CPRACLS.ppt

CPR ACLS 2005 AHA Guidelines for CPR and ECC contain recommendations designed to improve survival from sudden cardiac arrest and acute life-threatening cardiopulmonary problems 改进、简化复苏培训程序和提高复苏成功率是重点关注的问题,有效不间断的胸外按压的重要意义被提到前所未有的高度。 Different with before based on the most extensive evidence review of CPR yet published. these guidelines were developed under a new structured and transparent process for ongoing disclosure and managementof potential conflicts of interest. reduce the amount of information thatrescuers need to learn and remember Changes in all rescuers compare with 2000 guideline 2005 guideline emphasize “push hard, push fast” (at a rate of 100 compressions per minute), allow complete chest recoil, and minimize interruptions in chest compre-ssions. 与2000指南相比,新指南更加强调CPR时持续有效胸外按压(Ⅰ级推荐)的重要意义。 Changes in all rescuers Recommendation of a single (universal) compression-to-ventilation ratio of 30:2 for single rescuers of victims of all ages (except newborn infants). 新指南建议单人急救时,除新生儿外,对所有年龄段患者给予的按压通气比为30∶2;而2000年指南建议给予成人的按压通气比为15∶2,儿童为5∶1。 Changes in all rescuers Simplification of instructions for rescue breaths all breaths should be given over 1 second with sufficient volume to achieve visible chest rise 新指南简化了人工呼吸的程序:所有人工呼吸均应持续吹气1秒以上(Ⅱa级推荐),保证有足够量的气体进入并使胸廓起伏。施救者应该避免给予多次吹气或吹入气量过大。 Changes in all rescuers Rescuers should not check the rhythm or a pulse immediately after shock delivery 急救者不应在电击后立即检查患者心跳或脉搏,而是应该重新进行CPR,先行胸外按压,心跳检查应在实施5个周期CPR(约2分钟)后进行。 Changes in all rescuers Re-emphasis of the recommendation in 2003 ILCOR: AED could be used in infants(1y/o) or children (excluding newborns) 新指南再次确认2003年国际复苏联合会(ILCOR)的声明:对于1岁以上婴儿和儿童推荐使用自动体外除颤仪(AED),但目前尚无充分证据证实对1岁以下婴儿使用AED的利弊。 Changes only in lay rescuer lone lay rescuer to provide about 5 cycles (about 2 minutes) of CPR for any infant or child victim before leaving to phone 911 and get an AED (if appropriate). 在新指南中,面对无反应的婴儿或儿童,单人施救可考虑先实施5个周期(约2分钟)CPR,然后离开患儿拨打急救求救电话或使用AED。 The lay rescuer shou