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TC & Instructor Updates 2005. ECC Impact Goal. Upcoming Developments. ACLS. Recently Released: ACLS Arrythmias & Their Treatment reference card, PDA (7-04) Prehospital ACLS Anywhere (9-04) Continuing Ed for ACLS-EP (see Instructor website) Coming Soon:

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Tc instructor updates 2005

TC & InstructorUpdates 2005




Tc instructor updates 2005
ACLS

  • Recently Released:

    • ACLS Arrythmias & Their Treatment reference card, PDA (7-04)

    • Prehospital ACLS Anywhere (9-04)

    • Continuing Ed for ACLS-EP (see Instructor website)

  • Coming Soon:

    • ACLS Acute Coronary Syndromes reference card, PDA format


Tc instructor updates 2005
PALS

  • Recently Released:

    • PALS pocket reference, PDA (available through AACN virtual bookstore)

  • Coming Soon:

    • PALS e-learning (2005)


Bls coming soon
BLS ~ Coming Soon

  • Pediatric First Aid

    • credentialed AND non-credentialed versions

  • HeartsaverAED Anywhere

    • CD-based (like ACLS Anywhere)

  • Online Key Manager for BLS Healthcare Provider Online Renewal Course

  • Looking into Heartsaver First Aid with CPR/AED Online



Timeline

ILCOR Consensus on Science

PublicationNov 2005

Product RolloutsBEGIN

1 – BLS

2 – ACLS

3 – PALS

4 – ACLS-EP

ILCOR Sept 2004

Budapest

ILCOR Oct 2002

Firenze

Timeline

ILCOR Sep 2003

Brazil

AHA ECC

April 2005

ECCU Sept 2004

2003

2004

2005

2006

2007

ECC

ILCOR Mar 2003

Dallas

ECCU May 2006

ECC

ILCOR Mar 2004

Dallas

AHA Guidelines Publication

Dec 2005

Consensus Conference

January 2005 (Dallas)


Timeline highlights
Timeline Highlights

  • November 2005 Circulation: the CoSTR summary of science

  • December 2005 Circulation: AHA’s Guidelines for CPR & ECC (±100 pgs)

  • January 2006 Currents: summary of changes, applications to courses


Timeline highlights cont
Timeline Highlights, cont.

  • Product/program releases

    First: BLS Healthcare Provider

    Next: Remaining BLS

    Then: ACLS (except EP)

    Then: PALS

    Last: ACLS-EP

  • NO products will be released until ALL portions are complete


A note on eccu 2006
A note on ECCU 2006:

  • ECCU 2006 will not be a major roll out of information as it was in 2000

  • The introduction of guideline changes, information and products will be handled differently for the 2005 guidelines

  • Additional information will be shared as it is confirmed


Hot topics being discussed for guidelines 2005

Hot Topics Being Discussed for Guidelines 2005

This information represents some of the debates

at evidence evaluation conferences

The topics require significant debate and are NOT yet decided

NO changes should be made to instruction, skills or courses


Predictions by dr peter morley interventions that could change in guidelines 2005 source eccu 2004

Predictions by Dr. Peter Morley:Interventions That COULD Change in Guidelines 2005(Source: ECCU 2004)

This information represents some of the debates

at evidence evaluation conferences

The topics require significant debate and are NOT yet decided

NO changes should be made to instruction, skills or courses


Compression ventilation ratios
Compression:Ventilation Ratios

  • Reluctance to perform mouth-to-mouth

  • Decreased requirements for vents. during Cardiac Arrest

  • Desire to simplify BLS has led to major reevaluation of this issue

  • Includes eval of no-ventilation CPR

  • The topic requires significant debate and is NOT yet decided

  • NO changes should be made to instruction, skills or courses


Cpr before defibrillation
CPR Before Defibrillation?

  • Importance of defibrillation is well known

  • Attention to improvement of metabolic state may increase likelihood of defib success

  • Studies show that coarsening waveform through CPR improves outcomes

  • Increase of both amplitude & frequency of waveform have been researched

  • The topic requires significant debate and is NOT yet decided

  • NO changes should be made to instruction, skills or courses


Biphasic defibrillators
Biphasic Defibrillators

  • Biphasic have replaced monophasic defibrillators for number of reasons.

  • Now, what are:

    • Optimal waveforms?

    • Optimal energy levels?

    • Strategies for sequential shocks?

  • The topic requires significant debate and is NOT yet decided

  • NO changes should be made to instruction, skills or courses


Induced hypothermia
Induced Hypothermia

  • Appears to be acceptable adjunct to post-resuscitation care, but questions remain:

    • How?

    • To whom?

    • How long?

    • How deep?

  • The topic requires significant debate and is NOT yet decided

  • NO changes should be made to instruction, skills or courses


What and how to teach bls
What and How to Teach BLS

  • Traditional techniques are being challenged

  • Evidence appears to encourage simpler, targeted teaching

  • The topic requires significant debate and is NOT yet decided

  • NO changes should be made to instruction, skills or courses


Visit guidelines website for ongoing updates www c2005 org
Visit Guidelines Website for Ongoing Updates: www.C2005.org

  • Description of the process

  • 300 questions being evaluated

  • In December – worksheets posted

  • Ask questions, give comments