Action sequence for layperson cardiopulmonary resuscitation.
Although some minor modifications were forged, the general consensus was to maintain most of the current guidelines for phone first/phone fast, no-assisted-ventilation CPR, the A-B-C (vs C-A-B) sequence of CPR, and the recovery position. The decisions to leave these guidelines as they are were based on a lack of evidence to justify the proposed changes, coupled with a reluctance to make revisions that would require major changes in worldwide educational practices without such evidence.Nonetheless, some major changes were made. The time-honored procedure ol pulse check by lay rescuers was eliminated altogether and replaced with an assessment for other signs of circulation. Likewise, it was recommended that even the professional rescuer now check for these other signs of circulation. Although professional rescuers may simultaneously check for a pulse, they should do so only for a short period of time (within 10 seconds). There was also enthusiasm for deleting the ventilation aspect of EMS dispatcher-assisted CPR instructions that are provided to rescuers at the scene who are inexperienced in CPR. lt was made clear, though, that the data are applicable only to adult patients who are receiving CPR and that the data are appropriate most for EMS systems with rapid response times.
Pepe
P E
PE
University of Texas Southwestern Medical Center, Parkland Health and Hospitals System, Dallas, TX 75390-8579, USA. paul.pepe@utsouthwestern.edu
Gay
M
M
Cobb
L A
LA
Handley
A J
AJ
Zaritsky
A
A
Hallstrom
A
A
Hickey
R W
RW
Jacobs
I
I
Berg
R A
RA
Bircher
N G
NG
Zideman
D A
DA
de Vos
R
R
Callanan
V
V
D000328:Adult; D000367:Age Factors; D016887:Cardiopulmonary Resuscitation / Q000379:methods* / Q000592:standards*; D002648:Child; D002983:Clinical Competence; D004631:Emergency Medical Service Communication Systems; D004632:Emergency Medical Services; D019317:Evidence-Based Medicine; D006323:Heart Arrest / Q000175:diagnosis* / Q000628:therapy*; D006801:Humans; D011187:Posture; D011674:Pulse; D013689:Telephone; D013997:Time Factors