title: [New guidelines on resuscitation in adults: What has changed?].
abstract: In October 2015, new guidelines for cardiopulmonary resuscitation (CPR) were published, which represent a revision of the guidelines 2010. The new recommendations are based on an update of knowledge on resuscitation, which was evaluated for the first time by GRADE (Grading of Recommendations Assessment, Development and Evaluation). The key messages of the guidelines 2010 were retained in 2015. Adult basic life support consists of a sequence of 30 chest compressions at a rate of 100-120/min with a depth of 5 to maximally 6 cm and 2 ventilations. As soon as possible, an automated external defibrillator (AED) should be applied. Interruptions of chest compressions should be minimized. To improve bystander CPR emergency medical dispatchers should diagnose cardiac arrest when informed about unconscious persons not breathing normally. In this case, emergency medical staff should inform bystanders to resuscitate with compression only CPR until the arrival of an emergency team. In postresuscitation care, mild hypothermia (body temperature 32-34 °C) has been replaced by targeted temperature management in unconscious patients. Now, the guidelines recommend a constant body temperature between 32-36 °C for at least 24 h. Fever should be prevented or treated.
authors.affiliation: Helios Klinikum Warburg, Langwiesen Str. 13, 55743, Idar-Oberstein, Deutschland. hermann@klein-devries.de.
authors.forename: Hermann H
authors.initials: HH
authors.lastname: Klein
mesh_terms: D000328:Adult; D016887:Cardiopulmonary Resuscitation / Q000379:methods / Q000592:standards* / Q000639:trends; D003131:Combined Modality Therapy / Q000379:methods / Q000592:standards / Q000639:trends; D016757:Death, Sudden, Cardiac / Q000517:prevention & control*; D047548:Defibrillators / Q000592:standards*; D004632:Emergency Medical Services / Q000379:methods / Q000592:standards* / Q000639:trends; D019317:Evidence-Based Medicine; D005260:Female; D005858:Germany; D006801:Humans; D007036:Hypothermia, Induced / Q000592:standards* / Q000639:trends; D008297:Male; D017410:Practice Guidelines as Topic; D012138:Respiratory Therapy / Q000379:methods / Q000592:standards / Q000639:trends; D016896:Treatment Outcome
keywords: Advanced cardiac life support; Basic life support; Postresuscitation care; Resuscitation, cardiopulmonary; Sudden cardiac death