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2010 CPR<br />
ECC -<br />
ACLS <br />
<br />
<br />
1966 <br />
CPR<br />
50 2005 <br />
<br />
2010<br />
<br />
Basic Life Support, BLS<br />
A-B-CAirway, Breathing, Chest<br />
compressions C-A-B<br />
Chest compressions, Airway, Breathing<br />
<br />
1. cardiac arrest<br />
<br />
ventricular fibrillation, VF<br />
pulseless ventricular<br />
tachycardia, pulseless VT<br />
<br />
defibrillation<br />
2. A-B-C <br />
<br />
C-A-B <br />
<br />
30 18 <br />
<br />
3. <br />
<br />
<br />
<br />
<br />
<br />
4. <br />
<br />
<br />
<br />
<br />
<br />
<br />
A-B-C <br />
<br />
<br />
<br />
<br />
4<br />
100 3
Adult Advanced Cardiovascular Life Support,<br />
ACLS<br />
return of spontaneous circulation,<br />
ROSC<br />
<br />
<br />
ACLS<br />
2010 CPR <br />
<br />
<br />
2005 <br />
<br />
<br />
1. continuous quantitative<br />
waveform capnography<br />
<br />
<br />
2. <br />
<br />
<br />
recoil<br />
3. Pulseless Electrical<br />
Activity, PEA<br />
Asystole<br />
Atropine <br />
4. <br />
<br />
5. <br />
Chronotropic drug<br />
<br />
6. QRS <br />
regular monomorphic wide-complex<br />
tachycardia<br />
Adenosine <br />
ACLS<br />
Adjuncts Airway Control<br />
and Ventilation<br />
<br />
<br />
100%<br />
1 <br />
600c.c.<br />
30 <br />
2 <br />
cricoid pressure<br />
bag-mask<br />
<br />
<br />
<br />
<br />
<br />
oropharyngeal airway<br />
gag reflex<br />
<br />
<br />
nasopharyngeal airway<br />
5
30% <br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
VFpulseless VT<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
30:2 <br />
100 <br />
6-8 <br />
8-10 <br />
<br />
<br />
endotracheal intubation<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
6-25% <br />
<br />
<br />
<br />
<br />
64-100% sensitivity<br />
100% specificity<br />
<br />
<br />
Class I <br />
<br />
<br />
<br />
<br />
supraglottic airway<br />
<br />
laryngeal mask airway,<br />
6<br />
100 3
LMAesophageal-tracheal<br />
tube, Combitubelaryngeal<br />
tube<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
2010 6H6T <br />
5H5T<br />
Trauma 5H <br />
HypoxiaHypothermia<br />
HypovolemiaHydrogenion, acidosisHyper-/Hypokalemia<br />
5T Thrombosis,<br />
coronaryTamponade,<br />
cardiacThrombosis, pulmonaryTension<br />
pneumothorax<br />
Toxins<br />
ACLS<br />
Management of Cardiac Arrest<br />
<br />
<br />
VFpulseless VT <br />
pulseless electric activity,<br />
PEAasystole<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
defibrillator<br />
<br />
ACLS Class I<br />
<br />
<br />
<br />
2 <br />
<br />
monophasic 360 J <br />
biphasic 120-<br />
200 J <br />
<br />
<br />
7
partial<br />
pressure of end-tidal CO2, PETCO2<br />
<br />
35-40 <br />
<br />
<br />
<br />
10 <br />
<br />
<br />
<br />
<br />
central venous oxygen saturation <br />
SCVO2 60-80% <br />
<br />
<br />
Amiodarone<br />
Lidocaine <br />
<br />
Amiodarone <br />
<br />
<br />
Lidocaine <br />
<br />
Amiodarone <br />
1.5 mg/kg 5-<br />
10 0.5-0.75 mg/kg <br />
3 mg/kg Magnesium sulfate<br />
torsades de pointes <br />
Atropine <br />
<br />
<br />
Sodium<br />
bicarbonate<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
Robert W. Neumar, Charles W. Otto, Mark<br />
S. Link, et al. Part 8: Adult Advanced Cardiovascular<br />
Life Support: 2010 American Heart Association<br />
Guidelines for Cardiopulmonary Resuscitation and<br />
Emergency Cardiovascular Care. Circulation. 2010;<br />
122[suppl 3]:S729 -S767.<br />
9
10<br />
100 3
11
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