Despite its portrayal in Hollywood, the majority of patients do not reach hospital discharge, and even fewer survive with good neurologic outcome. As research continues, clinicians should focus on what has been shown to provide the best possible chance at survival with good neurologic outcome.
Epinephrine…for now remains 1mg q3 – 5 minutes; just say NO to high-dose epinephrine; and vasopressin is back?!
A lot has changed over the years when it comes to managing the adult in cardiac arrest. As a result, survival rates after cardiac arrest have risen steadily over the last decade. With the release of the American Heart Association ACLS Guidelines 2015 online on Oct 16th, while there aren’t a lot a big changes, there are many small but important changes we need to be aware of, and there still remains a lot of controversy
Patients with pulseless electrical activity (PEA) account for almost 1/3 of cardiac arrest and even more troublesome is that the survival rate is significantly worse than patients with shockable rhythms. Both the European and American ACLS guidelines stress the importance of quickly finding and addressing the cause of PEA. This is traditionally done with recalling the 5 to 6 H’s and T’s, but during cardiopulmonary resuscitation it is difficult to recall all 13 causes of PEA
We’ve assumed, for the most part, that advanced life support is better than basic life support — so much so that in most areas where both options are available, advanced life support is almost always used. But a recent study in JAMA Internal Medicine brings this assumption into question.
It takes up quite a bit of mental bandwidth to ensure that CPR is performed well and there is already enough going on during the resuscitation, so is there a way that we can cognitively offload our minds?
The AHA’s ACLS course builds on the foundation of lifesaving BLS skills, emphasizing the importance of continuous, high-quality CPR. Reflects science and education from the American Heart Association Guidelines Update for CPR and Emergency Cardiovascular Care (ECC).
These guidelines are based on the most current and comprehensive review of resuscitation science, systems, protocols, and education.