Digital Supplement, Special Topics

December 2010 Supplement, Evolution in Resuscitation

Push Hard, Fast, Deep, Continuously

For this special supplement to JEMS, we assembled some of the leading experts on cardiac care to synthesize and highlight the 2010 American Heart Association Guidelines on Cardiopulmonary Resuscitation and Emergency Cardiac Care. In addition to summarizing the important aspects of cardiac care and cardiac arrest management, the authors carefully outlined important areas that EMS agencies, tasked with implementing the Guidelines, should consider.

2010 CPR Guidelines: A Summary

In 2005, considerable scientific work was invested in revising the American Heart Association’s (AHA) Guidelines for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care (ECC).(1) Over the past five years, these Guidelines have shaped the training of millions of people and likely resulted in many lives saved.(2) Two key changes in the 2005 Guidelines were the recommendation to focus on delivery of high-quality chest compressions and to switch to a one-shock protocol.

Revising Your Protocols

Now that we’ve reviewed the specific 2010 CPR Guidelines changes that affect EMS, it’s time to address ways to incorporate these changes into your protocols. In this section, we discuss recommended changes for EMS providers, lay providers, dispatchers and system administrators that you should consider for incorporation into your protocols and policies.

Gearing Up for the New Standards

Meeting the AHA’s 2010 CPR Guidelines will not only require changes in protocols; for some EMS agencies and systems, it will require changes in equipment or in how existing equipment is used.

Cutting-edge technology has been, and will continue to be, an essential part of the quest for high-quality CPR, helping agencies assess the effectiveness of their personnel’s CPR techniques and providing ways to improve effectiveness.