Changes to the American Heart Association Resuscitation Guidelines were announced during the recent Emergency Cardiovascular Care Update Conference in San Diego. We reviewed these changes and here are a few of the highlights:
- Social Media In some communities is may be reasonable to use social media to summon rescuers who are in close proximity to the victim. According to a Swedish study, a mobile-phone dispatch system significantly increased the rate of bystander-initiated CPR.
- Community Lay Rescuer Programs—Public Access Defibrillation Program (PAD) is recommended for locations such as airports, casinos, sports facilities) where there is a likelihood of a witnessed cardiac arrest. There is no question that early use of an AED during Cardiac Arrest greatly improves survival. These four components must be present in a PAD Program.
- Planned practiced responses and access to AED’s
- Training of CPR and AED Responders
- Integrated link with EMS Personnel
- Quality Improvement Program
- Chest Compression Depth and Rate Increased rate from 100 Compressions a minute to 120 compressions a minute. In addition, Depth has changed from at least 2 inches or 5 cm to between 2 and 2.4 inches or 5 to 6 cm.
- Naloxone in Opioid-Associated Life-Threatening Emergencies trained lay rescuers and BLS providers may administer Intramuscular or intranasal naloxone for patients with known opioid addiction who are unresponsive and have a pulse but do not appear to be breathing. The naloxone autoinjector was approved by the FDA in 2014 for use by lay rescuers and Health Care Providers.
For a complete list of the changes, click this link to the 2015 Guidelines downloadable in PDF and translated into 17 different languages.
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