Resuscitation

Resuscitation

1. Basic components

   • cardiopulmonary resuscitation (CPR)
     • The initial version of the CPR guidelines of American Heart Association (AHA)
       • 1960
         • 60 compressions/min
       • 2010
         • 100 compressions/min without specifying an upper limit.
       • 2015
         • 100 compressions/min to 120 compressions/min.
     • Strategies
       • For
         • It is to attempt to optimize perfusion and / or to minimize / manipulate pauses during chest compressions
           • Continuous compressions with asynchronous ventilation
             • It should perform CPR with 30 compressions at 2 ventilations or continuous chest compression (30: 2)
               • Positive pressure
               • ventilation delivered without pausing
     • Characteristics
       • Compression Depth
         • It is demonstrated that the rate of survival increased as the chest compression depth increased
           • In adults according to the International Liaison Committee on Resuscitation (ILCOR)
             • It is recommended
               • 5 cm (2 in.)
             • It is avoids
               • 6 cm [>2.4 in.]
       • Ventilation
         • Before
           • 15:2
         • Now, it is recommended
           • 30:2
   • Defibrillation
     • In the presence of fibrillation or ventricular tachycardia
       • The energy levels recommended
         • For electric shock
           • third and subsequent
             • 360 J
           • Second
             • 200 J to 300 J
           • First
             • 200 J
   • Chest compressions
     • The proportion of time during the resuscitation that compressions are performed
       • When pauses in CPR during resuscitation are minimized, the CCF is increased
         • According to the AHA It is recommended
           • Chest compressions of at least 60%

2. Is a medical emergency in which the lapse of time between event onset and the initiation of measures of basic and advanced support, as well as the correct care based on specific protocols for each clinical situation, constitute decisive factors for a successful therapy.

3. American Heart Association (AHA)

   • It creates reference guidelines for cardiopulmonary resuscitation

4. the International Liaison Committee on Resuscitation (ILCOR)

   • Created in 1992
     • For
       • It composed of organizations from several countries
   • Aiming to bring the CPR measures into uniformity throughout the world.

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