![]() ![]() Whereas AHA CPR Guidelines 2010 commented on the reasonableness of beginning the resuscitation sequence with chest compressions (C-A-B) rather than opening the airway (A-B-C), AHA CPR Guidelines 2020 more strongly support that recommendation, based on limited data. The basic sequence for adult CPR remains unchanged from the recommendations made in the 2015 guidelines update. The recovery and survivorship link focuses on the need for hospital discharge plans to include the treatment, surveillance and rehabilitation needs of all survivors of cardiac arrest, which includes both the patients, their families and the caregivers. Psychosocial therapy provided in the first 15 months following out-of-hospital cardiac arrest significantly reduces the two-year cardiovascular mortality risk for survivors, although the mechanism for this reduction remains unexplained. The survivor’s family members may experience similar stressors even one year after the event. Anxiety, depression, and post-traumatic stress are common for patients who survive a cardiac arrest. While it may be easy to imagine the physiologic toll cardiac arrest takes on an individual’s body, there may be additional mental and emotional tolls for those who survive. Adult chain of survivalĪlthough the concept of an integrated approach to caring for patients during the post-cardiac arrest phase first entered the adult chain of survival in 2010, the AHA CPR Guidelines 2020 extends this focus by adding a new link to the chain, which targets the recovery and survivorship after cardiac arrest. Thus, a video might show actors performing a recommended procedure (chest compression) in a way that ILCOR or the AHA Guidelines development teams did not explicitly recommend (interlocked fingers). As the videos for the training courses shows rescuers performing compressions, someone (or some group) within the product development team must instruct the actors on how to perform the skill on camera. AHA CPR Guidelines 2020 do not make a recommendation of whether rescuers should interlock their fingers, even though there may be some practical advantages to doing so. As an example, the AHA CPR Guidelines 2020 make a strong recommendation for placing one hand on top of the other to perform adult chest compressions. Finally, the product development teams at the American Heart Association must translate ILCOR and AHA science recommendations into practical applications for the students who attend one or more of the basic or advanced training programs.Īlthough there may be general scientific support for an action one must perform during a resuscitation attempt, there may not always be scientific support for the way the instructional materials demonstrate that action. In other cases, the evidence may be so equivocal that a writing team can make no recommendation, either for or against the intervention. ![]() With some resuscitation topics, no new evidence exists and a guideline writing team allows a previous recommendation to stand without any further comment. The International Liaison Committee on Resuscitation (ILCOR) evidence review process eventually achieves consensus on the science and generates treatment recommendations based on the worldwide body of evidence.įollowing a similar process, the American Heart Association assembles teams of resuscitation and education experts to work in conjunction with the ILCOR evidence review process to create resuscitation guidelines specifically for the American Heart Association audience. Early recognition of the cardiac arrest and prompt CPR beginning with chest compressions provides the best chances for survival for those who suffer an out-of-hospital cardiac arrest. ![]()
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