Nihon rinsho. Japanese journal of clinical medicine
-
Historical Article
[Historical review from beginning of CPR to CPCR (cardiopulmonary resuscitation to cardiopulmonary-cerebral resuscitation)].
This 2010 is a memorial year for CPR, as in 1960 closed chest cardiac massage was first introduced in clinical setting. Jude, Kouwenhoven are the pioneer of this method. However, Prof. ⋯ Brain oriented resuscitation is the target for CPR. Chain of survival is still very useful to treat cardiac arrest. Post cardiac arrest syndrome should be well recognized and hypothermia therapy is introduced as one of the best treatment.
-
Key changes in Guideline 2010 by Japanese Resuscitation Council were described and the reasons of the change were explained based on 2010 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care with Treatment Recommendations. In BLS, the value of chest compression was further emphasized and it became an initial skill of CPR In ALS, post resuscitation care was systemized by incorporating hypothermia, PCI, and other diagnostic and therapeutic modalities. ⋯ Use of AED was expanded to infant. Education, Implementation and Teams were newly included as a chapter to promote the knowledge and skill of resuscitation science into the society.
-
New guidelines on cardiopulmonary resuscitation(CPR) and emergency cardiovascular care (ECC) were published in October 2010 from International Liaison Committee on Resuscitation (ILCOR). Changes of these guidelines will have dramatic effects on Japan. ⋯ Intensive care and radical treatments for cardiovascular emergency and brain damage after cardiopulmonary arrest would be essential. Education, implementation and teams (EIT) will be the third subject.
-
In cardiopulmonary cerebral resuscitation (CPCR), advanced cardiovascular life support(ACLS) is a part of "chain of survival" and effects on resuscitation outcome as the interventions which increase the likehood of ROSC and as the continuing step to the post -cardiac arrest care. In order to build effective ACLS intervention, quality of basic life support is essential throughout the resuscitation effort. ⋯ In this article, ACLS in American Heart Association(AHA) 2010 guidelines was reviewed and key changes from the 2005 guidelines are extracted. Not only guideline itself but training designed on the valid recommendations of guidelines are important to achieve competency of ACLS teams and better outcome of resuscitation.