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Introduction

Article Abstract:

The 1992 National Conference on Cardiopulmonary Resuscitation (CPR) and Emergency Cardiac Care (ECC) has published an updated version of CPR and ECC standards, which should be adopted by emergency departments, state and local medical organizations and the Red Cross and other agencies charged with teaching these skills to the public. Most of the guidelines have not been altered. Some of the changes include calling an emergency number such as 911 before beginning CPR, and using thrombolytic drugs to break up the blood clots that cause most heart attacks. Many of the changes have been made as a result of scientific studies on the effectiveness of various CPR and ECC strategies. Over six million Americans have coronary artery disease, and many are at risk of a heart attack. Since many will experience a heart attack outside of the hospital, it is important for health care professionals and interested lay persons to be familiar with the standards.

Care and treatment, Heart attack

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Survival from in-hospital cardiac arrest with interposed abdominal counterpulsation during cardiopulmonary resuscitation

Article Abstract:

Interposed abdominal counterpulsation (IAC) performed in conjunction with cardiopulmonary resuscitation (CPR) on patients who have suffered cardiac arrest may increase survival. In IAC-CPR, one person compresses the chest while another compresses the abdomen. The abdominal compressions are alternated with the chest compressions but are performed at the same rate. Of 103 patients experiencing cardiac arrest at a level II trauma center, 48 received IAC-CPR and 55 received standard CPR. Fifty-one percent of the IAC-CPR patients experienced a return of spontaneous circulation compared to 27% of the CPR patients. Twenty-five percent of the IAC-CPR patients survived to hospital discharge compared to 7% of the CPR patients. IAC-CPR caused no complications in surviving patients. IAC-CPR is an easily administered technique that may increase survival in patients with cardiac arrest.

Innovations, Prognosis, Cardiac arrest

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New Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiac Care Changes in the Management of Cardiac Arrest

Article Abstract:

The highlights of the American Heart Association's 2000 Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care are reviewed. Topics include ventilation, defibrillation, circulatory adjuncts, pharmacology, and asystole.

Reports, American Heart Association

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