2010美国心脏协会心肺复苏及心血管急救指南+官方简体中文版2

201013591213171818202224252628MaryFranHazinski,RN,MSNLeonChameides,MDRobinHemphill,MD,MPHRicardoA.Samson,MDStephenM.Schexnayder,MDElizabethSinz,MDBrendaSchoolfieldMichaelR.Sayre,MDMarcD.Berg,MDRobertA.Berg,MDFarhanBhanji,MDJohnE.Billi,MDCliftonW.Callaway,MD,PhDDianaM.Cave,RN,MSN,CENBrettCucchiara,MDJeffreyD.Ferguson,MD,NREMT-PRobertW.Hickey,MDEdwardC.Jauch,MD,MSJohnKattwinkel,MDMonicaE.Kleinman,MDPeterJ.Kudenchuk,MDMarkS.Link,MDLaurieJ.Morrison,MD,MScRobertW.Neumar,MD,PhDRobertE.OConnor,MD,MPHMaryAnnPeberdy,MDJeffreyM.Perlman,MB,ChBThomasD.Rea,MD,MPHMichaelShuster,MDAndrewH.Travers,MD,MScTerryL.VandenHoek,MD,©2010AmericanHeartAssociation2010(AHA)(CPR)(ECC)201010201012320105042010201012010(BLS)20052005(1)2005(2)(EMS)(3)20102010•100100•5455•••12010232010ILCOR201029356362010201027741120101120103LAYRESCUERADULTCPR2(30:2)20101100681810A-B-CC-A-B2010A-B-CC-A-B2010(VF)(VT)A-B-CC-A-B30182A-B-C(AED)AEDAED520105111.2.3.4.5.4HEALTHCAREPROVIDERBLS2010232010•2••••C-A-BA-B-C302•100100•455(*)*2010Hands-Only™AED302AED200520052005版权所有©2010美国心脏协会简化的成人基础生命支持开始心肺复苏拿到除颤器每2分钟重复1次•无反应且没有呼吸或不能正常呼吸（仅仅是喘息）启动急救系统检查心律/如有必要，开始除颤用力按压快速按压4C-A-BA-B-C*20102005230230230*20103022005C-A-B2100*20101002005100(ROSC)AED2*201052005455420101002201052010•••AED1010AED••••C-A-BA-B-C302•100100•455••(*)2010AEDAED2005201020056201020102005200520102005*2010AED20052005200520082010201072005AEDAED10AEDC-A-BA-B-C*201020102005230230230*20103022005C-A-B2100*20101002005100AED42*2010520054554201082010200520052010110C-A-B1005¹⁄³5¹⁄³421030:21230:215:22()6818101AEDAEDAPCPRHCP*1*2010920102005•AED•AED•AED••13•••••AED2010AED2010AEDEMS20052005AED••AED•EMS•AEDAED20102005AED3AED2010AED18AEDAEDAED1AEDAED200518AEDAEDAEDAED4J/kg9J/kg20102005AEDAEDAEDAED/AEDAED1½331020051½3453011320102005(ILCOR)201013313120102005200JROSC120200J201024J/kg2J/kg4J/kg10J/kg20052J/kg4J/kg2J/kg18%50%9J/kg201020052010112010----AED2005AED-----20052010--20052.520058AED2010120200J200J50J100J2005100200J100120J80%85%2005100200J2010100JQRS1220052005201020102005201020052010201020052(AutoPulse®)42010132010(ACLS)••••(PEA)/••QRS•2010(PETCO2)3A3B5037.52512.50mmHgA.(PETCO2)mmHgPETCO25037.52512.50mmHgCPRROSCB.PETCO2mmHg810100PETCO212.5mmHgPETCO212.525mmHg(ROSC)ROSCPETCO240mmHg3142005(CO2)2005PETCO2PETCO2PETCO2PETCO22010420052005••••••–•–•••••••••••–––––AdultCardiacArrest••–––––420101520052005(ALS)20102010/2010/(PALS)/QRSQRS2005QRSQRS(IV)201020103(PCI)200520052005/1632010≥94%(FIO2)≥94%100%-(PaO2)80500mmHg100%FIO2≥94%200594%99%20102,35100%-(PaO2)~80500mmHg94%100%1.2./3.(ACS)4.5.32010172010/(PCI)20052005152010AHA/ACC•••ST(STEMI)ST(STEMI)STEMI(ED)12STEMI1220001212(PCI)PCI(PCI)STEMISTEMIPCI/18201094%200590%694%STEMI(UA)/STEMID••EMS•90mmHg•1•(rtPA)(ASA)/AHA•3(rtPA)34.5IVrtPA334.5IVrtPA•IVrtPA••C-A-BA-B-C••45•201019•10•AEDAEDAEDAEDC-A-BA-B-C2010C-A-BA-B-C3015220052(C-A-B)C-A-B183022010452005X4520102005C-A-B201010102005102010AED2010AEDAEDAED200518AEDAEDLAYRESCUERADULTCPR20AEDAED••/•2•24J/kg2J/kg20054J/kg4J/kg10J/kg•94%100%••••••QRS0.080.092010133A133B2005/PETCO2PETCO21015mmHgPETCO2PETCO2201024J/kg2J/kg(VF)4J/kg10J/kg20052J/kg4J/kg2010212010≥94%FIO2≥94%100%PaO280500mmHg100%FIO2≥94%2005200594%99%PaO2FIO2PaO252010FontanFontan/Glenn200520052010(ECMO)2010QRS0.09QRS2005QRS0.08QRS64QRS0.09QRS416≥0.1PALS0.09QRS0.01QRS20102005200520102005LAYRESCUERADULTCPR201032°C34°C(VF)32°C34°C200532°C-34°C12242010/50A-B-C3:12010•3•–••••2005•••2005••2010•2005201037392010320052005222010232010100%2005100%60%1090%20102005100/20102005:2010200520103:1(15:2)20053:190301203:115:220103620053633.5°C34.5°C182420101201020051010/(OHCA)2010••AED•AED••••200540%60%201072200533meta3••201025•7224N203-2N202010•2•••••AEDAEDAED•••••••262010222010201020102010AED2010AEDAEDAED2010(AHA)(ARC)20102010/30(ILCOR)ILCORHEALTHCAREPROVIDERBLS2010272010/2010/••••••••201020052010200520102005201020102010200520052010/18%35%2010201020052010282014070mmHg5570mmHg2005200520104%6%3020201020052010/2005KouvenhouvenJudeKnickerbocker5041.FieldJM,HazinskiMF,SayreM,etal.Part1:ExecutiveSummaryof2010AHAGuidelinesforCPRandECC.Circulation.Inpress.2.HazinskiMF,NolanJP,BilliJE,etal.Part1:ExecutiveSummary:2010InternationalConsensusonCardiopulmonaryResuscitationandEmergencyCardiovascularCareScienceWithTreatmentRecommendations.Circulation.Inpress.3.NolanJP,HazinskiMF,BilliJE,etal.Part1:ExecutiveSummary:2010InternationalConsensusonCardiopulmonaryResuscitationandEmergencyCardiovascularCareScienceWithTreatmentRecommendations.Resuscitation.Inpress.4.KouwenhovenWB,JudeJR,KnickerbockerGG.Closed-chestcardiacmassage.JAMA.1960;173:1064-1067.5.KilgannonJH,JonesAE,ShapiroNI,etal.Associationbetweenarterialhyperoxiafollowingresuscitationfromcardiacarrestandin-hospitalmortality.JAMA.2010;303:2165-2171.6.SurawiczB,ChildersR,DealBJ,etal.AHA/ACCF/HRSRecommendationsfortheStandardizationandInterpretationoftheElectrocardiogram,PartIII:IntraventricularConductionDisturbances.Circulation.2009;119:e235-e240.KJ-088010/10ZH-CN7272GreenvilleAvenueDallas,Texas75231-4596U.S.A.