Acls

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Adult ACLS 2010
อ.นพ.อนทนนท อมสุวรรณโครงการจัดตัวรรณ
โครงการจัดตั้งภาควิชาเวชศาสตร์ฉุกเฉิน คดตั้งภาควิชาเวชศาสตร์ฉุกเฉิน คณะแพทยงภาควชาเวชศาสุวรรณโครงการจัดตัตั้งภาควิชาเวชศาสตร์ฉุกเฉิน คณะแพทยรฉุกเฉิน คณะแพทยศาสตร์ มหาวิทยาลัยธรรมศาสตร์àeกเฉุกเฉิน คณะแพทยศาสตร์ มหาวิทยาลัยธรรมศาสตร์àeน
คณะแพทยศาสุวรรณโครงการจัดตัตั้งภาควิชาเวชศาสตร์ฉุกเฉิน คณะแพทยร มหาวทยา"ยธรรมศาสุวรรณโครงการจัดตัตั้งภาควิชาเวชศาสตร์ฉุกเฉิน คณะแพทยร

Key changes from the 2005 ACLS
Guidelines
 Continuous

quantitative waveform capnography is recommended for confirmation and monitoring of endotracheal t ube placement

 Cardiac

arrest algorithms are simplified and redesigned to emphasize the importance of hig h-quality CPR

Key changes from the 2005 ACLS Guidelines


Atropine is no longer recommended for routine use in the management of PEA/asystole

 There

is an increased emphasis on physiologic monitoring to optimize CPR quality and detec t ROSC

Key changes from the 2005 ACLS Guidelines
 Chronotropic

drug infusions are recommended as an alternative to pacing in symptomatic and unstable bradycardia

 Adenosine

is recommended as a safe and potentially effective therapy in the initial mana gement of stable undifferentiated regular mono morphic wide-complex tachycardia

Topic in ACLS 2010
 Management
 Management

of Cardiac Arrest

of Symptomatic Bradycardia and Tachycardia

Management of Cardiac Arrest

Management of Cardiac Arrest
 Early

CPR and rapid defibrillation can significantly increase the chance for survival to hospital discharge

Management of Cardiac Arrest
 Medications

and advanced airways associated with an increased rate of ROSC
• But have not been shown to increase the rate of

survival to hospital discharge

 Higher

quality CPR and post– cardiac arrest
interventions…...

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