Advanced Professional Healthcare, LLC

Advanced Professional Healthcare Education, LLC

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The 2015 AHA Guidelines for CPR & ECC are Here!

AHA 2015 GuidelinesThe American Heart Association (AHA) published their 2015 Guidelines (based on the International Liason Committee on Resuscitation, or ILCOR, recommendations earlier this month) at 12:01 am CST on October 15, 2015. Here is a summary of what you can expect in a future CPR, First Aid, BLS, ACLS, or PALS class:

Basic Life Support (CPR) update--MOSTLY the same.

  • AHA has acknowledged that we all have cell phones, so no more "go call 9-1-1"--just "Call 9-1-1."
  • All communities should implement a Public Access Defibrillator (PAD) program.
  • We may now check breathing and pulse simultaneously
  • Sequence remains C-A-B, 30 compression: 2 breaths
  • Compression rate now 100-120/minute
  • Compression depth now 2-2.4 inches (5-6 cm)
  • Full recoil of the chest is mandatory (no leaning)
  • Anyone can give naloxone to a potential narcotic overdose

CardioCerebral Resuscitation (CCR), as many of us in EMS know it as, is IN the guidelines! EMS providing continuous compressions without ventilation is now part of the guidelines.

"A bundled package of care that includes up to 3 cycles of passive oxygen insufflation, airway adjust insertion, and 200 continuous chest compressions with interposed shocks, showed improved survival with favorable neurologic status for victims with witnessed arrest or shockable rhythm." – ECC 2015 Guidelines, Page 10

My EMS friends--we have been recommended!

Advanced Cardiovascular Life Support (ACLS) Guidelines:

  • Vasopressin is no longer recommended in cardiac arrest patients.
  • Steroids may have some use in cardiac arrest patients.
  • Epinephrine should be given immediately in non-shock rhythms.
  • Lidocaine still not recommended, but may be given in ROSC.
  • Beta Blockers may be used in ROSC (but not always).

Immediate Post Resuscitation Guidelines (ROSC):

  • To the Cath Lab. Any STEMI and any unstable patient without STEMI.
  • Therapeutic Hypothermia is now Targeted Temperature Management (TTM). Target temp is now 32-36 Celcius for 24+ hours.
  • Hypotension correction is emphasized more than in past guidelines.
  • Organ donation is emphasized for those patients with brain death after ROSC

Pediatric Advanced Life Support (PALS) Guidelines:

  • C-A-B, 30 compressions:2 breaths when a lone rescuer, 15:2 in teams reaffirmed.
  • 100-120 compressions/minute.
  • >1/3 total depth of chest reaffirmed (>1.5 inches in infant, >2 inches in child), but no deeper than 2.4 inches added.
  • Both compressions and ventilations are needed for infants or children (hands-only CPR unlikely to work).
  • Amiodarone or Lidocaine may be given as antiarrhythmic for refractory VF or pVT.
  • Fever should be avoided in ROSC.
  • Emphasis on correction of perfusion in ROSC with IV fluids and pressors.
  • Target pulse oximetry in ROSC is 94-99%.

First Aid Guidelines:

  • Recognize strokes using FAST: Face, Arm, Speech, Time.
  • Treat hypoglycemia with any sugar source, not only glucose tablets.
  • Do not seal open chest wounds.
  • Head injuries should be evaluated by health care providers.
  • Teeth broken or extracted can be maintained in multiple solutions, whole milk being most available.
  • First aid responders should not routinely administer oxygen.
  • Have a chest pain patient chew and swallow any form of aspirin.
  • Administer multiple doses of epinephrine for life-threatening allergic reactions when the victim does not respond to the first and EMS has not arrived within 5-10 minutes.
  • First aid rescuers should not apply Cervical Collars.
  • The best position for a victim not receiving CPR or ventilation is on his or her side.

The full document is available at this link: https://eccguidelines.heart.org/wp-content/uploads/2015/10/2015-AHA-Guidelines-Highlights-English.pdf

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Student Testimonials

Needed to take BLS course & APHE had courses available; very flexible with scheduling.
- RN, BLS for Healthcare Providers participant

Very hands-on. Good reinforcement and practice and observation and highlighting of points.
- Librarian, Heartsaver CPR/AED Participant

Great course—fun practicals.
- Paramedic, PHTLS Provider Participant

Awesome job, Adam. Thanks!
- RN, ACLS Provider Renewal Participant

Excellent work teaching! Very knowledgeable and communicated well.
- Resident Physician, ACLS Provider Recognition Participant

Instructor was excellent! Made it entertaining and fun and kept our attention. Good sense of humor and charisma. I learned a lot!
- Heartsaver CPR/AED participant

Very good class—simple to remember when under stress.
- Public Health RN, BLS for Healthcare Providers participant

Past experience with Adam’s teaching abilities, excellent instructor.
- RN, ACLS Provider Renewal participant

The instructor does a great job of teaching you the same material in different ways. i.e. PR-RR graph very useful, also Atropine 0.5 alive, 1 done! Thank you!
- RN, ACLS Provider Recognition participant

Overall, this was a very informative course. I am confident in the skills I learned.
- RN, BLS for Healthcare Providers participant

Great discussion/course.
- Paramedic, ACLS for Experienced Providers participant

Loved the teacher! She made me understand things very well and gave useful, interesting tips.
- Nursing Student, BLS for Healthcare Providers participant

Now I’m glad I’ve taken this course, and I realize that it’s helpful for all walks of life. Thanks for the info.
- C.N.A., BLS for Healthcare Providers participant

It was beneficial to watch and do and get immediate feedback. Instructor has great sense of humor and knowledge.
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Perfect for my needs, clear and concise.
- RN, BLS for Healthcare Providers Participant