Recommendations in cardiopulmonary resuscitation. Towards a democratisation in the resuscitation
Section: Cover story
How to quote
López González A, Rovira Gil E, Arenas Fernández J. Recomendaciones en reanimación cardiopulmonar. Hacia la democratización de la reanimación. Metas de Enferm jul/ago 2007; 10(6): 24-31
Authors
1Ángel López González, 2Elías Rovira Gil, 3José Arenas Fernández
Position
1Diplomado en Enfermería. Profesor de Enfermería Médico-Quirúrgica.2Diplomado en Enfermería. Profesor titular de Enfermería Médico-Quirúrgica de la Universidad de Castilla-La Mancha.3Profesor titular en la Escuela Universitaria de Enfermería de la Universidad de Huelva.
Contact address
EUE Castilla-La Mancha (Albacete). Edificio Benjamín Palencia. Campus Universitario, s/n. 02071 Albacete.
Contact email: angel.lopez@uclm.es
Abstract
Over 40 years have gone by since modern cardiopulmonary resuscitation (CPR) techniques and homogenisation in what refers to their application and teaching to healthcare personnel and the general population were standardised. Efforts made to update the original recommendations led to the issuing in 2005 of new Guidelines for Resuscitation by the European Resuscitation Council. These new recommendations focused on an increase in CPR actions initiated by the first witness so that a higher number of successful resuscitations were achieved. To this end, algorithms aimed at the general population and first rescuers, continue to insist on the availability of an Automatic External Defibrillation (AED) in public places where subjects could be at risk of cardiac arrest. The CPR sequence was also modified to 30:2 to increase the number of compressions achieved in one single minute.
The use of devices that open the airway continues to be indicated as well as the early notification to Emergency Services. In advanced CPR, the main changes are in the sequence of defibrillations making the sequence dependent on cardiac massage/ventilation. Because of this, the objective of this article is to refresh the most important points of these recommendations and to update some other points.
Keywords:
survival chain; automatic external defibrillation; cardiopulmonary resuscitations; cardiac arrestvital support
Versión en Español
Título:
Recomendaciones en reanimación cardiopulmonar. Hacia la democratización de la reanimación
