Dr. Habib Md Reazaul KarimMBBS, MD, DNB, IDCCM

Chain of survival 2010 (what we know)

2015Modified to system specificDifferent for IHCADifferent for OHCA

System-specific Chains of Survival.

Steven L. Kronick et al. Circulation. 2015;132:S397-S413

Copyright © American Heart Association, Inc. All rights reserved.

Chain of Survival - IHCA

Surveillance- RRT / EMT (for prevention)

Some updates / changes

Use social media- to summon rescuers to perform CPR to a suspected OHCA victim

Untrained bystanders should perform compression-only CPR on OHCA victims

“Dispatch-guided CPR”

BLS Healthcare Provider Adult Cardiac Arrest Algorithm—2015 Update.

Monica E. Kleinman et al. Circulation. 2015;132:S414-S435

Copyright © American Heart Association, Inc. All rights reserved.

Some updates / changesHCPs are encouraged to simultaneously perform

steps, like checking for breathing and pulse

Upper limit of Compressions rate 120 per minute and depth of 2.4 inches

Advanced airway- Breath 10/min

Adult Cardiac Arrest Algorithm―2015 Update.

Mark S. Link et al. Circulation. 2015;132:S444-S464

Copyright © American Heart Association, Inc. All rights reserved.

Some updates / changesFor witnessed adult cardiac arrest when an AED is

immediately available, it is reasonable that the defibrillator be used as soon as possible

It may be reasonable to immediately resume chest compressions after shock delivery without a pause for a rhythm check

Use of Naloxone in suspected opioids overdose patients

Updates- Post arrest care

Regionalization of Care

Coronary Angio – As early as possible

TTM- 32 to 36 degree C