2005 2005 ACLS New Recommendations whats new and

2005 新建議的臨床意義 2005 ACLS New Recommendations, what’s new and what they mean?

2005 心肺復甦術 1924 -2003 Father of modern day cardiopulmonary resuscitation l ABC of resuscitation, 1960 l

2005 測量潮氣容積末二氧化碳 End tidal CO 2 (ETCO 2)

2005 自漲性食道偵測器 Esophageal detector device (EDD) Esophageal Tracheal

2005 如何治療無心跳停止 Management of Cardiac Arrest 成人基本救命術急救流程 Adult Basic Life Support Algorithm

2005 如何治療無心跳 Management of Cardiac Arrest 成人高級救命術無脈搏心臟停止急救流程 Adult ACLS Pulseless Arrest Algorithm

2005 電擊前先心肺復甦的優勢 Effects of CPR on Predictors of VF Defibrillation Success During Out of Hospital Cardiac Arrest 壓胸與電擊之間的時間愈短，去顫術成功的機會愈高。 CIRCULATION, 2004; 11: 10 -15

2005 Defibrillation Waveform Monophasic Current delivered in one direction Biphasic Current delivered in two directions

2005 Biphasic & Monophasic 1 st shock 96% (52/54) p <0. 0001 3 shocks 98% (53/54) p <0. 0001 69% (42/61) 59% (36/61) % SMART Biphasic Monophasic *Thomas Schneider, Patrick R. Martens, Hans Paschen, Markku Kuisma, Benno Wolcke, Bradford E. Gliner, James K. Russell, W. Douglas Weaver, Leo Bossaert, and Douglas Chamberlain; Multicenter, Randomized, Controlled Trial of 150 -J Biphasic Shocks Compared With 200 - to 360 -J Monophasic Shocks in the Resuscitation of Out-of-Hospital Cardiac Arrest Victims; Schneider et al, Circulation. 2000, 102: 1780 -1787.

2005年ACLS的重要更改 – VF/VT流程 Unwitnessed 5 C K S 5 C IVF, EV K S 5 C endo, K S 5 C Ami, KS Witnessed S 5 C K S 5 C IVF, EV K S 5 C endo, K S 5 C Ami, KS