If you are a professional healthcare provider, please note the following updates:
-Healthcare providers should simultaneously assess the breathing and pulse of pediatric patients in order to minimize delays in starting CPR, if the child is unresponsive with no breathing or is only gasping.
-Rescuers who identify patients with known or suspected opioid addiction, who have a definite pulse but who aren't breathing normally, or are only gasping, should be administered baslic life support CPR care. Any BLS-trained professional (where available and part of BLS provider protocols provided by oversight) should also administer intramuscular or intranasal naloxone
-The newest guidelines emphasize targeted compression fraction (at least 60%) in order to limit compression interruptions and maximize coronary perfusion and blood flow during CPR on adult patients suffering cardiac arrest with an unprotected airway. Compression fraction should exceed 60%.
-When supplementary oxygen is available, it may be reasonable to use the maximal feasible inspired oxygen conentration during CPR.
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-For witnessed out-of-hospital cardiac arrest with a shockable rhythm, it is reasonable for EMS systems with priority-based, multi-tier response to delay positive-pressure ventillation using up to three cycles of 200 continuous compressions with passive oxygen insufflation and airway adjuncts.
-Passive ventilation techniques during conventional CPR for adults are not recommended because the usefulness or effectiveness of these techniques is not known. For EMS systems that use bundles or care involving continuous chest compressions, the use of passive ventilation techniques is considered as part of that bundle.
-When an advanced airway is placed during CPR, BLS-trained rescuers will no longer perform cycles of 30:2 but will, instead, give one breath every six seconds (10 breaths/minute) while continuous chest compressions are performed.
-Out-of-hospital and in-hospital medical personnel should administer supplementary oxygen to hypoxemic (oxygen saturation below 94%) stroke patients or those with known oxygen saturation.
-Mouth-to-nose ventilation is recommended if ventilation through the victim's mouth is impossible; for instance, if the mouth is seriously injured or cannot be opened, if the victim is in water, or if a mouth-to-mouth seal cannot be achieved. |
