Cardiac resuscitation is the primary concern of the International Liaison Committee on Resuscitation (ILCOR), a group that includes representatives from the American Heart Association (AHA). The committee meets every five years to consider new science that has come out regarding cardiac resuscitation. In 2015, ILCOR recommended some changes to the guidelines on CPR, covered by the Basic Life Support (BLS) guidelines and Advanced Cardiovascular Life Support (ACLS) guidelines. The Medic Pro Training Center in Ann Arbor, Michigan has incorporated the changes into its training courses. Medic Pro director Carter Doyle explains the changes in this report.
Doyle explains that some of the changes relate to pharmacology. For example, Vasopressin, a drug that was traditionally considered a first line treatment for cardiac arrest, “has actually been completely removed from the cardiac arrest algorithm.” The simplified guideline simply calls for the use of Epinephrine. ILCOR also recommended that Lidocaine “be downplayed in cardiac arrest and post cardiac arrest.” ILCOR suggest instead that Amiodarone be used.
Health care providers need to be aware of these changes Doyle says because “they affect the standard of care that surrounds emergency cardiac resuscitation.” The changes also reflect best practices in patient care, and that should obviously be a concern of any health care provider. Doyle says that Medic Pro Training follows American Heart Association guidelines and incorporates the latest changes into its courses. Medic Pro Training offers certification programs that meet the standards of the AHA.
There are other changes as well. One change is in the recommended chest compression rate when one is administering CPR. The AHA now recommends that chest compression should be performed at a rate of 100 beats per minute but not over 120 beats per minute. The 120-beat cap is new. Research shows, Doyle explains that beats faster than 120 per minute do not allow for adequate ventricular refill.
Another change relates to intubated patients. After 20 minutes, if the End Tidal CO2 (ETCO2) has not reached a level of 10 or greater, consideration should be given to terminating the resuscitation efforts. Doyle explains that low ETCO2 values after 20 minutes “are not indicative of good outcomes.”
Carter Doyle is the Medic Pro Training Center Director. He has over seven years of experience in education and six years of experience in healthcare. As a Paramedic, he uses the skills he teaches in class to save lives on a daily basis. His experience and medical training helps to ensure that Medic Pro Training teaches the most up-to-date first aid and CPR techniques supported by current medical research, and endorsed by professional medical boards and certifying agencies. The Health & Wellness Network is a featured network of Sequence Media Group.