1. Adult Resuscitation Review and Update Benjamin Wachira

2. Overview Introduction Major changes in the 2005 AHA Guidelines for CPR and ECC video Summary

3. Introduction The 2005 AHA Guidelines for CPR and ECC are based on the most comprehensive review of resuscitation literature ever published.

4. Introduction (cont…) The evidence evaluation process incorporated the input of 381 international resuscitation experts who evaluated research topics, and hypotheses over a 36-month period before the 2005 Consensus Conference.

5. Major changes in the 2005 AHA Guidelines for CPR and ECC video Disclaimer: This video is not a replacement for the information contained in the 2005 AHA Guidelines for CPR and ECC.

6. Adult CPR update video Log in to Vula to access audio

7. Questions ?

8. Summary No human data has identified the optimal compression-ventilation ratio for CPR for victims of all ages

9. Summary (cont…) No studies in humans or animals has specifically compared the 1-shock defib strategy with the 3-stacked-shock sequence Biphasic Defibs have a ±90% 1 st shock efficacy and if 1 shock fails to eliminate VF, the VF may be of low amplitude and the incremental benefit of another shock is low, CPR is more beneficial.

10. Summary (cont…) Almost all patients have a non perfusing rhythm for a period of time after successful shock. One study found that 80% were in PEA/asystole and 20% remained in VF

11. Summary (cont…) Despite the widespread use of epinephrine and several studies of vasopressin, no placebo-controlled study has shown that any medication or vasopressor given routinely at any stage during cardiac arrest increases rate of survival to hospital discharge

12. References AHA ACLS Resource Text