Highlights of the 2015 American Heart

Association Guidelines Update for CPR

and ECC
Referat Anestesiologi dan Reanimasi
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 Adult Basic Life Support and
CPR Quality: Lay Rescuer CPR
Community
• 2015 & 2010: AED should be implemented in public
Lay Rescuer locations eg. Airports, sports facilities
AED Program

Dispatcher • 2015: Dispatcher should help bystander to recognize agonal

gasp that needed CPR or not. (Dispatcher play a big role
Identfication of helping the rescuer to recognize sign of cardiac arrest)
• 2010: Dispatcher ask about victim’s responsiveness.
Agonal Gasps

Emphasis on • 2015: same with 2010

• 2010: Untrained lay rescuers should provide compression
Chest only (hands only) CPR, with or without dispatcher guidance,
the rescuer should continue compression only CPR until the
Compression arrival of an
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AED.
 • 2015: perform chest compression at a rate 100-
Chest Compression 120/min.
Rate • 2010: perform chest compression at rate at least
100/min.

• 2015: perform chest compression to a depth at

least 5 cm for an average adult while avoiding
Chest Compression excessive depths greater than 6 cm
Depth • 2010: the adult sternum should be depressed at
least (5cm)

Bystander Naloxone
inOpioid- • 2015: Patients with suspected or known opioid
addiction who are unresponsive with no normal
Associated Life breathing but a pulse, administer im or iV
Threatening naloxone.
Emergencies 5
 Adult Basic Life Support
and CPR Quality:
HealthCare Provider BLS
Immediate Recogniton
• 2015: Rescuer should call for a nearby help while
and Activation of continue to assess the breathing and pulse.
Emergency Response • 2010: Rescuer should continue asses the patient.
System

• 2015: CPR should be done to patient whether from a

Emphasis on Chest cardiac or non cardiac cause.
Compressions • 2010: CPR should be done for cardiac arrest victims.

• 2015: Defribilator should be used as soon as possible.

Shock First vs CPR
• 2010: Even if there is defribilator, CPR should be
First done first.
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 Chest
Compression • 2015: Rate should be 100-120/min
Rate: 100-120/ • 2010: At least rate should be 100/min.
min

Chest • 2015: the depth must be at least 5cm, not

Compression greater than 6cm
Depth • 2010: the depth at least 5cm

• 2015: Rescuer should allow complete recoil

Chest Recoil by avoid leaning on the patient chest.
• 2010: Rescuer should allow complete recoil
of the chest
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after each compression
 Minimizing • 2015: Rescuer should attempt to
Interruptions minimize the frequency and
in Chest duration of the interruption in
Compressions compressions

Ventilation • 2015:Rescuer should deliver 1 breath

During CPR every 6 seconds (10 breaths per minute)
with an • 2010: Give 1 breath every 6 to 8
Advanced seconds (this will result in delivery of 8
to 10 breaths perminute)
Airway
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 Adult Advanced
Cardiovascular Life Support
Vassopressor • 2015: Vasopressin in combination with epinephrine
for offers no advantage for cardiac arrest theraphy.
• 2010: One dose of vasopressin 40 units/IV may
Resuscitation: replace dose of epinephrin in treatment of cardiac
arrest
Vasopressin

Vasopressor
for • 2015: It may be reasonable to administer
epinephrine as soon as feasible after the onset of
Resuscitation: cardiac arrest.

Epinephrine
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