AHA Branded Blue Presentation

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TC InstructorUpdates 2005
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ECC Impact Goal
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Upcoming Developments
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ACLS

• Recently Released
• ACLS Arrythmias Their Treatment reference card,
  PDA (7-04)
• Prehospital ACLS Anywhere (9-04)
• Continuing Ed for ACLS-EP (see
  Instructor website)
• Coming Soon
• ACLS Acute Coronary Syndromes reference card, PDA
  format

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PALS

• Recently Released
• PALS pocket reference, PDA (available through
  AACN virtual bookstore)
• Coming Soon
• PALS e-learning (2005)

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BLS Coming Soon

• Pediatric First Aid
• credentialed AND non-credentialed versions
• HeartsaverAED Anywhere
• CD-based (like ACLS Anywhere)
• Online Key Manager for BLS Healthcare Provider
  Online Renewal Course
• Looking into Heartsaver First Aid with CPR/AED
  Online

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Guidelines 2005
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Timeline
ILCOR Consensus on Science PublicationNov 2005
Product Rollouts BEGIN 1 BLS 2 ACLS 3
PALS 4 ACLS-EP
ILCOR Sept 2004 Budapest
ILCOR Oct 2002 Firenze
ILCOR Sep 2003 Brazil
AHA ECC April 2005
ECCU Sept 2004
?
2003
2004
2006
2007
2005
ECC ILCOR Mar 2003 Dallas
ECCU May 2006
ECC ILCOR Mar 2004 Dallas
AHA Guidelines Publication Dec 2005
Consensus Conference January 2005 (Dallas)
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Timeline Highlights

• November 2005 Circulation the CoSTR summary of
  science
• December 2005 Circulation AHAs Guidelines for
  CPR ECC (100 pgs)
• January 2006 Currents summary of changes,
  applications to courses

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Timeline Highlights, cont.

• Product/program releases
• First BLS Healthcare Provider
• Next Remaining BLS
• Then ACLS (except EP)
• Then PALS
• Last ACLS-EP
• NO products will be released until ALL portions
  are complete

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A note on ECCU 2006

• ECCU 2006 will not be a major roll out of
  information as it was in 2000
• The introduction of guideline changes,
  information and products will be handled
  differently for the 2005 guidelines
• Additional information will be shared as it is
  confirmed

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Hot Topics Being Discussed for Guidelines 2005

• This information represents some of the debates
• at evidence evaluation conferences
• The topics require significant debate and are NOT
  yet decided
• NO changes should be made to instruction, skills
  or courses

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Predictions by Dr. Peter MorleyInterventions
That COULD Change in Guidelines 2005(Source
ECCU 2004)

• This information represents some of the debates
• at evidence evaluation conferences
• The topics require significant debate and are NOT
  yet decided
• NO changes should be made to instruction, skills
  or courses

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CompressionVentilation Ratios

• Reluctance to perform mouth-to-mouth
• Decreased requirements for vents. during Cardiac
  Arrest
• Desire to simplify BLS has led to major
  reevaluation of this issue
• Includes eval of no-ventilation CPR

• The topic requires significant debate and is NOT
  yet decided
• NO changes should be made to instruction, skills
  or courses

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CPR Before Defibrillation?

• Importance of defibrillation is well known
• Attention to improvement of metabolic state may
  increase likelihood of defib success
• Studies show that coarsening waveform through CPR
  improves outcomes
• Increase of both amplitude frequency of
  waveform have been researched

• The topic requires significant debate and is NOT
  yet decided
• NO changes should be made to instruction, skills
  or courses

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Biphasic Defibrillators

• Biphasic have replaced monophasic defibrillators
  for number of reasons.
• Now, what are
• Optimal waveforms?
• Optimal energy levels?
• Strategies for sequential shocks?

• The topic requires significant debate and is NOT
  yet decided
• NO changes should be made to instruction, skills
  or courses

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Induced Hypothermia

• Appears to be acceptable adjunct to
  post-resuscitation care, but questions remain
• How?
• To whom?
• How long?
• How deep?

• The topic requires significant debate and is NOT
  yet decided
• NO changes should be made to instruction, skills
  or courses

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What and How to Teach BLS

• Traditional techniques are being challenged
• Evidence appears to encourage simpler, targeted
  teaching

• The topic requires significant debate and is NOT
  yet decided
• NO changes should be made to instruction, skills
  or courses

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Visit Guidelines Website for Ongoing Updates
www.C2005.org

• Description of the process
• 300 questions being evaluated
• In December worksheets posted
• Ask questions, give comments