Advanced cardiac life support: Update on recent guidelines and a look at the future

摘要: Summwy: The objectives ofthis article are to provide an update of the American Heart Association (AHA) 1992 National Conference guidelines for cardiopulmonary resuscitation (CPR) and emergency cardiac care review investigation development new methods CPR which may be considered in future recommendations. Despite organized approach sudden arrest, survival patients receiving is range 5-15%. AHA recommend standard manual performed at a rate 80- I00 compressiotdmin algorithms advanced life support. These stress widespread community training rapid response lollowing sequence: (I) recognition early warning signs. (2) activation medical system (EMS), (3) basic CPR, (4) defibrillation, (5) intubation, (6) intravenous medication. Several recommendations pertain spccitically in-hospital are, therefore, particularly relevant physician management arrest. best predictor requiring circulatory support dier arrest attainable coronary cerebral perfusion. Unfortunately, minimal levels end-organ perfusion required sustain often dificult or impossible achieve with several techniques have therefore been introduced. most promising these (1) interposed abdominal compression, pneumatic vest, active compression-decompression resuscitation. Each offers unique advantages when compared rational framework victims. New now available into continues. In future, modalities incorporated newer on basis supplement our current