After cardiac arrest is recognized, the Chain of Survival continues with activation of the emergency response system and initiation of CPR. These still require further testing and validation before routine use. The administration of flumazenil to patients with undifferentiated coma confers risk and is not recommended. 2. Nonconvulsive seizures are common after cardiac arrest. The routine use of mechanical CPR devices is not recommended. 1. IO access has grown in popularity given the relative ease and speed with which it can be achieved, a higher successful placement rate compared with IV cannulation, and the relatively low procedural risk. Place 2 fingers on the lower half of the breastbone in the middle of the chest and press down by one-third of the depth of the chest (you may need to use one hand to do CPR depending on the size of the infant). In the absence of knowing the manufacturers recommendation for appropriate energy settings, the previous 2010 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care (and reaffirmed in 2015) recommendations for synchronized cardioversion are still applicable [Narrow regular: 50-100 J; Narrow irregular: 120-200 J biphasic or 200 J monophasic; Wide regular: 100 J; Wide irregular: defibrillation dose (not synchronized)]. The benefit of an oropharyngeal compared with a nasopharyngeal airway in the presence of a known or suspected basilar skull fracture or severe coagulopathy has not been assessed in clinical trials. Electric cardioversion can be useful either as firstline treatment or for drug-refractory wide-complex tachycardia due to reentry rhythms (such as atrial fibrillation, atrial flutter, AV reentry, and VT). The 2015 American College of Cardiology, AHA, and Heart Rhythm Society Guidelines evaluated and recommended adenosine as a first-line treatment for regular SVT because of its effectiveness, extremely short half-life, and favorable side-effect profile. Explanation: I hope This helps!! 5. Arrests without a primary cardiac origin (eg, from respiratory failure, toxic ingestion, pulmonary embolism [PE], or drowning) are also common, however, and in such cases, treatment for reversible underlying causes is important for the rescuer to consider.1 Some noncardiac etiologies may be particularly common in the in-hospital setting. These techniques can keep blood flowing to the brain and other organs until medical help arrives. Adenosine is an ultrashort-acting drug that is effective in terminating regular tachycardias when caused by AV reentry. 5. 1. 1. We recommend avoiding hypoxemia in all patients who remain comatose after ROSC. Both of these considerations support earlier advanced airway management for the pregnant patient. When evaluated with other prognostic tests after arrest, the usefulness of rhythmic periodic discharges to support the prognosis of poor neurological outcome is uncertain.
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how is cpr performed differently with advanced airway