Albertville, Alabama (PressExposure) March 03, 2011 -- CPR guidelines keep on changing as decided in a conference that is held every five years: "The International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care with Treatment Recommendations Conference." The conference aims at discussing global resuscitation science and come out with treatment recommendations. The most prominent change is that the old contraction ABC (Airway, Breathing, and Circulation) for CPR is being replaced with a new one: CAB (Circulation, Airway, and Breathing).
As per AHA (American Heart Association), the procedure should include chest compressions as the first step while administering CPR to a person suspected of cardiac arrest.
C-B-A Method: According to new changes by the AHA, CPR should be carried out on anyone who is impassive and not breathing normally. It must always begin with quick chest compressions. This is to make sure that on starting chest compressions, the oxygen present in the lungs and in the bloodstream is distributed rapidly to the brain and the heart, gaining 30 seconds of critical time in favor of the patient. The new CPR guidelines recommends around 2-minute periods of constant CPR as element of advanced pediatric life -support. It discusses further, the methods of resuscitation regarding infants and children with congenital heart conditions and pulmonary hypertension.
AHA Recommendations According to the new CPR guidelines, some of the important recommendations include -
- The person carrying out CPR need to speed up at which he/ she administers of chest compressions to at least the rate of 100 times a minute.
- The intensity of these compressions must be augmented to at least 2 inches in adults and children and to 1.5 inches in infants.
- The rescuers are advised to avoid inclining on the patient's chest and to carry on compression without too much ventilation.
- The teamwork techniques should be well-read and put to effective practice on a regular basis.
- To confirm CPR quality, Quantitative waveform capnography, (which is used to measure carbon dioxide output) must be used.
- Therapeutic hypothermia (decreased body temperature) should be measured after resuscitation, as a part of the whole inter-disciplinary system of after-care.
- Atropine is no longer suggested for the administration and treatment of pulse less electrical activity (asystole), on a standard basis.