider Handbook by Dr. Karl Disque, Guy Thillet (z...
EdsonFernandes73
 
ARC Resuscitation Guidelines Changes 2010
ARC Resuscitation Guidelines Changes 2010ARC Resuscitation Guidelines Changes 2010
ARC Resuscitation Guidelines Changes 2010
shlenson
 
Advanced life support manual 2012
Advanced life support manual 2012Advanced life support manual 2012
Advanced life support manual 2012
drwaque
 
MPDU_Basic Life Support.pdf
MPDU_Basic Life Support.pdfMPDU_Basic Life Support.pdf
MPDU_Basic Life Support.pdf
YuyunRasulong1
 
CPR SEMINAR Dr Khalida.pptx
CPR SEMINAR Dr Khalida.pptxCPR SEMINAR Dr Khalida.pptx
CPR SEMINAR Dr Khalida.pptx
huhu736156
 
Pulmonary Rehab: impact on lung function and breathlessness
Pulmonary Rehab: impact on lung function and breathlessnessPulmonary Rehab: impact on lung function and breathlessness
Pulmonary Rehab: impact on lung function and breathlessness
Subodh Gupta
 
Nrp 2015-7th-ed-update -04-2017-claudia-reed
Nrp 2015-7th-ed-update -04-2017-claudia-reedNrp 2015-7th-ed-update -04-2017-claudia-reed
Nrp 2015-7th-ed-update -04-2017-claudia-reed
J. Sardar
 
ACLS & BLS
ACLS & BLSACLS & BLS
ACLS & BLS
Abhay Rajpoot
 
Basic life support training
Basic life support trainingBasic life support training
Basic life support training
Nayana Kulkarni
 
Can college campuses act as springboards for the advancement of chain of surv...
Can college campuses act as springboards for the advancement of chain of surv...Can college campuses act as springboards for the advancement of chain of surv...
Can college campuses act as springboards for the advancement of chain of surv...
David Hiltz
 
Learning Objectives Covered1. Explain Respiratory Failure and th.docx
Learning Objectives Covered1. Explain Respiratory Failure and th.docxLearning Objectives Covered1. Explain Respiratory Failure and th.docx
Learning Objectives Covered1. Explain Respiratory Failure and th.docx
smile790243
 

Similar to CPR2015 update: BLS, CPR Quality and First aid (20)

CPR2015 update: Adult ACLS
CPR2015 update: Adult ACLSCPR2015 update: Adult ACLS
CPR2015 update: Adult ACLS
 
Neonatal resuscitation 2015
Neonatal resuscitation 2015Neonatal resuscitation 2015
Neonatal resuscitation 2015
 
Neonatal resuscitation 2015 aha guidelines update for cpr
Neonatal resuscitation 2015 aha guidelines update for cprNeonatal resuscitation 2015 aha guidelines update for cpr
Neonatal resuscitation 2015 aha guidelines update for cpr
 
Cardiopulmonary Resusitation (CPR- AHA 2015)
Cardiopulmonary Resusitation (CPR- AHA 2015)Cardiopulmonary Resusitation (CPR- AHA 2015)
Cardiopulmonary Resusitation (CPR- AHA 2015)
 
Comparison chart of key changes 2015 aha guidelines for cpr and ecc
Comparison chart of key changes 2015 aha guidelines for cpr and eccComparison chart of key changes 2015 aha guidelines for cpr and ecc
Comparison chart of key changes 2015 aha guidelines for cpr and ecc
 
Updates of 2015 PALS guidlines
Updates of 2015 PALS guidlinesUpdates of 2015 PALS guidlines
Updates of 2015 PALS guidlines
 
CPR , Basic Life Support 2020
CPR , Basic Life Support 2020CPR , Basic Life Support 2020
CPR , Basic Life Support 2020
 
Bls handbook
Bls handbookBls handbook
Bls handbook
 
Erc summary booklet_hres
Erc summary booklet_hresErc summary booklet_hres
Erc summary booklet_hres
 
Basic Life Support (BLS) Provider Handbook by Dr. Karl Disque, Guy Thillet (z...
Basic Life Support (BLS) Provider Handbook by Dr. Karl Disque, Guy Thillet (z...Basic Life Support (BLS) Provider Handbook by Dr. Karl Disque, Guy Thillet (z...
Basic Life Support (BLS) Provider Handbook by Dr. Karl Disque, Guy Thillet (z...
 
ARC Resuscitation Guidelines Changes 2010
ARC Resuscitation Guidelines Changes 2010ARC Resuscitation Guidelines Changes 2010
ARC Resuscitation Guidelines Changes 2010
 
Advanced life support manual 2012
Advanced life support manual 2012Advanced life support manual 2012
Advanced life support manual 2012
 
MPDU_Basic Life Support.pdf
MPDU_Basic Life Support.pdfMPDU_Basic Life Support.pdf
MPDU_Basic Life Support.pdf
 
CPR SEMINAR Dr Khalida.pptx
CPR SEMINAR Dr Khalida.pptxCPR SEMINAR Dr Khalida.pptx
CPR SEMINAR Dr Khalida.pptx
 
Pulmonary Rehab: impact on lung function and breathlessness
Pulmonary Rehab: impact on lung function and breathlessnessPulmonary Rehab: impact on lung function and breathlessness
Pulmonary Rehab: impact on lung function and breathlessness
 
Nrp 2015-7th-ed-update -04-2017-claudia-reed
Nrp 2015-7th-ed-update -04-2017-claudia-reedNrp 2015-7th-ed-update -04-2017-claudia-reed
Nrp 2015-7th-ed-update -04-2017-claudia-reed
 
ACLS & BLS
ACLS & BLSACLS & BLS
ACLS & BLS
 
Basic life support training
Basic life support trainingBasic life support training
Basic life support training
 
Can college campuses act as springboards for the advancement of chain of surv...
Can college campuses act as springboards for the advancement of chain of surv...Can college campuses act as springboards for the advancement of chain of surv...
Can college campuses act as springboards for the advancement of chain of surv...
 
Learning Objectives Covered1. Explain Respiratory Failure and th.docx
Learning Objectives Covered1. Explain Respiratory Failure and th.docxLearning Objectives Covered1. Explain Respiratory Failure and th.docx
Learning Objectives Covered1. Explain Respiratory Failure and th.docx
 

More from Narenthorn EMS Center

First aid by Narenthorn 2016
First aid by Narenthorn 2016First aid by Narenthorn 2016
First aid by Narenthorn 2016
Narenthorn EMS Center
 
CPR2015 update: ACS and Special circumstances
CPR2015 update: ACS and Special circumstancesCPR2015 update: ACS and Special circumstances
CPR2015 update: ACS and Special circumstances
Narenthorn EMS Center
 
CPR2015 update: PBLS
CPR2015 update: PBLSCPR2015 update: PBLS
CPR2015 update: PBLS
Narenthorn EMS Center
 
CPR2015 update: PALS
CPR2015 update: PALSCPR2015 update: PALS
CPR2015 update: PALS
Narenthorn EMS Center
 
การอำนวยความสะดวกการจราจรระหว่างการซ้อมแผน
การอำนวยความสะดวกการจราจรระหว่างการซ้อมแผนการอำนวยความสะดวกการจราจรระหว่างการซ้อมแผน
การอำนวยความสะดวกการจราจรระหว่างการซ้อมแผนNarenthorn EMS Center
 
Team dynamic for Advanced life support checklist
Team dynamic for Advanced life support checklistTeam dynamic for Advanced life support checklist
Team dynamic for Advanced life support checklistNarenthorn EMS Center
 
Trauma Initial assessment and Resuscitation
Trauma Initial assessment and ResuscitationTrauma Initial assessment and Resuscitation
Trauma Initial assessment and Resuscitation
Narenthorn EMS Center
 
PALS 2010
PALS 2010PALS 2010
EKG in ACLS
EKG in ACLSEKG in ACLS
การยกและการเคลื่อนย้ายผู้ป่วย
การยกและการเคลื่อนย้ายผู้ป่วยการยกและการเคลื่อนย้ายผู้ป่วย
การยกและการเคลื่อนย้ายผู้ป่วย
Narenthorn EMS Center
 
Neonatal resuscitation การช่วยฟื้นชีวิตทารกและทารกแรกเกิด
Neonatal resuscitation การช่วยฟื้นชีวิตทารกและทารกแรกเกิดNeonatal resuscitation การช่วยฟื้นชีวิตทารกและทารกแรกเกิด
Neonatal resuscitation การช่วยฟื้นชีวิตทารกและทารกแรกเกิดNarenthorn EMS Center
 
Airway workshop Reading material
Airway workshop Reading materialAirway workshop Reading material
Airway workshop Reading material
Narenthorn EMS Center
 
APHLS & EMS director 2011 Exam
APHLS & EMS director 2011 ExamAPHLS & EMS director 2011 Exam
APHLS & EMS director 2011 Exam
Narenthorn EMS Center
 
Ill appearing neonates
Ill appearing neonatesIll appearing neonates
Ill appearing neonates
Narenthorn EMS Center
 
PAROS Proposal
PAROS ProposalPAROS Proposal
PAROS Proposal
Narenthorn EMS Center
 
Introduction To ATLS
Introduction To ATLSIntroduction To ATLS
Introduction To ATLS
Narenthorn EMS Center
 

More from Narenthorn EMS Center (20)

First aid by Narenthorn 2016
First aid by Narenthorn 2016First aid by Narenthorn 2016
First aid by Narenthorn 2016
 
CPR2015 update: ACS and Special circumstances
CPR2015 update: ACS and Special circumstancesCPR2015 update: ACS and Special circumstances
CPR2015 update: ACS and Special circumstances
 
CPR2015 update: PBLS
CPR2015 update: PBLSCPR2015 update: PBLS
CPR2015 update: PBLS
 
CPR2015 update: PALS
CPR2015 update: PALSCPR2015 update: PALS
CPR2015 update: PALS
 
การอำนวยความสะดวกการจราจรระหว่างการซ้อมแผน
การอำนวยความสะดวกการจราจรระหว่างการซ้อมแผนการอำนวยความสะดวกการจราจรระหว่างการซ้อมแผน
การอำนวยความสะดวกการจราจรระหว่างการซ้อมแผน
 
Acute coronary syndrome 2010
Acute coronary syndrome 2010Acute coronary syndrome 2010
Acute coronary syndrome 2010
 
Team dynamic for Advanced life support checklist
Team dynamic for Advanced life support checklistTeam dynamic for Advanced life support checklist
Team dynamic for Advanced life support checklist
 
Acute Stroke 2010
Acute Stroke 2010Acute Stroke 2010
Acute Stroke 2010
 
ACLS 2010
ACLS 2010ACLS 2010
ACLS 2010
 
Trauma Initial assessment and Resuscitation
Trauma Initial assessment and ResuscitationTrauma Initial assessment and Resuscitation
Trauma Initial assessment and Resuscitation
 
PALS 2010
PALS 2010PALS 2010
PALS 2010
 
EKG in ACLS
EKG in ACLSEKG in ACLS
EKG in ACLS
 
การยกและการเคลื่อนย้ายผู้ป่วย
การยกและการเคลื่อนย้ายผู้ป่วยการยกและการเคลื่อนย้ายผู้ป่วย
การยกและการเคลื่อนย้ายผู้ป่วย
 
Neonatal resuscitation การช่วยฟื้นชีวิตทารกและทารกแรกเกิด
Neonatal resuscitation การช่วยฟื้นชีวิตทารกและทารกแรกเกิดNeonatal resuscitation การช่วยฟื้นชีวิตทารกและทารกแรกเกิด
Neonatal resuscitation การช่วยฟื้นชีวิตทารกและทารกแรกเกิด
 
Airway workshop Reading material
Airway workshop Reading materialAirway workshop Reading material
Airway workshop Reading material
 
APHLS & EMS director 2011 Exam
APHLS & EMS director 2011 ExamAPHLS & EMS director 2011 Exam
APHLS & EMS director 2011 Exam
 
Ill appearing neonates
Ill appearing neonatesIll appearing neonates
Ill appearing neonates
 
PAROS Proposal
PAROS ProposalPAROS Proposal
PAROS Proposal
 
10th National HA Forum Poster
10th National HA Forum Poster10th National HA Forum Poster
10th National HA Forum Poster
 
Introduction To ATLS
Introduction To ATLSIntroduction To ATLS
Introduction To ATLS
 

Recently uploaded

NARCOTICS- POLICY AND PROCEDURES FOR ITS USE
NARCOTICS- POLICY AND PROCEDURES FOR ITS USENARCOTICS- POLICY AND PROCEDURES FOR ITS USE
NARCOTICS- POLICY AND PROCEDURES FOR ITS USE
Dr. Ahana Haroon
 
acne vulgaris -Mpharm (2nd semester) Cosmetics and cosmeceuticals
acne vulgaris -Mpharm (2nd semester) Cosmetics and cosmeceuticalsacne vulgaris -Mpharm (2nd semester) Cosmetics and cosmeceuticals
acne vulgaris -Mpharm (2nd semester) Cosmetics and cosmeceuticals
MuskanShingari
 
RESPIRATORY DISEASES by bhavya kelavadiya
RESPIRATORY DISEASES by bhavya kelavadiyaRESPIRATORY DISEASES by bhavya kelavadiya
RESPIRATORY DISEASES by bhavya kelavadiya
Bhavyakelawadiya
 
What is Obesity? How to overcome Obesity?
What is Obesity? How to overcome Obesity?What is Obesity? How to overcome Obesity?
What is Obesity? How to overcome Obesity?
Healthmedsrx.com
 
What are the different types of Dental implants.
What are the different types of Dental implants.What are the different types of Dental implants.
What are the different types of Dental implants.
Gokuldas Hospital
 
Travel Clinic Cardiff: Health Advice for International Travelers
Travel Clinic Cardiff: Health Advice for International TravelersTravel Clinic Cardiff: Health Advice for International Travelers
Travel Clinic Cardiff: Health Advice for International Travelers
NX Healthcare
 
Medical Quiz ( Online Quiz for API Meet 2024 ).pdf
Medical Quiz ( Online Quiz for API Meet 2024 ).pdfMedical Quiz ( Online Quiz for API Meet 2024 ).pdf
Medical Quiz ( Online Quiz for API Meet 2024 ).pdf
Jim Jacob Roy
 
Know the difference between Endodontics and Orthodontics.
Know the difference between Endodontics and Orthodontics.Know the difference between Endodontics and Orthodontics.
Know the difference between Endodontics and Orthodontics.
Gokuldas Hospital
 
5 Effective Homeopathic Medicines for Irregular Periods
5 Effective Homeopathic Medicines for Irregular Periods5 Effective Homeopathic Medicines for Irregular Periods
5 Effective Homeopathic Medicines for Irregular Periods
Dr. Deepika's Homeopathy - Gaur City
 
Osvaldo Bernardo Muchanga-GASTROINTESTINAL INFECTIONS AND GASTRITIS-2024.pdf
Osvaldo Bernardo Muchanga-GASTROINTESTINAL INFECTIONS AND GASTRITIS-2024.pdfOsvaldo Bernardo Muchanga-GASTROINTESTINAL INFECTIONS AND GASTRITIS-2024.pdf
Osvaldo Bernardo Muchanga-GASTROINTESTINAL INFECTIONS AND GASTRITIS-2024.pdf
Osvaldo Bernardo Muchanga
 
All about shoulder Joint ..
All about shoulder Joint .. All about shoulder Joint ..
All about shoulder Joint ..
Aswan University Hospital
 
Pharmacology of 5-hydroxytryptamine and Antagonist
Pharmacology of 5-hydroxytryptamine and AntagonistPharmacology of 5-hydroxytryptamine and Antagonist
Pharmacology of 5-hydroxytryptamine and Antagonist
Dr. Nikhilkumar Sakle
 
June 2024 Oncology Cartoons By Dr Kanhu Charan Patro
June 2024 Oncology Cartoons By Dr Kanhu Charan PatroJune 2024 Oncology Cartoons By Dr Kanhu Charan Patro
June 2024 Oncology Cartoons By Dr Kanhu Charan Patro
Kanhu Charan
 
PGx Analysis in VarSeq: A User’s Perspective
PGx Analysis in VarSeq: A User’s PerspectivePGx Analysis in VarSeq: A User’s Perspective
PGx Analysis in VarSeq: A User’s Perspective
Golden Helix
 
Tele Optometry (kunj'sppt) / Basics of tele optometry.
Tele Optometry (kunj'sppt) / Basics of tele optometry.Tele Optometry (kunj'sppt) / Basics of tele optometry.
Tele Optometry (kunj'sppt) / Basics of tele optometry.
Kunj Vihari
 
Foundation of Yoga, YCB Level-3, Unit-1
Foundation of Yoga, YCB Level-3, Unit-1 Foundation of Yoga, YCB Level-3, Unit-1
Foundation of Yoga, YCB Level-3, Unit-1
Jyoti Bhaghasra
 
KENT'S REPERTORY by dr niranjan mohanty.pptx
KENT'S REPERTORY by dr niranjan mohanty.pptxKENT'S REPERTORY by dr niranjan mohanty.pptx
KENT'S REPERTORY by dr niranjan mohanty.pptx
SravsPandu1
 
Call Girls In Mumbai +91-7426014248 High Profile Call Girl Mumbai
Call Girls In Mumbai +91-7426014248 High Profile Call Girl MumbaiCall Girls In Mumbai +91-7426014248 High Profile Call Girl Mumbai
Call Girls In Mumbai +91-7426014248 High Profile Call Girl Mumbai
Mobile Problem
 
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.GawadHemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
NephroTube - Dr.Gawad
 
Ophthalmic drugs latest. Xxxxxxzxxxxxx.pdf
Ophthalmic drugs latest. Xxxxxxzxxxxxx.pdfOphthalmic drugs latest. Xxxxxxzxxxxxx.pdf
Ophthalmic drugs latest. Xxxxxxzxxxxxx.pdf
MuhammadMuneer49
 

Recently uploaded (20)

NARCOTICS- POLICY AND PROCEDURES FOR ITS USE
NARCOTICS- POLICY AND PROCEDURES FOR ITS USENARCOTICS- POLICY AND PROCEDURES FOR ITS USE
NARCOTICS- POLICY AND PROCEDURES FOR ITS USE
 
acne vulgaris -Mpharm (2nd semester) Cosmetics and cosmeceuticals
acne vulgaris -Mpharm (2nd semester) Cosmetics and cosmeceuticalsacne vulgaris -Mpharm (2nd semester) Cosmetics and cosmeceuticals
acne vulgaris -Mpharm (2nd semester) Cosmetics and cosmeceuticals
 
RESPIRATORY DISEASES by bhavya kelavadiya
RESPIRATORY DISEASES by bhavya kelavadiyaRESPIRATORY DISEASES by bhavya kelavadiya
RESPIRATORY DISEASES by bhavya kelavadiya
 
What is Obesity? How to overcome Obesity?
What is Obesity? How to overcome Obesity?What is Obesity? How to overcome Obesity?
What is Obesity? How to overcome Obesity?
 
What are the different types of Dental implants.
What are the different types of Dental implants.What are the different types of Dental implants.
What are the different types of Dental implants.
 
Travel Clinic Cardiff: Health Advice for International Travelers
Travel Clinic Cardiff: Health Advice for International TravelersTravel Clinic Cardiff: Health Advice for International Travelers
Travel Clinic Cardiff: Health Advice for International Travelers
 
Medical Quiz ( Online Quiz for API Meet 2024 ).pdf
Medical Quiz ( Online Quiz for API Meet 2024 ).pdfMedical Quiz ( Online Quiz for API Meet 2024 ).pdf
Medical Quiz ( Online Quiz for API Meet 2024 ).pdf
 
Know the difference between Endodontics and Orthodontics.
Know the difference between Endodontics and Orthodontics.Know the difference between Endodontics and Orthodontics.
Know the difference between Endodontics and Orthodontics.
 
5 Effective Homeopathic Medicines for Irregular Periods
5 Effective Homeopathic Medicines for Irregular Periods5 Effective Homeopathic Medicines for Irregular Periods
5 Effective Homeopathic Medicines for Irregular Periods
 
Osvaldo Bernardo Muchanga-GASTROINTESTINAL INFECTIONS AND GASTRITIS-2024.pdf
Osvaldo Bernardo Muchanga-GASTROINTESTINAL INFECTIONS AND GASTRITIS-2024.pdfOsvaldo Bernardo Muchanga-GASTROINTESTINAL INFECTIONS AND GASTRITIS-2024.pdf
Osvaldo Bernardo Muchanga-GASTROINTESTINAL INFECTIONS AND GASTRITIS-2024.pdf
 
All about shoulder Joint ..
All about shoulder Joint .. All about shoulder Joint ..
All about shoulder Joint ..
 
Pharmacology of 5-hydroxytryptamine and Antagonist
Pharmacology of 5-hydroxytryptamine and AntagonistPharmacology of 5-hydroxytryptamine and Antagonist
Pharmacology of 5-hydroxytryptamine and Antagonist
 
June 2024 Oncology Cartoons By Dr Kanhu Charan Patro
June 2024 Oncology Cartoons By Dr Kanhu Charan PatroJune 2024 Oncology Cartoons By Dr Kanhu Charan Patro
June 2024 Oncology Cartoons By Dr Kanhu Charan Patro
 
PGx Analysis in VarSeq: A User’s Perspective
PGx Analysis in VarSeq: A User’s PerspectivePGx Analysis in VarSeq: A User’s Perspective
PGx Analysis in VarSeq: A User’s Perspective
 
Tele Optometry (kunj'sppt) / Basics of tele optometry.
Tele Optometry (kunj'sppt) / Basics of tele optometry.Tele Optometry (kunj'sppt) / Basics of tele optometry.
Tele Optometry (kunj'sppt) / Basics of tele optometry.
 
Foundation of Yoga, YCB Level-3, Unit-1
Foundation of Yoga, YCB Level-3, Unit-1 Foundation of Yoga, YCB Level-3, Unit-1
Foundation of Yoga, YCB Level-3, Unit-1
 
KENT'S REPERTORY by dr niranjan mohanty.pptx
KENT'S REPERTORY by dr niranjan mohanty.pptxKENT'S REPERTORY by dr niranjan mohanty.pptx
KENT'S REPERTORY by dr niranjan mohanty.pptx
 
Call Girls In Mumbai +91-7426014248 High Profile Call Girl Mumbai
Call Girls In Mumbai +91-7426014248 High Profile Call Girl MumbaiCall Girls In Mumbai +91-7426014248 High Profile Call Girl Mumbai
Call Girls In Mumbai +91-7426014248 High Profile Call Girl Mumbai
 
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.GawadHemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
 
Ophthalmic drugs latest. Xxxxxxzxxxxxx.pdf
Ophthalmic drugs latest. Xxxxxxzxxxxxx.pdfOphthalmic drugs latest. Xxxxxxzxxxxxx.pdf
Ophthalmic drugs latest. Xxxxxxzxxxxxx.pdf
 

CPR2015 update: BLS, CPR Quality and First aid

  • 1. Review of New : 2015 American Heart Association Guidelines for CPR & ECC CHANCHIRA TAESAKDATHAM Second Year Resident of Hatyai Hospital Present at Rajavithi Hospital on 16th October ,2015
  • 2.
  • 3.
  • 4. Adult BLS and CPR Quality Overview • Seventy percent of out-of-hospital cardiac arrests (OHCAs) 50%. • Early CPR, and rapid defibrillation. • Chain of Survival are unchanged from 2010. • More data are available showing that high- quality CPR improves survival.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9. 2015 Guidelines Update Recommendation Recommendation Comments Emergency dispatchers determine if a patient is unresponsive with abnormal breathing information the location of the event Class I, LOE C-LD updated unresponsive with abnormal or absent breathing assume that the patient is in cardiac arrest Class IIa, LOE C-LD updated Dispatchers should be educated to identify unresponsiveness with abnormal breathing and agonal gasps across a range of clinical presentations and descriptions Class I, LOE C-LD updated  Immediate Recognition and Activation of the Emergency Response System
  • 10. 2015 Guidelines Update Recommendation Recommendation Comments Similar to the 2010 Guidelines, it may be reasonable for rescuers to initiate CPR with chest compressions Class IIb, LOE C-LD updated  Early CPR
  • 11. 2015 Guidelines Update Recommendation Recommendation Comments Untrained lay rescuers should provide compression- only CPR, with or without dispatcher assistance Class I, LOE C-LD updated The rescuer should continue compression-only CPR until the arrival of an AED or rescuers with additional training Class I, LOE C-LD updated  Untrained Lay Rescuer
  • 12. 2015 Guidelines Update Recommendation Recommendation Comments should add rescue breaths in a ratio of 30 compressions to 2 breaths. Class I, LOE C-LD updated The rescuer should continue CPR until an AED arrives and is ready for use or EMS providers take over care of the victim . Class I, LOE C-LD updated  Trained Lay Rescuer
  • 13. 2015 Guidelines Update Recommendation Recommendation Comments chest compressions and ventilation for all adult patients in cardiac arrest, from either a cardiac or noncardiac cause Class IIa, LOE C-LD updated  Healthcare Provider
  • 14. 2015 Guidelines Update Recommendation Recommendation Comments For witnessed OHCA with a shockable rhythm, it may be reasonable for EMS systems with priority-based, multitiered response to delay positive-pressure ventilation by using a strategy of up to 3 cycles of 200 continuous compressions with passive oxygen insufflation and airway adjuncts Class IIb,LOE C-LD NEW  Delayed Ventilation
  • 15. 2015 Guidelines Update Recommendation Recommendation Comments Dispatchers should instruct rescuers to provide CPR if the victim is unresponsive with no normal breathing Class I, LOE C-LD updated  Recognition of Arrest
  • 16. 2015 Guidelines Update Recommendation Recommendation Comments For a patient with known or suspected opioid addiction who has a definite pulse but no normal breathing or only gasping administer intramuscular or intranasal naloxone Class IIa, LOE C-LD new For patients in cardiac arrest, so naloxone administration may be considered after initiation of CPR if there is high suspicion for opiate overdose Class IIb,LOE C-EO new It is reasonable to provide opioid overdose response education with or without naloxone distribution to persons at risk for opioid overdose in any setting Class IIa, LOE C-LD new  Suspected Opioid-Related Life-Threatening Emergency
  • 17. 2015 Guidelines Update Recommendation Recommendation Comments Consistent with the 2010 Guidelines, it is reasonable to position hands for chest compressions on the lower half of the sternum in adults with cardiac arrest Class IIa, LOE C-LD updated  Hand Position During Compressions
  • 18. 2015 Guidelines Update Recommendation Recommendation Comments rate of 100/min to 120/min Class IIa, LOE C-LD updated  Chest Compression Rate
  • 19. 2015 Guidelines Update Recommendation Recommendation Comments A depth of at least 2 inches or 5 cm. avoiding excessive chest compression depths (greater than2.4 inches or 6 cm.) Class I, LOE C-LD updated  Chest Compression Depth
  • 20. 2015 Guidelines Update Recommendation Recommendation Comments avoid leaning on the chest between compressions to allow full chest wall recoil Class IIa, LOE C-LD updated  Chest Wall Recoil
  • 21. 2015 Guidelines Update Recommendation Recommendation Comments In adult cardiac arrest pauses in chest compressions should be as short as possible Class I, LOE C-LD updated CPR without an advanced airway pause compressions for less than 10 seconds to deliver 2 breaths. Class IIa, LOE C-LD updated goal of a chest compression fraction as high as possible, with a target of at least 60% . Class IIb,LOE C-LD new  Minimizing Interruptions in Chest Compressions
  • 22. 2015 Guidelines Update Recommendation Recommendation Comments compression-toventilation ratio of 30:2 for adults in cardiac arrest . Class IIa, LOE C-LD updated  Compression-to-Ventilation Ratio
  • 23. 2015 Guidelines Update Recommendation Recommendation Comments untrained lay rescuers to provide compression-only CPR Class I, LOE B-R updated Compression-only CPR is a reasonable alternative to conventional CPR in the adult cardiac arrest patient Class IIa, LOE C-LD updated trained rescuers, ventilation may be considered in addition to chest compressions Class IIb,LOE C-LD updated  Layperson—Compression- Only CPR Versus Conventional CPR
  • 24. 2015 Guidelines Update Recommendation Recommendation Comments For victims with suspected spinal injury, rescuers should initially use manual spinal motion restriction (eg, placing 1 hand on either side of the patient’s head to hold it still) rather than immobilization devices, because use of immobilization devices by lay rescuers may be harmful. Spinal immobilization devices may interfere with maintaining a patent airway. Class III: Harm, LOE C-LD updated  Open the Airway: Lay Rescuer
  • 25. 2015 Guidelines Update Recommendation Recommendation Comments As long as the patient does not have an advanced airway in place, the rescuers should deliver cycles of 30 compressions and 2 breaths during CPR. The rescuer delivers breaths during pauses in compressions and delivers each breath over approximately 1 second Class IIa, LOE C-LD updated Bag-Mask Ventilation
  • 26. 2015 Guidelines Update Recommendation Recommendation Comments 1 breath every 6 seconds (10 breaths per minute) while continuous chest compressions are being performed Class IIb,LOE C-LD updated  Ventilation With an Advanced Airway
  • 27. 2015 Guidelines Update Recommendation Recommendation Comments We do not recommend the routine use of passive ventilation techniques during conventional CPR for adults, because the usefulness/effectiveness of these techniques is unknown. Class IIb,LOE C-EO new However, in EMS systems that use bundles of care involving continuous chest compressions, the use of passive ventilation techniques may be considered as part of that bundle. Class IIb,LOE C-LD new  Passive Oxygen Versus Positive-Pressure Oxygen During CPR
  • 28. 2015 Guidelines Update Recommendation Recommendation Comments For witnessed adult cardiac arrest when an AED is immediately available, it is reasonable that the defibrillator be used as soon as possible Class IIa, LOE C-LD updated For adults with unmonitored cardiac arrest or for whom an AED is not immediately available, CPR be initiated while the defibrillator equipment is being retrieved and applied Class IIa, LOE B-R) updated  CPR Before Defibrillation
  • 29. 2015 Guidelines Update Recommendation Recommendation Comments There is insufficient evidence to recommend the use of artifact-filtering algorithms for analysis of ECG rhythm during CPR. Their use may be considered as part of a research program or if an EMS system has already incorporated ECG artifact-filtering algorithms in its resuscitation protocols Class IIb,LOE C-EO new  Analysis of Rhythm During Compressions
  • 30. 2015 Guidelines Update Recommendation Recommendation Comments It may be reasonable to immediately resume chest compressions after shock delivery for adults in cardiac arrest in any setting (Class IIb, LOE C-LD). updated  Timing of Rhythm Check
  • 31. 2015 Guidelines Update Recommendation Recommendation Comments use audiovisual feedback devices during CPR for real-time optimization of CPR performance Class IIb, LOE B-R updated Chest Compression Feedback
  • 32.
  • 33. Significant New and Updated Recommendations • Early recognition of stroke by using a stroke assessment system by first aid providers. • If a person with diabetes signs or symptoms of mild hypoglycemia
  • 34. Significant New and Updated Recommendations • Education in first aid can increase survival rates, improve recognition of acute illness • Reviewed for the 2015 ILCOR consensus. No evidence was identified that showed a decrease in neurologic injury with use of a cervical collar.
  • 35. 2015 Guidelines Update Recommendation Recommendation Comments Education and training in first aid can be useful to improve morbidity and mortality from injury and illness Class IIa, LOE C-LD new We recommend that first aid education be universally available Class I, LOE C-EO new  First Aid Education
  • 36. 2015 Guidelines Update Recommendation Recommendation Comments If the area is unsafe for the first aid provider or the person, move to a safe location if possible. Class I, LOE C-EO updated If a person is unresponsive and breathing normally, place him or her in a lateral side-lying recovery position Class IIb,LOE C-LD updated If a person has been injured and the nature of the injury suggests a neck, back, hip, or pelvic injury, left in the position in which they were found, to avoid potential further injury Class I, LOE C-EO updated If leaving the person in the position found is causing the person’s airway to be blocked, or if the area is unsafe, move the person only as needed to open the airway and to reach a safe location Class I, LOE C-EO updated  Positioning the Ill or Injured Person
  • 37. 2015 Guidelines Update Recommendation Recommendation Comments If a person shows evidence of shock and is responsive and breathing normally, maintain the person in a supine position Class IIa, LOE C-LD updated simple fainting, shock from nontraumatic bleeding, sepsis, dehydration raising the feet about 6 to 12 inches (about 30° to 60°) while awaiting arrival of EMS Class IIb,LOE C-LD updated Do not raise the feet of a person in shock if the movement or the position causes pain. Class III: Harm, LOE C-EO new  Position for Shock
  • 38. 2015 Guidelines Update Recommendation Recommendation Comments The use of supplementary oxygen by first aid providers with specific training. Class IIa, LOE C-LD updated supplementary oxygen to persons with known advanced cancer with dyspnea and hypoxemia may be reasonable. Class IIb, LOE B-R new Although no evidence was identified to support the use of oxygen, it might be reasonable to provide oxygen to spontaneously breathing persons who are exposed to carbon monoxide while waiting for advanced medical care. Class IIb,LOE C-EO new  Oxygen Use in First Aid
  • 39. 2015 Guidelines Update Recommendation Recommendation Comments It is reasonable for first aid providers to be familiar with the available inhaled bronchodilator devices and to assist as needed with the administration of prescribed bronchodilators when a person with asthma is having difficulty breathing Class IIa, LOE B-R updated  Medical Emergencies: Asthma
  • 40. 2015 Guidelines Update Recommendation Recommendation Comments The use of a stroke assessment system by first aid providers is recommended. Class I, LOE B-NR new Medical Emergencies: Stroke
  • 41. 2015 Guidelines Update Recommendation Recommendation Comments Aspirin has been found to significantly decrease mortality due to myocardial infarction Class I, LOE B-R updated Call EMS immediately for anyone with chest pain or other signs of heart attack Class I, LOE C-EO new While waiting for EMS to arrive, the first aid provider may encourage a person with chest pain to take aspirin if the signs and symptoms suggest a heart attack (no allergy ,no contraindication) Class IIa,LOE B-NR updated If a person has chest pain that does not suggest that the cause is cardiac in origin. Class III: Harm, LOE C-EO new  Medical Emergencies: Chest Pain
  • 42. 2015 Guidelines Update Recommendation Recommendation Comments Dose of epinephrine is 0.3 mg IM for adults and children greaterthan 30 kg, 0.15 mg intramuscularly for children 15 to 30kg Class I, LOE C-EO new When a person with anaphylaxis does not respond to the initial dose, and arrival of advanced care will exceed 5 to 10 minutes, a repeat dose may be considered. Class IIb,LOE C-LD updated  Medical Emergencies: Anaphylaxis
  • 43. 2015 Guidelines Update Recommendation Recommendation Comments If the person is unconscious, exhibits seizures, or is unable to follow simple commands or swallow safely, the first aid provider should call for EMS immediately Class I, LOE C-EO new signs or symptoms of mild hypoglycemia and is able to follow simple commands and swallow, oral glucose should be given to attempt to resolve the hypoglycemia. Glucose tablets Class I, LOE B-R new  Medical Emergencies: Hypoglycemia
  • 44. 2015 Guidelines Update Recommendation Recommendation Comments It is reasonable to use these dietary sugars as an alternative to glucose tablets (when not available) for reversal of mild symptomatic hypoglycemia Class IIa, LOE B-R new First aid providers should therefore wait at least 10 to 15 minutes before calling EMS and re-treating a diabetic with mild symptomatic hypoglycemia with additional oral sugars. Class I, LOE B-R new  Medical Emergencies: Hypoglycemia
  • 45.
  • 46. 2015 Guidelines Update Recommendation Recommendation Comments If the person’s status deteriorates during that time or does not improve, the first aid provider should call EMS Class I, LOE C-EO new  Medical Emergencies: Hypoglycemia
  • 47. 2015 Guidelines Update Recommendation Recommendation Comments In the absence of shock, confusion, or in ability to swallow, it is reasonable for first aid providers to assist or encourage individuals with exertional dehydration to orally rehydrate with CE drinks Class IIa, LOE B-R new If these alternative beverages are not available, potable water may be used Class IIb, LOE B-R new  Medical Emergencies: Dehydration
  • 48. 2015 Guidelines Update Recommendation Recommendation Comments It can be beneficial to rinse eyes exposed to toxic chemicals immediately and with a copious amount of tap water for at least 15 minutes or until advanced medical care arrives Class IIa,LOE C-LD updated If tap water is not available, normal saline or another commercially available eye irrigation solution may be reasonable . Class IIb,LOE C-LD new  Medical Emergencies: Toxic Eye Injury
  • 49. 2015 Guidelines Update Recommendation Recommendation Comments There continues to be no evidence to support the use of pressure points or elevation of an injury to control external bleeding. Class III: No Benefit, LOE C-EO updated The standard method for first aid providers to control open bleeding is to apply direct pressure to the bleeding site until it stops. Class I, LOE B-NR updated Local cold therapy, types of injuries to the extremity or scalp Class IIa, LOE C-LD new  Trauma Emergencies: Control of Bleeding
  • 50. 2015 Guidelines Update Recommendation Recommendation Comments Cold therapy should be used with caution in children Class I, LOE C-EO new use of a tourniquet when standard first aid hemorrhage control does not control severe external limb bleeding Class IIb,LOE C-LD updated A tourniquet may be considered for initial care when a first aid provider is unable to use standard first aid hemorrhage control, such as during a mass casualty incident, multisystem trauma, in an unsafe environment Class IIb,LOE C-EO new  Trauma Emergencies : Control of Bleeding
  • 51. 2015 Guidelines Update Recommendation Recommendation Comments Although maximum time for tourniquet use was not reviewed by a 2015 ILCOR systematic review, first aid provider note the time that a tourniquet is first applied and communicate this information with EMS providers Class IIa,LOE C-EO new Hemostatic dressings may be considered by first aid providers when standard bleeding is not effective for severe or lifethreatening bleeding Class IIb,LOE C-LD updated Proper application of hemostatic dressings requires training . Class I, LOE C-EO). updated  Trauma Emergencies:Control of Bleeding
  • 52. 2015 Guidelines Update Recommendation Recommendation Comments We recommend against the application of an occlusive dressing or device by first aid providers for individuals with an open chest wound Class III: Harm, LOE C-EO new In the first aid situation, it is reasonable to leave an open chest wound exposed to ambient air without a dressing or seal . Class IIa, LOE C- EO new  Trauma Emergencies: Open Chest Wounds
  • 53. 2015 Guidelines Update Recommendation Recommendation Comments Any person with a head injury that has resulted in a change in level of consciousness, has progressive signs or symptoms as should be evaluated by a healthcare provider as soon as possible Class I, LOE C-EO new Using any mechanical machinery, driving, cycling, or continuing to participate in sports after a head injury should be deferred by these individuals until they are assessed by a healthcare provider and cleared to participate in those activities . Class I, LOE C-EO new  Trauma Emergencies: Concussion
  • 54. 2015 Guidelines Update Recommendation Recommendation Comments With a growing body of evidence showing more actual harm and no good evidence showing clear benefit, we recommend against routine application of cervical collars by first aid providers Class III: Harm, LOE C-LD updated If a first aid provider suspects a spinal injury, he or she should have the person remain as still as possible and await the arrival of EMS providers Class I, LOE C-EO new  Trauma Emergencies: Spinal Motion Restriction
  • 55. 2015 Guidelines Update Recommendation Recommendation Comments In general, first aid providers should not move or try to straighten an injured extremity . Class III: Harm, LOE C-EO Updated In such situations, providers should protect the injured person, including splinting in a way that limits pain, reduces the chance for further injury, and facilitates safe and prompt transport. Class I, LOE C-EO Updated If an injured extremity is blue or extremely pale, activate EMS immediately Class I, LOE C-EO New  Musculoskeletal Trauma
  • 56. 2015 Guidelines Update Recommendation Recommendation Comments Cool thermal burns with cool or cold potable water as soon as possible and for at least 10 minutes . Class I, LOE B-NR Updated If cool or cold water is not available, a clean cool or cold, but not freezing, compress can be useful as a substitute for cooling thermal burns Class IIa,LOE B-NR New Care should be taken to monitor for hypothermia when cooling large burns . Class I, LOE C-EO New After cooling of a burn, it may be reasonable to loosely cover the burn with a sterile, dry dressing . Class IIb,LOE C-LD Update Burns
  • 57. 2015 Guidelines Update Recommendation Recommendation Comments In general, it may be reasonable to avoid natural remedies, such as honey or potato peel dressings Class IIb,LOE C-LD New However, in remote or wilderness settings where commercially made topical antibiotics are not available, it may be reasonable to consider applying honey topically as an antimicrobial agent Class IIb,LOE C-LD New Burns associated with or involving (1) blistering or broken skin; (2) difficulty breathing; (3) the face, neck, hands, or genitals; (4) a larger surface area, such as trunk or extremities; or (5) other cause for concern should be evaluated by a healthcare provider Class I, LOE C-EO New  Burns
  • 58. 2015 Guidelines Update Recommendation Recommendation Comments In situations that do not allow for immediate reimplantation, it can be beneficial to temporarily store an avulsed tooth in a variety of solutions shown to prolong viability of dental cells . ClassIIa, LOE C-LD Updated If none of these solutions are available, it may be reasonable to store an avulsed tooth in the injured persons saliva (not in the mouth) pending reimplantation . Class IIb,LOE C-LD New Following dental avulsion, it is essential to seek rapid assistance with reimplantation. Class I, LOE C-EO New  Dental Injury