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New CPR Guidelines

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  • edmailer
    AHA Issues New Emergency Cardiac Resuscitation Guidelines By Todd Zwillich WASHINGTON, Aug 15 (Reuters Health) - The American Heart
    Message 1 of 865 , Sep 1, 2000
      AHA Issues New Emergency Cardiac Resuscitation
      Guidelines <br><br><br>By Todd Zwillich <br><br>WASHINGTON,
      Aug 15 (Reuters Health) - The American Heart
      Association has released new evidence-based guidelines for
      cardiopulmonary resuscitation and advanced cardiovascular life
      support. <br><br>The guidelines, which are published in
      the August 22nd issue of the Circulation, are based
      on an 18-month international data review.
      <br><br>There are 250,000 sudden cardiac arrests in the US each
      year. Only 5% of victims who go into arrest outside a
      hospital survive, American Heart Association President
      Rose Marie Robertson said at a briefing introducing
      the guidelines. "If we could increase that to just
      20%, we could save 50,000 lives a year," she said.
      <br><br>For advanced cardiovascular life support, emergency
      responders to a cardiac arrest are now called upon to avoid
      using tracheal intubation unless a professional
      experienced in the procedure is on hand. In what the
      guidelines call "the single most important recommendation",
      emergency responders who do use tracheal intubation "must
      confirm tracheal tube position by using nonphysical
      examination" including esophageal detector devices and
      qualitative end-tidal CO2 indicators. <br><br>The guidelines
      also now consider vasopressin to be as effective or
      more effective as a pressor agent than epinephrine.
      Amiodarone is also emphasized as a better choice than
      lidocaine for shock-refractory ventricular fibrillation and
      ventricular tachycardia. <br><br>"There was a paucity of data
      to support lidocaine after the third shock.
      Amiodarone does increase survival...and can now be
      considered an alternative," said Dr. John Field, a
      cardiologist at the Pennsylvania State University Medical
      Center in Hershey. <br><br>Effective thrombolytic
      agents, new on the scene since the last guidelines were
      produced in 1992, are also recommended as a way to prevent
      heart or brain damage from clots. In the prehospital
      settings, 12-lead electrocardiograms should be used to
      identify patients who are candidates for thrombolytics,
      and there should be good procedures in place to
      notify hospitals when such patients are on the way, the
      guidelines state. <br><br>The new standards streamline basic
      CPR for laypersons, by removing the step of checking
      the victim's pulse. Basic CPR is also made simpler to
      remember by removing the old variations on the number of
      breaths and chest compressions delivered depending on how
      many rescuers are present. Now 15 compressions for
      every two breaths are recommended no matter how many
      rescuers are on hand. <br><br>Officials also emphasized
      the importance of increasing the availability of
      automatic external defibrillators (AEDs) in hotels,
      airports, casinos, and other public places where cardiac
      arrest may occur. Mary Fran Hazinski, a registered nurse
      at Vanderbilt University Medical Center in
      Nashville, Tennessee, noted that cardiac survival rates drop
      7% to 10% for every minute that elapses between
      initial arrest and the first therapeutic shock.
      <br><br>"We believe AEDs have to become part of the American
      [safety] culture, just like a fire extinguisher," said
      Edward P. Stapleton, an emergency medical educator at
      the State University of New York at Stonybrook and
      co-author of the report. <br><br>Circulation
      2000;102:I-1-384.
    • bob_and_robin
      Hi Bert, Yes acupuncture has been used for animals for years. I think
      Message 865 of 865 , Jan 31, 2002
        Hi Bert,<br>Yes acupuncture has been used for
        animals for years. I think
        <a href=http://homepage.tinet.ie/~progers/study.htm target=new>http://homepage.tinet.ie/~progers/study.htm</a> may have some info about it. There are also a
        number of books on the subject check also
        www.redwingbooks.com or www.bluepoppy.com (hope those are right).
        Acupuncture is used in many operations in China. There are a
        few tests they run prior to cutting. About 50% can
        use it with success. It is also very good for post
        operative pain, such as tooth extraction. You may also find
        some other links at
        <a href=http://acupuncture.8k.com/acupvil.htm target=new>http://acupuncture.8k.com/acupvil.htm</a><br>this one is one of the best collections of links
        around.<br>Hope this helps,<br>Bob
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