11/17/2020
Highlights of the new 2020 American Heart Association guidelines for CPR & Emergency Cardiac Care:
- Recovery support has been recognized as the sixth link in the Chain of Survival (all patient populations).
- Never hesitate to start chest compressions on a pregnant cardiac arrest patient.
- Solo rescuers may use the 2-thumbs hand-encircling technique for infant compressions.
- Ventilation rate for an intubated child/infant, or a child/infant who has a pulse but is not breathing, is 1 breath every 2-3 seconds.
- Feedback devices such as metronomes and depth sensors result in a 25% higher survival rate (“survival” defined as hospital discharge). In the absence of feedback devices, realtime peer coaching from another rescuer is the next best thing.
- Rescue team debriefings are strongly recommended.
- The mnemonic “FAST” has been recognized as an aid to stroke awareness (Facial droop, Arm weakness, Speech defects, Time since onset of symptoms).
- All rescuers should encourage conscious adults with chest pain to chew and swallow an uncoated aspirin while waiting for EMS unless (a) the patient has an allergy or doctor’s orders not to take aspirin or (b) the chest pain is due to an injury.
- All rescuers should administer Narcan if there are signs of an opioid overdose, but do not delay starting CPR to give Narcan.
The AHA is rolling out an alternative approach to CPR refresher training called Resuscitation Quality Improvement. Under this method, trained CPR providers will be able to take brief refresher exercises every quarter instead of a full-length refresher course every two years. Details will be available in early 2021.