The following is a list of currently available documents that will be used during the plenary session for the definition of new guidelines for 2015. Based on these documents are here also the modifications that I have found with respect to the Protocol in 2010.
I will update this list from time to time as I find new material
For now, for those who want to, you can learn about:
- AHA - SUMMARY of the Update of the 2015 Guidelines for CPR and ECC American Heart Association (in Italian)
- IRC -Lines Guide ERC 2015 - Summary of the main changes (in Italian)
- ERC 2015 Guidelines (in English)
- 2015 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Update Cardiovascular Care (in English of circulation)
But here is a list, in progress, the new things that I'm finding reading the various documents
- AHA - Two chains of survival, a non-hospital (OHCA) and in-hospital (IHCA)
- AHA - Use of social networks to summon rescue personnel in the vicinity of a cardiac arrest. This is a momentous thing for me. From a Swedish study there appears to be a significant increase in CPR started by witnesses contacted by phone by a network of rescuers recorded in a computerized system. Given the low risk and the potential benefits, the AHA recommends the implementation of such systems. WOW
- AHA (lay / OHCA / IHCA) - The frequency of CPR is now defined as: 100 to 120 compressions per minute. So we went from 100 per minute (2005) to at least 100 per minute (2010) to from 100 to 120.
- AHA (lay / OHCA / IHCA) - The depth is more than 5 cm but has now been added, no more than 6 cm
- AHA - Recommended to equip public places crowded with AEDs and trained personnel. It was time.
- AHA (lay / OHCA) - In the process of support to witnesses of an ACC, operators have to recognize the central agonal breathing and, in the case, activate the appropriate procedures.
- AHA (lay / OHCA) - All professional rescuers MUST provide to victims of cardiac arrest LEAST chest compressions. (OHCA) Then, if the rescuer TRAINED professional is able to practice the rescue breaths, compressions and breaths MUST be provided with a ratio 30: 2 (my case)
- AHA (OHCA) - This is an epoch-making but added that unfortunately clashes with our current laws. For patients with known or suspected opioid dependence unconscious and not breathing but with normal wrist is reasonable that rescuers NOT PROFESSIONAL, PROPERLY TRAINED, over to provide the BLS standard SOMMINISTINO naloxone intramuscularly or intranasally. I do not know what I mean as they are forward. The reason, in addition to the undoubted advantages is that, in 2014, in the US, the FDA approved the autoinjector of naloxone for use by non-professional rescuers.
- AHA (lay / OHCA / IHCA) - It is explicitly said that to allow a full re-expansion of the chest wall rescuers should avoid staying flat on the chest between compressions
- AHA (lay / OHCA / IHCA) - Removed the witnessed / testified not !!!! Is available as an AED using it immediately if necessary continuing CPR while applying plates and until the AED is ready to analyze the rhythm.
- AHA (lay / OHCA / IHCA) - I do not know if it's a real change but in 2010 it seems to me that in recognition of the ACC there was only the detection of the pulse within 10 seconds while now, by the way it is that you can check simultaneous breathing and pulse in 10 seconds
- AHA ACLS (OHCA / IHCA) - Vasopressin has been removed from the algorithm
- AHA ACLS (OHCA / IHCA) - In case of non-shockable rhythm adrenaline can be administered immediately
- AHA ECG (OHCA / IHCA) - Staff NOT FORMAT doctor can make the interpretation of the ECG to determine the STEMI. May also be used computer analysis of the ECG. This voice contrasts with the Italian legislation currently in force.
- AHA Pregnancy (OHCA / IHCA) - As evidenced by my previous article , has removed the ability to tilt the woman of 30 ° to avoid compression aortocavale but instead recommended the manual movement of the uterus