Mary Fran Hazinski, RN, MSN Leon Chameides, MD Robin Hemphill, MD, MPH Ricardo A. Samson, MD Stephen M. Schexnayder, MD Elizabeth Sinz, MD Brenda Scho

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1 20 10 美国心脏协会心肺复苏及心血管急救指南摘要目录针对所有施救者的主要问题 1 非专业施救者成人心肺复苏 3 医务人员基础生命支持 5 电击治疗 9 心肺复苏技术和装置 12 心血管病高级生命支持 13 急性冠状动脉综合症 17 中风 18 儿科基础生命支持 18 儿科高级生命支持 20 新生儿复苏 22 伦理学问题 24 培训实施和团队 25 急救 26 总结 28

2 Mary Fran Hazinski, RN, MSN Leon Chameides, MD Robin Hemphill, MD, MPH Ricardo A. Samson, MD Stephen M. Schexnayder, MD Elizabeth Sinz, MD Brenda Schoolfield Michael R. Sayre, MD Marc D. Berg, MD Robert A. Berg, MD Farhan Bhanji, MD John E. Billi, MD Clifton W. Callaway, MD, PhD Diana M. Cave, RN, MSN, CEN Brett Cucchiara, MD Jeffrey D. Ferguson, MD, NREMT-P Robert W. Hickey, MD Edward C. Jauch, MD, MS John Kattwinkel, MD Monica E. Kleinman, MD Peter J. Kudenchuk, MD Mark S. Link, MD Laurie J. Morrison, MD, MSc Robert W. Neumar, MD, PhD Robert E. O Connor, MD, MPH Mary Ann Peberdy, MD Jeffrey M. Perlman, MB, ChB Thomas D. Rea, MD, MPH Michael Shuster, MD Andrew H. Travers, MD, MSc Terry L. Vanden Hoek, MD, 2010 American Heart Association

3 2010 (AHA) (CPR) (ECC) (BLS) (1) 2005 (2) (EMS) (3) ILCOR

4 L A Y R E S C U E R A D U LT C P R (30:2) A-B-C C-A-B 2010 A-B-C C-A-B 2010 (VF) (VT) A-B-C C-A-B (AED) AED AED A-B-C

6 C-A-B A-B-C* * C-A-B * (ROSC) AED 2 *

7 2010 AED AED C-A-B A-B-C (*) 2010 AED AED

8 * 2010 AED

9 2005 AED AED 10 AED C-A-B A-B-C* * C-A-B * AED 4 2 *

10 1 * 10 C-A-B ¹ ³ 5 ¹ ³ : :2 15: () 1 AED AEDAPCPRHCP *

11 AED AED AED 1 3 AED 2010 AED2010 AED EMS AED AED EMS AED AED AED 3 AED 2010 AED 1 8 AED AED AED1 AED AED AED AED AED AED 4 J/kg 9 J/kg AED AED AED AED/ AED AED 1½

12 2005 1½ (ILCOR) J ROSC J J/kg 2 J/kg 4 J/kg 10 J/kg J/kg 4 J/kg 2 J/kg 18% 50% 9 J/kg

13 AED 2005 AED AED J 200J 50 J 100 J J J 80% 85% J J QRS

14 (AutoPulse ) 4 12

15 2010 (ACLS) (PEA)/ QRS 2010 (PETCO 2 ) 3A 3B 3 mm Hg A. (PETCO 2 ) mm Hg PETCO 2 mm Hg CPR ROSC B. PETCO 2 mm Hg PETCO mm Hg PETCO mm Hg (ROSC) ROSC PETCO 2 40 mm Hg

16 (CO 2 ) 2005 PETCO 2 PETCO 2 PETCO 2 PETCO

17 (ALS) / 2010/ (PALS) / QRS QRS 2005 QRS QRS (IV) (PCI) /

18 % (FIO 2 ) 94% 100% - (PaO 2 ) mm Hg 100% FIO 2 94% % 99% , % - (PaO 2 ) ~ mmhg 94% 100% / 3. (ACS)

19 2010 / (PCI) AHA/ ACC ST (STEMI) ST (STEMI) STEMI (ED) 12 STEMI (PCI) PCI (PCI) STEMI STEMI PCI

20 / % % 6 94% STEMI (UA)/ STEMI 1 (rtpa) (ASA)/AHA 3 (rtpa) IV rtpa IV rtpa IV rtpa D EMS C-A-B A-B-C 4 5 <90 mm Hg 18

21 10 AED AED AED AED C-A-B A-B-C 2010 C-A-B A-B-C (C-A-B) C-A-B X C-A-B AED 2010 AED AED AED AED AED

22 L A Y R E S C U E R A D U LT C P R AED AED / J/kg 2 J/kg J/kg 4 J/kg 10 J/kg 94% 100% QRS >0.08 > A 13 3B 2005 / PETCO 2 PETCO mm Hg PETCO 2 PETCO J/kg 2 J/kg (VF) 4 J/kg 10 J/kg J/kg 4 J/kg 20

23 % FIO 2 94% 100% PaO mm Hg 100% FIO 2 94% % 99% PaO 2 FIO 2 PaO Fontan Fontan / Glenn (ECMO) 2010 QRS >0.09 QRS 2005 QRS >0.08 QRS 6 4 QRS >0.09 QRS PALS >0.09 QRS 0.01 QRS

24 L A Y R E S C U E R A D U LT C P R C 34 C (VF) 32 C 34 C C - 34 C / A-B-C 3:

25 % % 60% 10 90% / : :1 (15:2) : :1 15: C 34.5 C

26 / (OHCA) 2010 AED AED % 60% meta 3 24

27 72 24 N N AED AED AED

28 AED 2010 AED AED AED 2010 (AHA) (ARC) / 30 (ILCOR) ILCOR 26

29 H E A LT H C A R E P R O V I D E R B L S 2010 / 2010 / / 18% 35%

30 mmhg mmhg % 6% / 2005 Kouvenhouven Jude Knickerbocker Field JM, Hazinski MF, Sayre M, et al. Part 1: Executive Summary of 2010 AHA Guidelines for CPR and ECC. Circulation. In press. 2. Hazinski MF, Nolan JP, Billi JE, et al. Part 1: Executive Summary: 2010 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. Circulation. In press. 3. Nolan JP, Hazinski MF, Billi JE, et al. Part 1: Executive Summary: 2010 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. Resuscitation. In press. 4. Kouwenhoven WB, Jude JR, Knickerbocker GG. Closed-chest cardiac massage. JAMA. 1960;173: Kilgannon JH, Jones AE, Shapiro NI, et al. Association between arterial hyperoxia following resuscitation from cardiac arrest and in-hospital mortality. JAMA. 2010;303: Surawicz B, Childers R, Deal BJ, et al. AHA/ACCF/HRS Recommendations for the Standardization and Interpretation of the Electrocardiogram, Part III: Intraventricular Conduction Disturbances. Circulation. 2009;119:e235-e

32 有关美国心脏协会的其他计划的详细信息请访问美国心脏协会 7272 Greenville Avenue Dallas, Texas U.S.A. KJ /10 ZH-CN

03-Âå¾Ç·sª¾-4-11

03-Âå¾Ç·sª¾-4-11 2010 CPR ECC - ACLS 1966 CPR 50 2005 2010 Basic Life Support, BLS A-B-C Airway, Breathing, Chest compressions C-A-B Chest compressions, Airway, Breathing 1. cardiac arrest ventricular fibrillation, VF