Ver el código de «AHA recommendation changes by year»

'''For current guidlines see [[ACLS (Main)]]'''

==[[ACLS]]==
===2010 AHA Recommendation Changes===
*Routine use of cricoid pressure is NOT recommended 
*Airway adjunct is recommended while performing ventilation 
*Pulse/rhythm checks should only occur q2min 
*Most critical component is high-quality compressions 
*Atropine and cardiac pacing are NOT recommended for asystole/[[PEA]]

===2011 AHA Recommendation Changes===
*Bystandar CPR changes to CAB (Chest compressions, Airway, Breathing), instead of ABCs
*De-emphasize Drugs, Devices, and other Distracters
**Emphasize good CPR
*Atropine is removed for bradycardia
**Use an epinephrine drip or [[dopamine]] drip if needed
*Bicarbonate is out removed
**Except for specific toxidromes or renal failure
*Procainamide is first for '''stable''' VTach
**Continue to use amiodarone for unstable
*Use Amiodarone for UNSTABLE VTach
**[[Lidocaine]] is removed for unstable VTach 
*New section on post arrest care
*No tPA for hypertension Emergency BP (>200/110)
**Reduce BP first
*Special sections and algorithms added for 15 special situations (ie. pregnancy, stroke, PE)

==[[PALS]]==
===2010 AHA Recommendations===
*Use Heimlich for >1yr; back/chest thrusts for <1yr
*Treat shock with initial 20cc/kg bolus 
**Repeat boluses up to total of 60 mL/kg; thereafter pressors should be started
*Do not routinely hyperventilate even in cases of head injury
*Provide family with option of being present during resuscitation
*IO is useful as initial vascular access
*Self-Adhering Electrodes
**Use largest size that will fit on child’s chest with out touching
**When possible leave 3cm between electrodes
**Adult size for >10kg; infant size for <10kg
*[[Hypotension]]is defined as sys BP:
**<60 (0 to 28 days)
**<70 (1mo - 12mo)
**<70 + (2 X age in yr) (1-10yr)
**<90 (≥10yr)


==See Also==
*[[ACLS (Main)]]
*[[PALS (Main)]]

[[Category:Cardiology]]
[[Category:Critical Care]]
[[Category:EMS]]