Ashish Panchel, Jason Bartos, Jose Cabanas et el published uptdated guidelines for cardiac resuscitation in Circulation.
Salient features are summarized in this picture.
Now a days the guidelines are updated on a continuous basis but these are the salient changes summarized in a table form.
|Most updated treatment recommendations for cardiac arrest resuscitation|
Bag-mask valve or an advanced Airway.
|MECHANICAL CPR||Where sustained high-quality manual chest compressions are impractical or compromise provider safety||ROUTINE USE not recommended|
|IV OR IO||IV||IO ONLY IF CANT GET IV|
||EPINEPHRINE FOR nonshockable rhythms, as soon as feasible
FOR SHOCKABLE RHYTHM, after initial attempts of shock fail
|Vasopressin, alone or with epinephrine|
|Amiodarone or lidocaine in adults with shock-refractory ventricular fibrillation/ pulseless ventricular tachycardia||Routine use of magnesium not recommended.
May be considered for treatment of polymorphic VT associated with a long QT interval (torsades de pointes)
|Against using ETCO2 cutoff values alone as a mortality predictor or on the decision to stop a resuscitation attempt|
|DOUBLE SEQUENTIAL DEFIBRILLATION||Not proven yet|
|EXTRACORPOREAL CPR||Routine use not recommended|
|POINT-OF-CARE ULTRASOUND||Not beneficial|
|POST RESUSCITATIVE CARE||Comprehensive, structured, multidisciplinary
system of care should be implemented
|RECOVERY AND SURVIVORSHIP||
Address treatment, surveillance,
|BOOSTER TRAINING FOR PROVIDERS||
Every 2 yrs
A new phase of recovery is added to the chain of survival links.