“2010心肺復(fù)蘇指南”

1、封閉胸部按壓 Kouwenhoven & Jude+口對(duì)口人工呼吸Safar & Hackett3Drs. James Jude, William Drs. James Jude, William Kouwenhoven, Kouwenhoven, Guy Knickerbocker (Guy Knickerbocker (從左到右從左到右) )Dr. Leonard Scherlis美國(guó)心臟協(xié)會(huì)的第一屆心肺復(fù)蘇委員會(huì)19631973美國(guó)心臟協(xié)會(huì)心血管急救委員會(huì)美國(guó)心臟協(xié)會(huì)心血管急救委員會(huì)成員成員Arnold Sladen, M.D.Arnold Sladen, M.D.Cha

2、irmanChairman Pittsburgh, PennsylvaniaPittsburgh, PennsylvaniaStephen W. Carveth, M.D. Stephen W. Carveth, M.D. Lincoln, NebraskaLincoln, NebraskaAlan H. Goldberg, M.D., Ph.D. Alan H. Goldberg, M.D., Ph.D. Boston, MassachusettsBoston, MassachusettsKevin McIntyre, M.D., J.D. Kevin McIntyre, M.D., J.D

3、. Boston, MassachusettsBoston, MassachusettsMalcolm R. Parker, M.D. Malcolm R. Parker, M.D. Los Gatos, CaliforniaLos Gatos, California 顧問(wèn)顧問(wèn)C. W. Guildner, M.D. C. W. Guildner, M.D. Everett, WashingtonEverett, WashingtonAmbrose G. Hampton, Jr., M.D. Ambrose G. Hampton, Jr., M.D. Columbia, South Carol

4、inaColumbia, South CarolinaWilliam Edward Kaye, M.D. William Edward Kaye, M.D. San Francisco, CaliforniaSan Francisco, CaliforniaRoger D. White, M.D. Roger D. White, M.D. Rochester, MinnesotaRochester, MinnesotaCostas T Lambrew, M.D. Costas T Lambrew, M.D. East Meadow, New YorkEast Meadow, New York1

5、9741974AHA AHA 第一本第一本 心肺復(fù)蘇和心心肺復(fù)蘇和心血管急救指南血管急救指南2011美國(guó)心臟協(xié)會(huì)心血管急救委員會(huì)美國(guó)心臟協(xié)會(huì)心血管急救委員會(huì)聯(lián)絡(luò)人聯(lián)絡(luò)人Lance Becker, MD, FAHALance Becker, MD, FAHAECC Research Working ECC Research Working GroupGroupRobert Hickey, MDRobert Hickey, MDECC Business ECC Business Mgt CommMgt CommEdward Jauch, MDEdward Jauch, MDAHA Stroke A

6、HA Stroke CouncilCouncilMary E. Mancini, RN, PhD, FAANMary E. Mancini, RN, PhD, FAANNRCPRNRCPRVinay Nadkarni, MSc, FAHAVinay Nadkarni, MSc, FAHAILCOR Co-ChairpersonILCOR Co-ChairpersonVenugopal Menon, MD, FAHAVenugopal Menon, MD, FAHAAm College Am College CardiolCardiolScott Silvers, MDScott Silvers

7、, MDAm College Emerg Am College Emerg PhysiciansPhysiciansAndrea Gabrielli, MDAndrea Gabrielli, MDAm Soc AnesthAm Soc AnesthTerry Vanden Hoek, MDTerry Vanden Hoek, MDSoc Acad Soc Acad Emerg MedicineEmerg MedicineGeorge Sopko, MD, MPHGeorge Sopko, MD, MPHNatl Heart Lung Blood Natl Heart Lung Blood In

8、stInstOscar Tovar, MDOscar Tovar, MDFDAFDAn先進(jìn)行胸外按壓: “CAB”代替“ABC”n從流程中去除了“看、聽(tīng)和感覺(jué)”n成人按壓幅度: “至少2英寸（5厘米）”n按壓速率: “每分鐘至少100次”分鐘% 生存率Cummins, 1989插管”或不“插管”?n如果你可以在前幾分鐘成功的使用如果你可以在前幾分鐘成功的使用呼吸球囊呼吸球囊n為呼吸驟?；颊咄獾脑?，就不要為呼吸驟?；颊咄獾脑?，就不要中斷中斷CPR進(jìn)行插管進(jìn)行插管.n在以下情況下，才考慮插管在以下情況下，才考慮插管:團(tuán)隊(duì)無(wú)團(tuán)隊(duì)無(wú)法通過(guò)呼吸球囊通氣法通過(guò)呼吸球囊通氣;團(tuán)隊(duì)可以在不團(tuán)隊(duì)可以在不中斷胸外按壓的前提下插管中斷胸外按壓的前提下插管 腎上腺素：用量，間隔不變腎上腺素：用量，間隔不變 血管加壓素：血管加壓素：用量，使用方法不變用量，使用方法不變 胺碘酮：用量，適應(yīng)癥不變胺碘