ILCOR Guideline Changes 2010
ILCOR = International Liaison committee on Resuscitation = conglomerate of resuscitation councils worldwide. Changes in 2010
Category Resuscitation
Fluid Responsiveness
Fluid responsiveness is an increase of stroke volume of 10-15% after the patient receives 500 ml of crystalloid over 10-15 minutes (as defined by Paul Marik). The definitive test for fluid responsiveness is a Fluid challenge
Advanced Life Support
KEY FEATURES CAB rather than ABC (30:2) 2 min cycles early, high quality, uninterrupted at least 100/min (rather than around) avoid excessive ventilation early defibrillation (higher joules for cardioversion) amiodarone after 3rd shock adrenaline every 4 minutes (every 2nd cycle)…
Cardiac Arrest Management After Cardiac Surgery
Cardiac arrest occurs after 0.7 - 2.9% of cardiac surgery cases. Usually preceded by physiological deterioration but can occur in previously stable patients
Paediatric Life Support
KEY FEATURES CAB (ERC still advocates 5 initial rescue breaths) good quality CPR in 15:2 ratio removal of ‘look, listen, feel’ de-emphasis on pulse check AED and defibrillation use encouraged (infants manual defibrillation) capnography recommended defibrillation: 4 J/kg adrenaline 10…
Newborn Resuscitation
Newborn Resuscitation
Pulseless Electrical Activity
Pulseless electrical activity (PEA) occurs when organised or semi-organised electrical activity of the heart persists but the product of systemic vascular resistance and the increase in systemic arterial flow generated by the ejection of the left ventricular stroke volume is not sufficient to produce a clinically detectable pulse
Resuscitation Literature Summaries
Resuscitation Literature Summaries
Anaphylaxis
Anaphylaxis is a severe, life-threatening, generalised or systemic hypersensitivity reaction. It is characterised by rapidly developing life-threatening airway (pharyngeal or laryngeal edema) and/or breathing (bronchospasm and tachypnea) and/or circulation (hypotension and tachycardia) problems usually associated with skin and mucosal changes
Drowning
Drowning is the process of experiencing respiratory impairment from submersion/immersion in liquid (WHO 2002 definition)
drowning can be due to — submersion (the airway goes below the level of the surface of the liquid) or — immersion (a liquid is splashed across a person’s face, e.g water-boarding)
Resuscitation Team Leader
The roles and priorities in a cardiac arrest situation is dependent on: the environment where arrest takes place; the nature of the cardiac arrest, ; and the skill mix of the people in the immediate environment
Immediate Post-ROSC Management
A team-based approach to the management of the post-ROSC patient focuses on initiation of therapeutic hypothermia, treatment of the underlying cause with transfer to the cath lab where appropriate, and management of the post-cardiac arrest syndrome.