Resuscitation Council 2015 recommendations we released last Thursday and we have studied the latest Resuscitation changes and are changing over to the new recommendations on our courses very soon. The recommendations on CPR change every five years. On the 15th October 2015, the European Resuscitation Council, ILCOR and UK Resuscitation Council announced the 2015 guidelines. Our training courses will shortly follow the ERC and UK 2015 recommendations to ensure the latest guidelines are including in our online and classroom courses.
When the rules change, its not that the old rules were wrong, it’s that better advice is now available to improve the survival rates for a patient and improving the understanding of what to do for the rescuer.There are not as many changes in 2015 as there have been in previous years, but the main changes are as follows.
Guidelines 2015 highlights the critical importance of the interactions between the emergency medical dispatcher, the bystander who provides cardiopulmonary resuscitation (CPR) and the timely deployment of an automated external defibrillator (AED). An effective, co-ordinated community response that draws these elements together is key to improving survival from out-of-hospital cardiac arrest.
The emergency medical dispatcher plays an important role in the early diagnosis of cardiac arrest, the provision of dispatcher-assisted CPR (also known as telephone CPR), and the location and dispatch of an AED. The sooner the emergency services are called, the earlier appropriate treatment can be initiated and supported.
The knowledge, skills and confidence of bystanders will vary according to the circumstances of the arrest, level of training and prior experience. The bystander who is trained and able should assess the collapsed victim rapidly to determine if the victim is unresponsive and not breathing normally and then immediately alert the emergency services. Whenever possible, alert the emergency services without leaving the victim.
The victim who is unresponsive and not breathing normally is in cardiac arrest and requires CPR. Immediately following cardiac arrest blood flow to the brain is reduced to virtually zero, which may cause seizure like episodes that may be confused with epilepsy. Bystanders and emergency medical dispatchers should be suspicious of cardiac arrest in any patient presenting with seizures and carefully assess whether the victim is breathing normally.
With basic life support, the key messages are:
For the victim who is unresponsive and not breathing normally:
Moving on to choking, the rules are the same. Treat the victim who is choking by encouraging them to cough. If the victim deteriorates give up to 5 back slaps followed by up to 5 abdominal thrusts. If the victim becomes unconscious, start CPR.
The 2015 Advanced life support (ALS) guidelines have a change in emphasis aimed at improved care and implementation of these guidelines in order to improve patient outcomes. Increased emphasis on minimally interrupted high quality chest compressions throughout any ALS intervention. This has also been reflected in the basic life support guidelines.
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