Part 5: Adult Basic Life Support

Sayre, Michael R.; Koster, Rudolph W.; Botha, Monique; Cave, Diana; Cudnik, Michael T.; Handley, Anthony J.; Hatanaka, Tetsuo; Hazinski, Mary Fran; Jacobs, Ian; Monsieurs, Koenraad G.; Morley, Peter; Nolan, Jerry P.; Travers, Andrew H.; Aufderheide, Tom P.; Berdowski, Jocelyn; Berg, Robert A.; Castrèn, Maaret; Charette, Manya; Chung, Sung Phil; Cone, David C.; Davis, Daniel P.; Diószeghy, Csaba; Dunford, James V.; Edelson, Dana P.; Fenici, Peter; Gazmuri, Raúl J.; Gold, Laura S.; Gorgels, Anton P.M.; Graham, Colin A.; Idris, Ahamed H.; Jensen, Jan; Kohl, Peter; Kudenchuk, Peter J.; Kuiper, Michael; Kupas, Douglas F.; Lerner, E. Brooke; Løfgren, Bo; Merchant, Raina M.; Pellis, Tommaso; Perkins, Gavin D.; Rea, Thomas D.; Scapigliati, Andrea; Swor, Robert A.; Tanaka, Keiichi; Turner, Nigel M.; Vadeboncoeur, Tyler; Vaillancourt, Christian; Stipdonk, Antonius M.W. van; Vantroyen, Barbara

doi:10.1161/circulationaha.110.970996

Cited by 151 publications

(143 citation statements)

References 286 publications

(217 reference statements)

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“…Hence, a high index of suspicion for arrest should be maintained, and as aforementioned cardiac arrest should be assumed until proven otherwise. Current ACLS guidelines [23,24] recommend against attempts at assessing pulse by lay bystanders because of the high rate of inaccuracies. Even for trained medical personnel, data indicate high rates of inaccuracies also [23,24], so only very limited attempts at pulse assessment is recommended (no more than 10 seconds).…”

Section: Management Of Collapse and Cardiac Arrestmentioning

confidence: 99%

“…Often bystanders are fooled into assuming the athlete's condition is a seizure, which is another common source of delay of prompt CPR and defibrillation. Agonal respirations or gasps are often mistaken for normal breathing, which is an additional common cause of not recognizing cardiac arrest [23,24]. An unresponsive athlete with agonal respirations or gasps should be considered to be in cardiac arrest unless another obvious explanation exists; however, time should not be wasted attempting to determine the etiology of collapse [23,24].…”

Section: Management Of Collapse and Cardiac Arrestmentioning

confidence: 99%

“…One major emphasis of the most recent CPR and ACLS protocols [23,24] is the emphasis on chest compressions with less emphasis on rescue breathing, and less emphasis on checking of pulses after either CPR or immediately after defibrillation.…”

Section: Management Of Collapse and Cardiac Arrestmentioning

confidence: 99%

“…Hence, valuable time should not be taken to assess airway and breathing at the cost of immediate restoration of circulation. The newer CPR guidelines recommend compression to breath ratios of 30:2; 30 compressions at a rate of 100 per minute, followed by 2 breaths [23,24]. If it has been over 3-5 minutes since collapse, although some debate exists, it is recommended that 4-5 cycles of CPR be given to increase circulation before defibrillation is administered.…”

Section: Management Of Collapse and Cardiac Arrestmentioning

confidence: 99%

“…If it has been over 3-5 minutes since collapse, although some debate exists, it is recommended that 4-5 cycles of CPR be given to increase circulation before defibrillation is administered. After defibrillation, it is now recommended that chest compressions be resumed immediately rather than observing for return of cardiac rhythm [23,24].…”

Section: Management Of Collapse and Cardiac Arrestmentioning

confidence: 99%

See 4 more Smart Citations

Collapsed athlete – atraumatic

Wen

2014

Curr Rev Musculoskelet Med

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There are several potential causes for an athlete to collapse without trauma on the playing or practice field. Fortunately, most of the time the etiology is benign and recovery is rapid and uneventful. However, when faced with a collapsed athlete, medical personnel need to be prepared for life-threatening conditions until these conditions are ruled out. The most common cause of atraumatic sudden death in athletes is cardiac arrest, usually because of a variety of underlying cardiac conditions. Immediate initiation of CPR with rapid AED use can be the key to survival. Rectal temperature can detect possible heat stroke with need for immediate cooling instituted prior to athlete transport. Exertional hyponatremia is another cause of life-threatening collapse in prolonged endurance events such as marathons and triathlons.

show abstract

Section: Management Of Collapse and Cardiac Arrestmentioning

confidence: 99%

Section: Management Of Collapse and Cardiac Arrestmentioning

confidence: 99%

Section: Management Of Collapse and Cardiac Arrestmentioning

confidence: 99%

Section: Management Of Collapse and Cardiac Arrestmentioning

confidence: 99%

Section: Management Of Collapse and Cardiac Arrestmentioning

confidence: 99%

See 3 more Smart Citations

Collapsed athlete – atraumatic

Wen

2014

Curr Rev Musculoskelet Med

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Prehospital Airway Management for Out-of-Hospital Cardiac Arrest

Norii¹,

Hatanaka²

2013

JAMA

Self Cite

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CPR related thoracic injury: a comparison of CPR guidelines between 2005 and 2010

Oya

Shinjo

Fujii

et al. 2016

Acute Medicine & Surgery

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Aim: The objective of this study was to investigate the incidence and characteristics of thoracic injuries associated with cardiopulmonary resuscitation (CPR) performed under the 2005 and the 2010 guidelines.Methods: We evaluated patients who had an out-of-hospital cardiac arrest in 2010 (2005 group) and 2012 (2010 group). We analyzed the incidence and characteristics of rib fractures and pneumothoraces received during CPR as determined by medical records and image studies. Conclusion:The number of rib fractures and pneumothoraces received during CPR increased significantly under the 2010 guidelines when compared with the 2005 guidelines. As the APD for patients of Japanese descent is smaller than that of patients of European descent, Japanese medical facilities need to be prepared for possible fatal adverse events associated with CPR under the current international guidelines.

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Part 5: Adult Basic Life Support

Cited by 151 publications

References 286 publications

Collapsed athlete – atraumatic

Collapsed athlete – atraumatic

Prehospital Airway Management for Out-of-Hospital Cardiac Arrest

CPR related thoracic injury: a comparison of CPR guidelines between 2005 and 2010

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