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CPR science update : Whats IN and out in 2010 Nalinas Khunkhlai, MD Department of Emergency medicine and Narenthorn EMS center, Rajavithi hospital ACLS.

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Presentation on theme: "CPR science update : Whats IN and out in 2010 Nalinas Khunkhlai, MD Department of Emergency medicine and Narenthorn EMS center, Rajavithi hospital ACLS."— Presentation transcript:

1 CPR science update : Whats IN and out in 2010 Nalinas Khunkhlai, MD Department of Emergency medicine and Narenthorn EMS center, Rajavithi hospital ACLS Provider Course, Ramathibodi Hospital, 17-18th March 2011

2 Basic Life support ACLS Pulseless arrest Tachyarrhythmias Bradyarrhythmias Post cardiac arrest care ACLS Provider Course, Ramathibodi Hospital, 17-18th March 2011 Changes in 2010 :

3 ACLS Provider Course, Ramathibodi Hospital, 17-18th March 2011

4 2005 2010

5 C-A-B remove Look, Listen and Feel Increase rate (>100/min) Increase depth of chest compression Bystander Hands-only CPR for un- experience providers. Remove Cricoid pressure ACLS Provider Course, Ramathibodi Hospital, 17-18th March 2011 Changes in 2010 : BLS

6 ACLS Provider Course, Ramathibodi Hospital, 17-18th March 2011

7 Pulseless arrest ACLS Provider Course, Ramathibodi Hospital, 17-18th March 2011 Changes in 2010 : ACLS

8 2005 Shoc k NoSho ck

9

10 A : Airway & Breathing Chest compressor : DeFibMedicationTeam leader 2005 ETT 8-10/min O2 hard fast fully recoiled minimize interruption no hypervent manufacturu r advice. Epinephrine Atropine Amiodarone Vasopressin Lidociane Ddx 6H5T 2010 ( ) EtCO2 A-line & EtCO2 for monitor quality REMOVE Atropine, REMOVE hypoglycimia postarrest care Pulseless arrest : Team dynamics ACLS Provider Course, Ramathibodi Hospital, 17-18th March 2011

11 2010 Pulseless arrest : Team dynamics A : Airway & Breathing Chest compress or : DeFibMedication Team leader 2005 ETT 8-10/min O2 hard fast fully recoiled minimize interruptio n no hypervent manufact urur advice. Epinephrin e Atropine Amiodaron e Vasopressi n Lidociane Ddx 6H5T 2010 ( ) EtCO2 A-line & EtCO2 for monitor quality REMOVE Atropine, LIdocaine REMOVE hypoglycimi a postarrest care

12 2010

13 Tachyarrhythmias ACLS Provider Course, Ramathibodi Hospital, 17-18th March 2011 Changes in 2010 : ACLS

14 ACLS Provider Course, Ramathibodi Hospital, 17-18th March 2011 2005

15 ACLS Provider Course, Ramathibodi Hospital, 17-18th March 2011

16 2010 stable narrow QRS

17 stable EKG ACLS Provider Course, Ramathibodi Hospital, 17-18th March 2011

18 Confusing point in Tachyarrhythmia Coutersy image Dr Ratchanee

19 ACLS Provider Course, Ramathibodi Hospital, 17-18th March 2011

20 Coutersy image Dr Ratchanee

21

22 ACLS Provider Course, Ramathibodi Hospital, 17-18th March 2011

23 Coutersy image Dr Ratchanee

24 ACLS Provider Course, Ramathibodi Hospital, 17-18th March 2011

25 normalAntidromic ACLS Provider Course, Ramathibodi Hospital, 17-18th March 2011

26 Orthodromic ACLS Provider Course, Ramathibodi Hospital, 17-18th March 2011

27

28

29 Bradyarrhythmia ACLS Provider Course, Ramathibodi Hospital, 17-18th March 2011 Changes in 2010 : ACLS

30 2005 ACLS Provider Course, Ramathibodi Hospital, 17-18th March 2011

31 2010 ACLS Provider Course, Ramathibodi Hospital, 17-18th March 2011

32 20102005 Changes in 2010 : post arrest care ACLS Provider Course, Ramathibodi Hospital, 17-18th March 2011

33 Thank you for your attention


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