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Key changes from the 2005 ACLS
Guidelines
Amiodarone
Amiodarone
Lidocaine
A retrospective review
Lidocaine
Alternative antiarrhythmic
Lidocaine
If VF/pulseless VT persists
Pro
Cons
Sodium Bicarbonate
Pro
Cons
Advantages
Hyperkalemia
Dose
Calcium
Mechanical Parameters
Physiologic Parameters
Pulse
End-Tidal CO2
Relaxation Pressure
Pulse Oximetry
Echocardiography
Physiologic Parameters
PETCO2
Physiologic Parameters
PETCO2
Patients symptoms
Clinical signs
Unstable
Symptomatic
Caution
Caution
Dopamine hydrochloride
Dopamine infusion
Epinephrine
Isoproterenol
NarrowQRS-complex tachycardias
Sinus tachycardia
Atrial fibrillation
Atrial flutter
AV nodal reentry
WideQRS-complex tachycardias
ventricular fibrillation(VF)
Pre-excited tachycardias
(Wolff-Parkinson-White[WPW] syndrome)
Synchronized cardioversion
unstable SVT
MAT
Rate control
Rhythm control
Alternative strategy
Unstable patients
Stable patients
Amiodarone
Verapamil
Amiodarone
Lidocaine
First step
Normal QT interval
10
30: 2
A, B
30: 2
CPR 2005 CPR 2010
100
100
1 -2
(4-5 )
2 (5 )
Cricoid pressure
aspiration
aspiration
1 5-6
( 10-12
)
1 6-8 ( 8-10
)
biphasic
AF 120-200
J
Algorithm Asystole/PEA
epinephrine,
atropine
atropine
(IIb)
Asystole/PEA
adenosine
stable regular
WCT
Post CPR care Therapeutic
hypothermia
keep O2 sat>
94%
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