Professional Documents
Culture Documents
Misconception
ACLS 2005 vs ACLS 2010
A-B-C C-A-B
Identification of Agonal Gasp
Activation of Emergency System
Emphasis on high quality CPR
Compression + 100x / min Min
100x / min
6. Pulse check after CPR
7. Hands only CPR suggestion
8. One helper vs Team Resuscitation
1.
2.
3.
4.
5.
A-B-C C-A-B
2005 Airway Breathing Circulation
2010 Circulation Airway Breathing
Why ?
Most patient of cardiac arrest VF & Pulseless
VT A-B-C algorithm delays early compression
& defibrilation
Research resuscitation starting with 30
compression instead of ventilation comes with
better output
Research delay in chest compression in
cardiac arrest reduced survival rate
Identification of Agonal
Gasp
Identification of Agonal
Gasp
2005 CPR only be given to patient with
apneu / respiratory arrest
2010 CPR be given to patient with
apneu or gasping only
Why ?
Various cardiac arrest cases start with agonal
gasp instead of respiratory arrest / apneu
Research early compression on gasping
patient increase survival rate
Activation of Emergency
System
Activation of Emergency
System
2005 Activated as soon as finding an
unconscious patient
2010 Activated as respiratory arrest or
gasping is confirmed on an unconscious
patient.
Why ?
Most patient of cardiac arrest comes with
unconsciousness and respiratory arrest or
gasping 2 pieces of key information is required
Why ?
High quality CPR increase survival rate
Shockable
VF
VT
Non - Shockable
Asystole
PEA
Airway
&
Breathing
Circulatio
n
5H & 5T
5H & 5T
5H :
1. Hypothermia
Thermometer
2. Hypoxia O2 Saturation
3. Hypovolemia Hb vs HT
4. Hypo/Hyperkalemia
Electrolit
5. Hydrogen / Acidity BGA
NonInvasive
Invasiv
e
5H & 5T
5T
1. Tension Pneumothorax
Physical Exam
2. Tamponade , Cardiac & Rontgen
3. Thrombosis PulmonarPhysical Exam ,
4. Thrombosis Cardiac Blood Analysis &
EKG
5. Toxin
Blood Analysis
IOL
MONA
Blood
Analysis ,
EKG & Xray
1. Haemoragic
Fibrinolytic Checklist
Stroke
Facial
Trauma <
3 Months
Aorta
Dissecti
on
2. Ischemic
Stroke (> 3
hr , < 3
Months)
3. Intracranial
Tumor
4. AVM
1. Massive
Abdominal
Bleeding
2. Clotting
Problem
Thank You