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Stephen M Schexnayder - One of the best experts on this subject based on the ideXlab platform.
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2017 american heart association focused update on pediatric Basic Life Support and cardiopulmonary resuscitation quality an update to the american heart association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care
Circulation, 2018Co-Authors: Dianne L Atkins, Stephen M Schexnayder, Allan R De Caen, Stuart Berger, Ricardo A Samson, Benny L Joyner, Blair L Bigham, Dana Niles, Jonathan P Duff, Elizabeth A HuntAbstract:Cardiopulmonary resuscitation is a Lifesaving technique for victims of sudden cardiac arrest. Despite advances in resuscitation science, Basic Life Support remains a critical factor in determining outcomes. The American Heart Association recommendations for adult Basic Life Support incorporate the most recently published evidence and serve as the basis for education and training for laypeople and healthcare providers who perform cardiopulmonary resuscitation.
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part 11 pediatric Basic Life Support and cardiopulmonary resuscitation quality 2015 american heart association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care
Circulation, 2015Co-Authors: Dianne L Atkins, Stuart Berger, Ricardo A Samson, Benny L Joyner, Dana Niles, Jonathan P Duff, Elizabeth A Hunt, John C Gonzales, Peter A Meaney, Stephen M SchexnayderAbstract:This 2015 American Heart Association (AHA) Guidelines Update for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care (ECC) section on pediatric Basic Life Support (BLS) differs substantially from previous versions of the AHA Guidelines.1 This publication updates the 2010 AHA Guidelines on pediatric BLS for several key questions related to pediatric CPR. The Pediatric ILCOR Task Force reviewed the topics covered in the 2010 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations and the 2010 council-specific guidelines for CPR and ECC (including those published by the AHA) and formulated 3 priority questions to address for the 2015 systematic reviews. In the online version of this document, live links are provided so the reader can connect directly to those systematic reviews on the International Liaison Committee on Resuscitation (ILCOR) Scientific Evidence Evaluation and Review System (SEERS) website. These links are indicated by a superscript combination of letters and numbers (eg, Peds 709). We encourage readers to use the links and review the evidence and appendices. A rigorous systematic review process was undertaken to review the relevant literature to answer those questions, resulting in the 2015 International Consensus on CPR and ECC Science With Treatment Recommendations , “Part 6: Pediatric Basic Life Support and Pediatric Advanced Life Support.”2,3 This 2015 Guidelines Update covers only those topics reviewed as part of the 2015 systematic review process. Other recommendations published in the 2010 AHA Guidelines remain the official recommendations of the AHA ECC scientists (see Appendix). When making AHA treatment recommendations, we used the AHA Class of Recommendation and Level of Evidence (LOE) systems. This update uses the newest AHA Class of Recommendation and LOE classification system, which contains modifications of the Class III recommendation and introduces LOE B-R (randomized studies) and B-NR (nonrandomized studies) as …
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part 13 pediatric Basic Life Support
Circulation, 2010Co-Authors: Marc D Berg, Stephen M Schexnayder, Leon Chameides, Mark Terry, Aaron Donoghue, Robert W Hickey, Robert A Berg, Robert M Sutton, Mary Fran HazinskiAbstract:For best survival and quality of Life, pediatric Basic Life Support (BLS) should be part of a community effort that includes prevention, early cardiopulmonary resuscitation (CPR), prompt access to the emergency response system, and rapid pediatric advanced Life Support (PALS), followed by integrated post–cardiac arrest care. These 5 links form the American Heart Association (AHA) pediatric Chain of Survival (Figure 1), the first 3 links of which constitute pediatric BLS. Figure 1. Pediatric Chain of Survival. Rapid and effective bystander CPR can be associated with successful return of spontaneous circulation (ROSC) and neurologically intact survival in children following out-of-hospital cardiac arrest.1,–,3 Bystander resuscitation may have the greatest impact for out-of-hospital respiratory arrest,4 because survival rates >70% have been reported with good neurologic outcome.5,6 Bystander resuscitation may also have substantial impact on survival from primary ventricular fibrillation (VF), because survival rates of 20% to 30% have been documented in children with sudden out-of-hospital witnessed VF.7 Overall about 6%8 of children who suffer an out-of-hospital cardiac arrest and 8% of those who receive prehospital emergency response resuscitation survive, but many suffer serious permanent brain injury as a result of their arrest.7,9,–,14 Out-of-hospital survival rates and neurological outcome can be improved with prompt bystander CPR,3,6,15,–,17 but only about one third to one half of infants and children who suffer cardiac arrest receive bystander CPR.3,9,12,18 Infants are less likely to survive out-of-hospital cardiac arrest (4%) than children (10%) or adolescents (13%), presumably because many infants included in the arrest figure are found dead after a substantial period of time, most from sudden infant death syndrome (SIDS).8 As in adults, survival is …
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part 13 pediatric Basic Life Support 2010 american heart association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care
Circulation, 2010Co-Authors: Marc D Berg, Stephen M Schexnayder, Leon Chameides, Mark Terry, Aaron Donoghue, Robert W Hickey, Robert A Berg, Robert M Sutton, Mary Fran HazinskiAbstract:Basic Life Support (BLS) is the foundation for saving lives following cardiac arrest. Fundamental aspects of BLS include immediate recognition of sudden cardiac arrest (SCA) and activation of the emergency response system, early cardiopulmonary resuscitation ( CPR ), and rapid defibrillation with an automated external defibrillator ( AED) . Initial recognition and response to heart attack and stroke are also considered part of BLS. This section presents the 2010 adult BLS guidelines for lay rescuers and healthcare providers. Key changes and continued points of emphasis from the 2005 BLS Guidelines include the following: Despite important advances in prevention, SCA continues to be a leading cause of death in many parts of the world.1 SCA has many etiologies (ie, cardiac or noncardiac causes), circumstances (eg, witnessed or unwitnessed), and settings (eg, out-of-hospital or in-hospital). This heterogeneity suggests that a single …
Mary Fran Hazinski - One of the best experts on this subject based on the ideXlab platform.
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2017 american heart association focused update on adult Basic Life Support and cardiopulmonary resuscitation quality an update to the american heart association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care
Circulation, 2018Co-Authors: Monica E Kleinman, Mark Terry, Zachary D Goldberger, Thomas D Rea, Robert A Swor, Bentley J Bobrow, Erin E Brennan, Robin Hemphill, Raul J Gazmuri, Mary Fran HazinskiAbstract:Cardiopulmonary resuscitation is a Lifesaving technique for victims of sudden cardiac arrest. Despite advances in resuscitation science, Basic Life Support remains a critical factor in determining outcomes. The American Heart Association recommendations for adult Basic Life Support incorporate the most recently published evidence and serve as the basis for education and training for laypeople and healthcare providers who perform cardiopulmonary resuscitation.
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part 13 pediatric Basic Life Support
Circulation, 2010Co-Authors: Marc D Berg, Stephen M Schexnayder, Leon Chameides, Mark Terry, Aaron Donoghue, Robert W Hickey, Robert A Berg, Robert M Sutton, Mary Fran HazinskiAbstract:For best survival and quality of Life, pediatric Basic Life Support (BLS) should be part of a community effort that includes prevention, early cardiopulmonary resuscitation (CPR), prompt access to the emergency response system, and rapid pediatric advanced Life Support (PALS), followed by integrated post–cardiac arrest care. These 5 links form the American Heart Association (AHA) pediatric Chain of Survival (Figure 1), the first 3 links of which constitute pediatric BLS. Figure 1. Pediatric Chain of Survival. Rapid and effective bystander CPR can be associated with successful return of spontaneous circulation (ROSC) and neurologically intact survival in children following out-of-hospital cardiac arrest.1,–,3 Bystander resuscitation may have the greatest impact for out-of-hospital respiratory arrest,4 because survival rates >70% have been reported with good neurologic outcome.5,6 Bystander resuscitation may also have substantial impact on survival from primary ventricular fibrillation (VF), because survival rates of 20% to 30% have been documented in children with sudden out-of-hospital witnessed VF.7 Overall about 6%8 of children who suffer an out-of-hospital cardiac arrest and 8% of those who receive prehospital emergency response resuscitation survive, but many suffer serious permanent brain injury as a result of their arrest.7,9,–,14 Out-of-hospital survival rates and neurological outcome can be improved with prompt bystander CPR,3,6,15,–,17 but only about one third to one half of infants and children who suffer cardiac arrest receive bystander CPR.3,9,12,18 Infants are less likely to survive out-of-hospital cardiac arrest (4%) than children (10%) or adolescents (13%), presumably because many infants included in the arrest figure are found dead after a substantial period of time, most from sudden infant death syndrome (SIDS).8 As in adults, survival is …
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part 13 pediatric Basic Life Support 2010 american heart association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care
Circulation, 2010Co-Authors: Marc D Berg, Stephen M Schexnayder, Leon Chameides, Mark Terry, Aaron Donoghue, Robert W Hickey, Robert A Berg, Robert M Sutton, Mary Fran HazinskiAbstract:Basic Life Support (BLS) is the foundation for saving lives following cardiac arrest. Fundamental aspects of BLS include immediate recognition of sudden cardiac arrest (SCA) and activation of the emergency response system, early cardiopulmonary resuscitation ( CPR ), and rapid defibrillation with an automated external defibrillator ( AED) . Initial recognition and response to heart attack and stroke are also considered part of BLS. This section presents the 2010 adult BLS guidelines for lay rescuers and healthcare providers. Key changes and continued points of emphasis from the 2005 BLS Guidelines include the following: Despite important advances in prevention, SCA continues to be a leading cause of death in many parts of the world.1 SCA has many etiologies (ie, cardiac or noncardiac causes), circumstances (eg, witnessed or unwitnessed), and settings (eg, out-of-hospital or in-hospital). This heterogeneity suggests that a single …
Lippincott Williams Wilkins - One of the best experts on this subject based on the ideXlab platform.
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correction to 2017 american heart association focused update on adult Basic Life Support and cardiopulmonary resuscitation quality an update to the american heart association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care
Circulation, 2018Co-Authors: Lippincott Williams WilkinsAbstract:In the article by Kleinman et al, “2017 American Heart Association Focused Update on Adult Basic Life Support and Cardiopulmonary Resuscitation Quality: An Update to the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care,” which published ahead of print November 6, 2017, and appeared in the January 2, 2018, issue of the journal ( Circulation . 2018;137:e7–e13. DOI: 10.1161/CIR.0000000000000539), …
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part 4 adult Basic Life Support
Circulation, 2005Co-Authors: Lippincott Williams WilkinsAbstract:Basic Life Support (BLS) includes recognition of signs of sudden cardiac arrest (SCA), heart attack, stroke, and foreign-body airway obstruction (FBAO); cardiopulmonary resuscitation (CPR); and defibrillation with an automated external defibrillator (AED). This section summarizes BLS guidelines for lay rescuers and healthcare providers. As noted in Part 3: “Overview of CPR,” SCA is a leading cause of death in the United States and Canada.1–3 At the first analysis of heart rhythm, about 40% of victims of out-of-hospital SCA demonstrate ventricular fibrillation (VF).3–5 VF is characterized by chaotic rapid depolarizations and repolarizations that cause the heart to quiver so that it is unable to pump blood effectively.6 It is likely that an even larger number of SCA victims have VF or rapid ventricular tachycardia (VT) at the time of collapse, but by the time of first rhythm analysis the rhythm has deteriorated to asystole.7 Many SCA victims can survive if bystanders act immediately while VF is still present, but successful resuscitation is unlikely once the rhythm deteriorates to asystole.8 Treatment for VF SCA is immediate bystander CPR plus delivery of a shock with a defibrillator. The mechanism of cardiac arrest in victims of trauma, drug overdose, drowning, and in many children is asphyxia. CPR with both compressions and rescue breaths is critical for resuscitation of these victims. The American Heart Association uses 4 links in a chain (the “Chain of Survival”) to illustrate the important time-sensitive actions for victims of VF SCA (Figure 1). Three and possibly all 4 of these links are also relevant for victims of asphyxial arrest.9 These links are Figure 1. Adult Chain of Survival.
Elizabeth A Hunt - One of the best experts on this subject based on the ideXlab platform.
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2017 american heart association focused update on pediatric Basic Life Support and cardiopulmonary resuscitation quality an update to the american heart association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care
Circulation, 2018Co-Authors: Dianne L Atkins, Stephen M Schexnayder, Allan R De Caen, Stuart Berger, Ricardo A Samson, Benny L Joyner, Blair L Bigham, Dana Niles, Jonathan P Duff, Elizabeth A HuntAbstract:Cardiopulmonary resuscitation is a Lifesaving technique for victims of sudden cardiac arrest. Despite advances in resuscitation science, Basic Life Support remains a critical factor in determining outcomes. The American Heart Association recommendations for adult Basic Life Support incorporate the most recently published evidence and serve as the basis for education and training for laypeople and healthcare providers who perform cardiopulmonary resuscitation.
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integration of in hospital cardiac arrest contextual curriculum into a Basic Life Support course a randomized controlled simulation study
Resuscitation, 2017Co-Authors: Elizabeth A Hunt, Jordan Duvalarnould, Nnenna O Chime, Kareen Jones, Michael A Rosen, Merona Hollingsworth, Deborah Aksamit, Marida Twilley, Cheryl Camacho, Daniel P NogeeAbstract:Abstract Objective The objective was to compare resuscitation performance on simulated in-hospital cardiac arrests after traditional American Heart Association (AHA) Healthcare Provider Basic Life Support course (TradBLS) versus revised course including in-hospital skills (HospBLS). Design This study is a prospective, randomized, controlled curriculum evaluation. Setting Johns Hopkins Medicine Simulation Center. Subjects One hundred twenty-two first year medical students were divided into fifty-nine teams. Intervention HospBLS course of identical length, containing additional content contextual to hospital environments, taught utilizing Rapid Cycle Deliberate Practice (RCDP). Measurements The primary outcome measure during simulated cardiac arrest scenarios was chest compression fraction (CCF) and secondary outcome measures included metrics of high quality resuscitation. Main results Out-of-hospital cardiac arrest HospBLS teams had larger CCF: [69% (65–74) vs. 58% (53–62), p In-hospital cardiac arrest HospBLS teams had larger CCF: [73% (68–75) vs. 50% (43–54), p Conclusion A hospital focused BLS course utilizing RCDP was associated with improved performance on hospital-specific quality measures compared with the traditional AHA course.
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part 11 pediatric Basic Life Support and cardiopulmonary resuscitation quality 2015 american heart association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care
Circulation, 2015Co-Authors: Dianne L Atkins, Stuart Berger, Ricardo A Samson, Benny L Joyner, Dana Niles, Jonathan P Duff, Elizabeth A Hunt, John C Gonzales, Peter A Meaney, Stephen M SchexnayderAbstract:This 2015 American Heart Association (AHA) Guidelines Update for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care (ECC) section on pediatric Basic Life Support (BLS) differs substantially from previous versions of the AHA Guidelines.1 This publication updates the 2010 AHA Guidelines on pediatric BLS for several key questions related to pediatric CPR. The Pediatric ILCOR Task Force reviewed the topics covered in the 2010 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations and the 2010 council-specific guidelines for CPR and ECC (including those published by the AHA) and formulated 3 priority questions to address for the 2015 systematic reviews. In the online version of this document, live links are provided so the reader can connect directly to those systematic reviews on the International Liaison Committee on Resuscitation (ILCOR) Scientific Evidence Evaluation and Review System (SEERS) website. These links are indicated by a superscript combination of letters and numbers (eg, Peds 709). We encourage readers to use the links and review the evidence and appendices. A rigorous systematic review process was undertaken to review the relevant literature to answer those questions, resulting in the 2015 International Consensus on CPR and ECC Science With Treatment Recommendations , “Part 6: Pediatric Basic Life Support and Pediatric Advanced Life Support.”2,3 This 2015 Guidelines Update covers only those topics reviewed as part of the 2015 systematic review process. Other recommendations published in the 2010 AHA Guidelines remain the official recommendations of the AHA ECC scientists (see Appendix). When making AHA treatment recommendations, we used the AHA Class of Recommendation and Level of Evidence (LOE) systems. This update uses the newest AHA Class of Recommendation and LOE classification system, which contains modifications of the Class III recommendation and introduces LOE B-R (randomized studies) and B-NR (nonrandomized studies) as …
Dianne L Atkins - One of the best experts on this subject based on the ideXlab platform.
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2017 american heart association focused update on pediatric Basic Life Support and cardiopulmonary resuscitation quality an update to the american heart association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care
Circulation, 2018Co-Authors: Dianne L Atkins, Stephen M Schexnayder, Allan R De Caen, Stuart Berger, Ricardo A Samson, Benny L Joyner, Blair L Bigham, Dana Niles, Jonathan P Duff, Elizabeth A HuntAbstract:Cardiopulmonary resuscitation is a Lifesaving technique for victims of sudden cardiac arrest. Despite advances in resuscitation science, Basic Life Support remains a critical factor in determining outcomes. The American Heart Association recommendations for adult Basic Life Support incorporate the most recently published evidence and serve as the basis for education and training for laypeople and healthcare providers who perform cardiopulmonary resuscitation.
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part 11 pediatric Basic Life Support and cardiopulmonary resuscitation quality 2015 american heart association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care
Circulation, 2015Co-Authors: Dianne L Atkins, Stuart Berger, Ricardo A Samson, Benny L Joyner, Dana Niles, Jonathan P Duff, Elizabeth A Hunt, John C Gonzales, Peter A Meaney, Stephen M SchexnayderAbstract:This 2015 American Heart Association (AHA) Guidelines Update for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care (ECC) section on pediatric Basic Life Support (BLS) differs substantially from previous versions of the AHA Guidelines.1 This publication updates the 2010 AHA Guidelines on pediatric BLS for several key questions related to pediatric CPR. The Pediatric ILCOR Task Force reviewed the topics covered in the 2010 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations and the 2010 council-specific guidelines for CPR and ECC (including those published by the AHA) and formulated 3 priority questions to address for the 2015 systematic reviews. In the online version of this document, live links are provided so the reader can connect directly to those systematic reviews on the International Liaison Committee on Resuscitation (ILCOR) Scientific Evidence Evaluation and Review System (SEERS) website. These links are indicated by a superscript combination of letters and numbers (eg, Peds 709). We encourage readers to use the links and review the evidence and appendices. A rigorous systematic review process was undertaken to review the relevant literature to answer those questions, resulting in the 2015 International Consensus on CPR and ECC Science With Treatment Recommendations , “Part 6: Pediatric Basic Life Support and Pediatric Advanced Life Support.”2,3 This 2015 Guidelines Update covers only those topics reviewed as part of the 2015 systematic review process. Other recommendations published in the 2010 AHA Guidelines remain the official recommendations of the AHA ECC scientists (see Appendix). When making AHA treatment recommendations, we used the AHA Class of Recommendation and Level of Evidence (LOE) systems. This update uses the newest AHA Class of Recommendation and LOE classification system, which contains modifications of the Class III recommendation and introduces LOE B-R (randomized studies) and B-NR (nonrandomized studies) as …
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part 6 pediatric Basic Life Support and pediatric advanced Life Support 2015 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations reprint
Pediatrics, 2015Co-Authors: Allan R De Caen, Dianne L Atkins, Monica E Kleinman, Peter A Meaney, Ian Maconochie, Richard Aickin, Dominique Biarent, Annemarie Guerguerian, David Kloeck, Vinay NadkarniAbstract:Reprint: The American Heart Association requests that this document be cited as follows: de Caen AR, Maconochie IK, Aickin R, Atkins DL, Biarent D, Guerguerian AM, Kleinman ME, Kloeck DA, Meaney PA, Nadkarni VM, Ng KC, Nuthall G, Reis AG, Shimizu N, Tibballs J, Veliz Pintos R; on behalf of the Pediatric Basic Life Support and Pediatric Advanced Life Support Chapter Collaborators. Part 6: pediatric Basic Life Support and pediatric advanced Life Support: 2015 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. Circulation . 2015;132(suppl 1):S177–S203. Reprinted with permission of the American Heart Association, Inc., European Resuscitation Council, and International Liaison Committee on Resuscitation. This article has been published in Circulation and Resuscitation . ( Circulation. 2015;132[suppl 1]:S177–S203. DOI: 10.1161/CIR.0000000000000275.) The Pediatric Task Force reviewed all questions submitted by the International Liaison Committee on Resuscitation (ILCOR) member councils in 2010, reviewed all council training materials and resuscitation guidelines and algorithms, and conferred on recent areas of interest and controversy. We identified a few areas where there were key differences in council-specific guidelines based on historical recommendations, such as the A-B-C (Airway, Breathing, Circulation) versus C-A-B (Circulation, Airway, Breathing) sequence of provision of cardiopulmonary resuscitation (CPR), initial back blows versus abdominal thrusts for foreign-body airway obstruction, an upper limit for recommended chest compression rate, and initial defibrillation dose for shockable rhythms (2 versus 4 J/kg). We produced a working list of prioritized questions and topics, which was adjusted with the advent of new research evidence. This led to a prioritized palate of 21 PICO (population, intervention, comparator, outcome) questions for ILCOR task force focus. The 2015 process was Supported by information specialists who performed in-depth systematic searches, liaising with pediatric content experts so that the most appropriate terms and outcomes and the most relevant publications were identified. …