It’s anyone’s guess as to what the new 2015 CPR/ACLS and PALS guidelines will be. (Disclaimer-If anyone tells you otherwise they are fibbers!)
In the past 50 years + of providing CPR courses, the American Heart Association does an exceptional job with their resuscitation research. In 2010/2011 we saw some of the most significant changes ever made to the course materials.
Hands-only-CPR: CALL and PUMP! With the implementation of this information we have seen an increase in bystander participation in an emergency, less fear that someone will make a mistake (because they only have TWO things to do!) Less risk of disease transmission and not to mention the most important part GOOD CONTINUOUS CIRCULATION TO THE BRAIN! The last one is my personal favorite. CPR used to talk more about the heart and the lungs, but we can’t forget how important it is to help the patient’s maintain neurological function if they do survive a cardiac arrest.
Currently we are providing adults with 30:2 compression to breath ratio only changing when we have an advanced airway in place. Children and infants are 30:2 compression to breath ratio with a single rescuer and 15:2 when two or more rescuers are present.
I am very excited to hear if we will have an increase in cardiac arrest survival with some of these changes that are already being implemented for the last 5+ years.
We also have Cardio Cerebral Resuscitation or CCR that helps adult cardiac arrest patients maintain better continuous oxygenation and circulation not only to the heart and lungs but also the brain. The studies on CCR point to some promising results and possible increases in cardiac arrest survival. In addition to these patients surviving, many of them are neurologically intact after the event (many more than in previous years/studies on the information)
(The CCR protocol is designed for adult cardiac arrest. Patients less than 8 years of age, drowning patients, drug overdose patients, trauma patients, and respiratory arrest patients are excluded. The CCR protocol focuses on providing the optimal timing for defibrillation, minimizing interruptions to chest compressions, minimizing pauses between chest compressions and defibrillation, early administration of intravenous epinephrine, and minimizing over-ventilation during cardiac arrest.)
Many more changes have been implemented in the courses and we will keep you informed as soon as we know what the new 2015 guidelines will be. Stay tuned!