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7/21/2019 2010 ACLS Guidelines
http://slidepdf.com/reader/full/2010-acls-guidelines 1/8
7/21/2019 2010 ACLS Guidelines
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2010 ACLS Guidelines
7/21/2019 2010 ACLS Guidelines
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7/21/2019 2010 ACLS Guidelines
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AHA 2010 guideline updates
• Complete guidelines available at www.heart.org/eccguidelines
• Local copy of updates here
Continued emphasis on high quality CRP with minimal interruptions
• Change sequence from "ABC" to "CAB"
o Chest compressions first then ventilations after first cycle
• "Look listen !eel" removed from the algorithm
• ulse checks deemphasises
• #o difference between witnessed and unwitnessed arrest protocols
• Nontrained bystanders should provide "$ands%only" C&
• Compression rate at least '((/minute
• Compression depth of at least )cm *adults+
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• Complete chest recoil after each compression
• ,inimise interruptions in compressions
• Avoid e-cessive ventilation
• mphasis on team approach with multiple simultaneous interventions
!le"tri"al therapy
• Lay people encouraged to use an A even without training
• 0nitial biphasic shock for A! is ')(1
• Adults with stable monomorphic 23 % trial syn"hronised '((1
ACLS
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• &outine cricoid pressure not recommended
• 4se continuous capnography if intubated
• mphasis on high quality C&
• Atropine no longer used in A/Asystole
• Adenosine is recommended in stable undifferentiated regular monomorphic wide
comple- tachycardia
• 3rial of chronotropic drugs before pacing suggested for unstable bradycardia
Post "ardia" arrest
• 3herapeutic hypothermia and percutaneous coronary interventions encouraged
• os arrest 56 titrated to keep 7a56 89:;
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