Emergency Care 9/e Meets the New AHA CPR Guidelines
Topic: BVM - Oxygen Volume p.114 - Left column, top paragraph, lines 6- end of paragraph:
According to American Heart Association guidelines, at least 700-1000 milliliters of air must be delivered to the patient. Lesser volumes may be used (400-600 milliliters) if supplemental oxygen is used and the chest rises adequately. This means that the bag-valve-mask system must be used properly and efficiently.
Topic: Artificial Ventilation, Children p. 667 - Table 31-4:
Ventilation duration for children over 8 years is 2 seconds.
Topic: Basic Life Support p. 817 - Table BCLS - 1:
- Under Circulation/Assessment, add:
Check for pulse and other signs of circulation (breathing, cough, movement).
- Under Circulation/Special Considerations add:
In infants and children with pulse less than 60/min and poor perfusion, begin chest compressions.
Topic: Determining Pulselessness p. 818 - first paragraph, last two sentences to read:
The adult who has a pulse does not require chest compressions. Also observe the patient for breathing, movement, coughing, or other signs of circulation.
Topic: Rescue Breathing p. 820 - Table BCLS - 2
Ventilation duration for an adult is 2 seconds.
Topic: CPR p. 823
- Left column, top paragraph, add as last sentence at end of line 11:
Be sure to look for breathing, coughing, and movement as additional signs that circulation is present.
- Right column, first bulleted paragraph, first sentence:
To provide ventilations, use mouth-to-mask, mouth-to-mouth, mouth-to-nose, mouth-to-stoma methods, or a bag-valve-mask if you are qualified to use it.
Topic: CPR Summary - Adult Patient p. 825
- Functions, second box to read: Deliver 2 breaths (2 second ventilations)
- Deliver Compressions, both boxes to read: 1 1/2 - 2 inches; 100/min
- Deliver Ventilations, both boxes to read: 15:2
- Changing positions, box at bottom of left to read:
- Compressor - signal to change; 15 compressions
- Ventilator - 2 ventilations
Topic: CPR for Adults, Children, and Infants p. 826
- Compression rate: 100/min
- Each ventilation: 2 seconds
- Two rescuer CPR compressions-to-ventilations ratio:
15:2 (5:1 if patient is endotracheally intubated)
- Compression depth, infant: 1/2 to 1 inch (newborn approximately 1/3 the depth of the chest).
Topic: Checklist for Pulse and Breathing p. 827 - Left column, second sentence, lines 3-4:
At this point, you should check for a carotid pulse (no more than 10 seconds).
Topic: Two-Rescuer CPR
- Right column, #6, first sentence, lines 1-3:
The first rescuer resumes compressions, and the second rescuer provides 2 ventilations during a pause after every 15th compression.
- Right column, How to Change Positions, second paragraph, 3rd sentence, lines 5-6:
These checks should take no more than 5 seconds.
P. 359 - Delete sections on AED Contraindications.
The American Heart Association does not list any contraindications to defibrillation. Refer to your protocols for contraindications or cautions that may apply in your state or region.