TC & Instructor Updates 2005

ECC Impact Goal

Upcoming Developments

ACLS Recently Released: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:Coming Soon: –ACLS Acute Coronary Syndromes reference card, PDA format

PALS Recently Released:Recently Released: –PALS pocket reference, PDA (available through AACN virtual bookstore) Coming Soon:Coming Soon: –PALS e-learning (2005)

BLS ~ Coming Soon Pediatric First AidPediatric First Aid –credentialed AND non-credentialed versions HeartsaverAED AnywhereHeartsaverAED Anywhere –CD-based (like ACLS Anywhere) Online Key Manager for BLS Healthcare Provider Online Renewal CourseOnline Key Manager for BLS Healthcare Provider Online Renewal Course Looking into Heartsaver First Aid with CPR/AED OnlineLooking into Heartsaver First Aid with CPR/AED Online

Guidelines 2005

AHA Guidelines Publication Dec 2005 Consensus Conference January 2005 (Dallas) ILCOR Consensus on Science Publication Nov 2005 AHA ECC April 2005 ILCOR Sept 2004 Budapest ILCOR Oct 2002 Firenze ECC ILCOR Mar 2004 Dallas ECC ILCOR Mar 2003 Dallas ILCOR Sep 2003 Brazil Timeline ECCU May 2006 ECCU Sept 2004 Product Rollouts BEGIN 1 – BLS 2 – ACLS 3 – PALS 4 – ACLS-EP 2005

Timeline Highlights November 2005 Circulation: the CoSTR summary of scienceNovember 2005 Circulation: the CoSTR summary of science December 2005 Circulation: AHA’s Guidelines for CPR & ECC (±100 pgs)December 2005 Circulation: AHA’s Guidelines for CPR & ECC (±100 pgs) January 2006 Currents: summary of changes, applications to coursesJanuary 2006 Currents: summary of changes, applications to courses

Timeline Highlights, cont. Product/program releasesProduct/program releases First: BLS Healthcare Provider Next: Remaining BLS Next: Remaining BLS Then: ACLS (except EP) Then: ACLS (except EP) Then: PALS Then: PALS Last: ACLS-EP Last: ACLS-EP NO products will be released until ALL portions are completeNO products will be released until ALL portions are complete

A note on ECCU 2006: ECCU 2006 will not be a major roll out of information as it was in 2000ECCU 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 guidelinesThe introduction of guideline changes, information and products will be handled differently for the 2005 guidelines Additional information will be shared as it is confirmedAdditional information will be shared as it is confirmed

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) 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 Reluctance to perform mouth-to-mouthReluctance to perform mouth-to-mouth Decreased requirements for vents. during Cardiac ArrestDecreased requirements for vents. during Cardiac Arrest Desire to simplify BLS has led to major reevaluation of this issueDesire to simplify BLS has led to major reevaluation of this issue Includes eval of no-ventilation CPRIncludes eval of no-ventilation CPR The topic requires significant debate and is NOT yet decidedThe topic requires significant debate and is NOT yet decided NO changes should be made to instruction, skills or coursesNO changes should be made to instruction, skills or courses

CPR Before Defibrillation? Importance of defibrillation is well knownImportance of defibrillation is well known Attention to improvement of metabolic state may increase likelihood of defib successAttention to improvement of metabolic state may increase likelihood of defib success Studies show that coarsening waveform through CPR improves outcomesStudies show that coarsening waveform through CPR improves outcomes Increase of both amplitude & frequency of waveform have been researchedIncrease of both amplitude & frequency of waveform have been researched The topic requires significant debate and is NOT yet decidedThe topic requires significant debate and is NOT yet decided NO changes should be made to instruction, skills or coursesNO changes should be made to instruction, skills or courses

Biphasic Defibrillators Biphasic have replaced monophasic defibrillators for number of reasons.Biphasic have replaced monophasic defibrillators for number of reasons. Now, what are:Now, what are: –Optimal waveforms? –Optimal energy levels? –Strategies for sequential shocks? The topic requires significant debate and is NOT yet decidedThe topic requires significant debate and is NOT yet decided NO changes should be made to instruction, skills or coursesNO changes should be made to instruction, skills or courses

Induced Hypothermia Appears to be acceptable adjunct to post-resuscitation care, but questions remain: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 decidedThe topic requires significant debate and is NOT yet decided NO changes should be made to instruction, skills or coursesNO changes should be made to instruction, skills or courses

What and How to Teach BLS Traditional techniques are being challengedTraditional techniques are being challenged Evidence appears to encourage simpler, targeted teachingEvidence appears to encourage simpler, targeted teaching The topic requires significant debate and is NOT yet decidedThe topic requires significant debate and is NOT yet decided NO changes should be made to instruction, skills or coursesNO changes should be made to instruction, skills or courses

Visit Guidelines Website for Ongoing Updates: Description of the processDescription of the process 300 questions being evaluated300 questions being evaluated In December – worksheets postedIn December – worksheets posted Ask questions, give commentsAsk questions, give comments