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2010 ACLS Guidelines

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AHA 2010 guideline updates

• Complete guidelines available at www.heart.org/eccguidelines

• Local copy of updates here

Continued emphasis on high quality CRP with minimal interruptions

• Change sequence from "ABC" to "CAB"

o Chest compressions first then ventilations after first cycle

• "Look listen !eel" removed from the algorithm

• ulse checks deemphasises

•  #o difference between witnessed and unwitnessed arrest protocols

• Nontrained bystanders should provide "$ands%only" C& 

• Compression rate at least '((/minute

• Compression depth of at least )cm *adults+

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• Complete chest recoil after each compression

• ,inimise interruptions in compressions

• Avoid e-cessive ventilation

• mphasis on team approach with multiple simultaneous interventions

!le"tri"al therapy

• Lay people encouraged to use an A even without training

• 0nitial biphasic shock for A! is ')(1

• Adults with stable monomorphic 23 % trial syn"hronised '((1

ACLS

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• &outine cricoid pressure not recommended

• 4se continuous capnography if intubated

• mphasis on high quality C& 

• Atropine no longer used in A/Asystole

• Adenosine is recommended in stable undifferentiated regular monomorphic wide

comple- tachycardia

• 3rial of chronotropic drugs before pacing suggested for unstable bradycardia

Post "ardia" arrest

• 3herapeutic hypothermia and percutaneous coronary interventions encouraged

• os arrest 56 titrated to keep 7a56 89:;

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