CPR science update : Whats IN and out in 2010 Nalinas Khunkhlai, MD Department of Emergency medicine...

CPR science update :

What’s IN and out in “2010”

Nalinas Khunkhlai , MDDepartment of Emergency medicine and Narenthorn EMS center,

Rajavithi hospital

ACLS Provider Course , Ramathibodi Hospital , 17-18th March 2011

• Basic Life support

• ACLS

• Pulseless arrest

• Tachyarrhythmias

• Bradyarrhythmias

• Post cardiac arrest care

ACLS Provider Course , Ramathibodi Hospital , 17-18th March 2011

Changes in 2010 :

ACLS Provider Course , Ramathibodi Hospital , 17-18th March 2011

2005 2010

• C-A-B

• remove “Look, Listen and Feel”

• Increase rate (>100/min)

• Increase depth of chest compression

• Bystander “Hands-only” CPR for un-experience providers.

• Remove Cricoid pressure

ACLS Provider Course , Ramathibodi Hospital , 17-18th March 2011

Changes in 2010 : BLS

QuickTime™ and ampeg4 decompressor

are needed to see this picture.

ACLS Provider Course , Ramathibodi Hospital , 17-18th March 2011

Pulseless arrest

ACLS Provider Course , Ramathibodi Hospital , 17-18th March 2011

Changes in 2010 : ACLS

2005ShocShoc

kkNoShoNoSho

ckck

A : Airway &

Breathing

Chest compresso

r :DeFib Medication

Team leader

2005ETT

8-10/minO2

hard fastfully

recoiledminimize

interruptionno

hypervent

manufacturur advice.

Epinephrine

AtropineAmiodaron

eVasopressi

nLidociane

Ddx 6H5T

2010 (เผิ่��ม)

EtCO2

A-line & EtCO2 for monitor quality

“REMOVE

Atropine ,

REMOVE hypoglycim

ia

postarrest care

Pulseless arrest : Team dynamics

ACLS Provider Course , Ramathibodi Hospital , 17-18th March 2011

ACLS Provider Course , Ramathibodi Hospital , 17-18th March 2011

2010

Pulseless arrest : Team dynamics

A : Airway

& Breathin

g

Chest compres

sor :DeFib

Medication

Team leader

2005

ETT 8-10/minO2

hard fastfully

recoiledminimiz

e interrupt

ionno

hypervent

manufacturur

advice.

Epinephrine

AtropineAmiodaro

neVasopress

inLidociane

Ddx 6H5T

2010 (เผิ่��ม)

EtCO2

A-line & EtCO2

for monitor quality

“REMOVE

Atropine , LIdocaine

REMOVE hypoglyci

mia

postarrest care

2010

Tachyarrhythmias

ACLS Provider Course , Ramathibodi Hospital , 17-18th March 2011

Changes in 2010 : ACLS

ACLS Provider Course , Ramathibodi Hospital , 17-18th March 2011

2005

ACLS Provider Course , Ramathibodi Hospital , 17-18th March 2011

2010

stablestable

narrow narrow QRSQRS

stablestable

narrow narrow QRSQRS

ปั�ญหาอยู่ �ที่��EKG

ACLS Provider Course , Ramathibodi Hospital , 17-18th March 2011

Confusing point in Tachyarrhythmia

Coutersy image Dr Ratchanee

Coutersy image Dr Ratchanee ACLS Provider Course , Ramathibodi Hospital , 17-18th March 2011

Coutersy image Dr Ratchanee

Coutersy image Dr Ratchanee

Coutersy image Dr Ratchanee ACLS Provider Course , Ramathibodi Hospital , 17-18th March 2011

Coutersy image Dr Ratchanee

ACLS Provider Course , Ramathibodi Hospital , 17-18th March 2011

normal Antidromic

ACLS Provider Course , Ramathibodi Hospital , 17-18th March 2011

OrthodromicACLS Provider Course , Ramathibodi Hospital , 17-18th March 2011

ACLS Provider Course , Ramathibodi Hospital , 17-18th March 2011

ACLS Provider Course , Ramathibodi Hospital , 17-18th March 2011

Bradyarrhythmia

ACLS Provider Course , Ramathibodi Hospital , 17-18th March 2011

Changes in 2010 : ACLS

2005

ACLS Provider Course , Ramathibodi Hospital , 17-18th March 2011

2010

ACLS Provider Course , Ramathibodi Hospital , 17-18th March 2011

2010 2005

Changes in 2010 : post arrest care

ACLS Provider Course , Ramathibodi Hospital , 17-18th March 2011

Thank you for your attention