Escolar Documentos
Profissional Documentos
Cultura Documentos
Dr Sreekrishnan T P
AIMS,Kochi
Objectives
• Overview of BLS and high quality CPR
• Compression fraction
• Quality assessment
ADULT BLS AND CPR QUALITY OVERVIEW
25
20
15
Survival to discharge
10
0
OHCA IHCA
• In-hospital cardiac arrest-22.3% to 25.5% survival
• Chain of survival
High Quality CPR
• Heterogeneous results
30
25
20
0-20% n=100
Percentage 15
Surviving 21-40% n= 74
10 41-60% n= 117
5 61-80% n= 143
0 81-100% n= 72
2015 recommendation
• Total pre shock and post shock pauses in chest
compression should be as short as possible
• Class I LOE C-LD
• The evidence does not demonstrate a benefit with the use of LDB-
CPR versus manual