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Readers Respond: Hopes for the 2010 CPR Guidelines

Responses: 10

By

Updated October 14, 2009

Concerned CPR instructors and practitioners are debating what to expect from the 2010 CPR Guidelines expected from the American Heart Association in late 2010.

What do you think we'll see? Are we not going to be giving rescue breaths anymore? Do you think we'll be back to thumping the chest?

I expect to see some pretty radical changes in the 2010 CPR Guidelines. Share your expectations -- and your hopes -- for the next generation of CPR.

DR

COMBITUBE TO BE REPLACED BY LARYNGEAL TUBE SUCTION DEVICE
—Guest MANPREET SINGH

New 2010 AHA guidelines

I know it does not need to be said, but I guess it really does. We continue to learn more and more about what we see as basic resuscitation. What we fail to recognize is that even we professionals (from first responders to cardiologists) still do not keep on top of our basic skills, and, we all have our own little peculiarities on how we do things. You really want to have a good crack at reviving someone in cardiac arrest, practice...practice.... practice! How many of you get down and practice on a monthly or even a bi-monthly basis??? These guidelines are just that, a guideline. If you don't know how to use the tool properly, the guideline on its own is useless. I won't even get into Mr. or Mrs. public, although I've seen some doing better compressions than in some emerg depts!! I believe we'll see significant changes in the guidelines for healthcare providers, and even bigger changes for Mr. & Mrs. Public. Stay current folks .... The life you save could be family or friends!
—Guest Mtl. Paramedic

KISS

Keep It Stupid and Simple!!!!!!!!!!!!! but please, do not change the ACLS algrythms.
—Guest paramedic92

nurse

MY response is control of document of coworkers in hospital and refresh their education
—Guest farmany

Get people interested in 2010

1)The 2010 Announcement will work better if the public sees it as value, not just "another change in cpr." 2)Creating a simpler layperson profile to get them to get more involved. Explain Good Sam Laws better and safety first to eliminate risks better. 3)Make instructor training and 'relicensing" more stringent. 4)As an AHA TC I want TC's to be held more accountable to their public. In my region there are 6 TC's. Mine is the only one actually offering courses daily to the public at large. 5)Protocol changes a-2.5-3 inch compressions b-40-50 compressions before 1 breath c-hands only for lay level of CPR d-more focus on recoil e-AED management guidelines f-removal of 1-puberty as child distinction
—Guest Lenny Nathan

Get on the same page

I'd like to see the AHA and the ARC get on the same page about ALL guidelines. It's so frustrating to teach a class and have someone exclaim "BUT, in the ARC class I took a while ago THEY said..."
—Guest Liz Carter

I'd like to see the data

Every CPR class I teach brings up the compression-only issue. I'd like to see the data that confirms the diminished oxygen level of unventilated blood is still beneficial in preventing brain damage. It would also be helpful if we could clearly delineate between healthcare providers and the lay public. I think it's entirely reasonable for the lay public to not be ventilating but it isn't reasonable for trained professionals to avoid doing it. Also, what is the deal with the super secret details on CPR?!? It's not like national security is at stake here.
—Guest Valerie

ECC program director Long Island

Res Q pod as standard of care forcing institutions to use. Increasing cerebral blood flow 50% more during chest compressions for neurological outcomes...Class IIa should not be optional!!!
—Guest Janet Stevens

Take the question off the test

Take the question off the test about defibrillation (vfib vs afib vs cardioversion). It is inappropriate for a large portion of non-RN students!!
—Guest Susie Blair

Explain it Better to the Public

I'd like to see the Hands only CPR and if they go to 50:2 I'd like for them to put into the DVD exactly how much air is exchanged during compressions. They have great graphics out on such things, I'd like to see them in the next Videos. In my classes, I've had many people say they 'heard' that breaths were no longer needed. While I still think breaths and compressions are best, I tell people not to worry about breaths on strangers, BSI. I just hope they get a little more in depth on the passive air exchange during compressions.
—Guest Ed Hultgren

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