1. Dr. Guillermo Alberto Pérez Fernández. MD, PhD.
Code Blue Committee Chairperson.
The Cuban Hospital. Dukhan. Qatar.

3. A universal components of systems of care.

4. MAIN CHANGES OF THE 2015 AHA RECOMMENDATIONS
Empezar diciendo que el Excutive Summary stated that…..
MAIN CHANGES OF THE 2015 AHA RECOMMENDATIONS

5. FIRST MAIN CHANGE
Empezar diciendo que el Excutive Summary stated that…..

6. CHAIN OF SURVIVAL
Empezar diciendo que el Excutive Summary stated that…..

7. BEFORE
Empezar diciendo que el Excutive Summary stated that…..

8. NOW
Empezar diciendo que el Excutive Summary stated that…..

9. SECOND MAIN CHANGE
Empezar diciendo que el Excutive Summary stated that…..

10. Team Resuscitation
Empezar diciendo que el Excutive Summary stated that…..

11. BEFORE No Early Warning Systems.
Empezar diciendo que el Excutive Summary stated that…..

12. NOW Early Warning Systems.
WITH ALL THE IMPROVEMENT IT CAN BRING TO THE CHAIN OF SURVIVAL.
Foster the change of survival

13. THIRD MAIN CHANGE
Empezar diciendo que el Excutive Summary stated that…..

14. Adult Basic Life Support and CPR Quality: Lay Rescuer CPR
Empezar diciendo que el Excutive Summary stated that…..

15. NOW
WITH ALL THE IMPROVEMENT IT CAN BRING TO THE CHAIN OF SURVIVAL.

16. NOW
WITH ALL THE IMPROVEMENT IT CAN BRING TO THE CHAIN OF SURVIVAL.

17. NOW
WITH ALL THE IMPROVEMENT IT CAN BRING TO THE CHAIN OF SURVIVAL.

18. NOW
WITH ALL THE IMPROVEMENT IT CAN BRING TO THE CHAIN OF SURVIVAL.

19. BLS

20. NOW The term extracorporeal CPR is used to describe the
initiation of extracorporeal circulation and oxygenation during
the resuscitation of a patient in cardiac arrest. ECPR involves
the emergency cannulation of a large vein and artery (eg,
femoral vessels). The goal of ECPR is to support patients
in cardiac arrest while potentially reversible conditions are
treated.

21. NOW The term extracorporeal CPR is used to describe the
initiation of extracorporeal circulation and oxygenation during
the resuscitation of a patient in cardiac arrest. ECPR involves
the emergency cannulation of a large vein and artery (eg,
femoral vessels). The goal of ECPR is to support patients
in cardiac arrest while potentially reversible conditions are
treated.

22. NOW The term extracorporeal CPR is used to describe the
initiation of extracorporeal circulation and oxygenation during
the resuscitation of a patient in cardiac arrest. ECPR involves
the emergency cannulation of a large vein and artery (eg,
femoral vessels). The goal of ECPR is to support patients
in cardiac arrest while potentially reversible conditions are
treated.

23. NOW The term extracorporeal CPR is used to describe the
initiation of extracorporeal circulation and oxygenation during
the resuscitation of a patient in cardiac arrest. ECPR involves
the emergency cannulation of a large vein and artery (eg,
femoral vessels). The goal of ECPR is to support patients
in cardiac arrest while potentially reversible conditions are
treated.

24. NOW The term extracorporeal CPR is used to describe the
initiation of extracorporeal circulation and oxygenation during
the resuscitation of a patient in cardiac arrest. ECPR involves
the emergency cannulation of a large vein and artery (eg,
femoral vessels). The goal of ECPR is to support patients
in cardiac arrest while potentially reversible conditions are
treated.

25. NOW The term extracorporeal CPR is used to describe the
initiation of extracorporeal circulation and oxygenation during
the resuscitation of a patient in cardiac arrest. ECPR involves
the emergency cannulation of a large vein and artery (eg,
femoral vessels). The goal of ECPR is to support patients
in cardiac arrest while potentially reversible conditions are
treated.

26. NOW The term extracorporeal CPR is used to describe the
initiation of extracorporeal circulation and oxygenation during
the resuscitation of a patient in cardiac arrest. ECPR involves
the emergency cannulation of a large vein and artery (eg,
femoral vessels). The goal of ECPR is to support patients
in cardiac arrest while potentially reversible conditions are
treated.

27. NOW The term extracorporeal CPR is used to describe the
initiation of extracorporeal circulation and oxygenation during
the resuscitation of a patient in cardiac arrest. ECPR involves
the emergency cannulation of a large vein and artery (eg,
femoral vessels). The goal of ECPR is to support patients
in cardiac arrest while potentially reversible conditions are
treated.

28. NOW Left lateral displacement
The term extracorporeal CPR is used to describe the
initiation of extracorporeal circulation and oxygenation during
the resuscitation of a patient in cardiac arrest. ECPR involves
the emergency cannulation of a large vein and artery (eg,
femoral vessels). The goal of ECPR is to support patients
in cardiac arrest while potentially reversible conditions are
treated.

29. - Survival of the mother has been reported up to 15 minutes after the onset of maternal cardiac arrest.
- Neonatal survival has been documented with perimorten cesarean delivery performed up to 30 minutes after the onset of maternal cardiac arrest.
The term extracorporeal CPR is used to describe the
initiation of extracorporeal circulation and oxygenation during
the resuscitation of a patient in cardiac arrest. ECPR involves
the emergency cannulation of a large vein and artery (eg,
femoral vessels). The goal of ECPR is to support patients
in cardiac arrest while potentially reversible conditions are
treated.

30. NOW
How long to wait to perform a cesarean in a pregnant woman in cardiac arrest???
The term extracorporeal CPR is used to describe the
initiation of extracorporeal circulation and oxygenation during
the resuscitation of a patient in cardiac arrest. ECPR involves
the emergency cannulation of a large vein and artery (eg,
femoral vessels). The goal of ECPR is to support patients
in cardiac arrest while potentially reversible conditions are
treated.

31. NOW 4 minutes If no ROSC Or with no delay is the CPR is futile.
The term extracorporeal CPR is used to describe the
initiation of extracorporeal circulation and oxygenation during
the resuscitation of a patient in cardiac arrest. ECPR involves
the emergency cannulation of a large vein and artery (eg,
femoral vessels). The goal of ECPR is to support patients
in cardiac arrest while potentially reversible conditions are
treated.

32. The term extracorporeal CPR is used to describe the
initiation of extracorporeal circulation and oxygenation during
the resuscitation of a patient in cardiac arrest. ECPR involves
the emergency cannulation of a large vein and artery (eg,
femoral vessels). The goal of ECPR is to support patients
in cardiac arrest while potentially reversible conditions are
treated.

33. Ethical issues The term extracorporeal CPR is used to describe the
initiation of extracorporeal circulation and oxygenation during
the resuscitation of a patient in cardiac arrest. ECPR involves
the emergency cannulation of a large vein and artery (eg,
femoral vessels). The goal of ECPR is to support patients
in cardiac arrest while potentially reversible conditions are
treated.

34. When to stop a CPR or how long a CPR must last?
The term extracorporeal CPR is used to describe the
initiation of extracorporeal circulation and oxygenation during
the resuscitation of a patient in cardiac arrest. ECPR involves
the emergency cannulation of a large vein and artery (eg,
femoral vessels). The goal of ECPR is to support patients
in cardiac arrest while potentially reversible conditions are
treated.

35. The team leader Time Futility
The term extracorporeal CPR is used to describe the
initiation of extracorporeal circulation and oxygenation during
the resuscitation of a patient in cardiac arrest. ECPR involves
the emergency cannulation of a large vein and artery (eg,
femoral vessels). The goal of ECPR is to support patients
in cardiac arrest while potentially reversible conditions are
treated.

36. When is mandated not resuscitate a patient?
The term extracorporeal CPR is used to describe the
initiation of extracorporeal circulation and oxygenation during
the resuscitation of a patient in cardiac arrest. ECPR involves
the emergency cannulation of a large vein and artery (eg,
femoral vessels). The goal of ECPR is to support patients
in cardiac arrest while potentially reversible conditions are
treated.

37. - Situations where attempts to perform CPR would place the rescuer at risk of serious injury or mortal peril (eg, exposure to infectious diseases).
- Obvious clinical signs of irreversible death (eg, rigor mortis, dependent lividity, decapitation, transection, decomposition).
- A valid advance directive, a Physician Orders for Life-Sustaining Treatment indicating that resuscitation is not desired, or a valid Do Not Attempt Resuscitation (DNAR) order.
The term extracorporeal CPR is used to describe the
initiation of extracorporeal circulation and oxygenation during
the resuscitation of a patient in cardiac arrest. ECPR involves
the emergency cannulation of a large vein and artery (eg,
femoral vessels). The goal of ECPR is to support patients
in cardiac arrest while potentially reversible conditions are
treated.

38. FINAL THINKING The term extracorporeal CPR is used to describe the
initiation of extracorporeal circulation and oxygenation during
the resuscitation of a patient in cardiac arrest. ECPR involves
the emergency cannulation of a large vein and artery (eg,
femoral vessels). The goal of ECPR is to support patients
in cardiac arrest while potentially reversible conditions are
treated.

39. HIGH QUALITY CPR IS ALL ABOUT PRACTICE
TO ERR IS HUMAN
HIGH QUALITY CPR IS ALL ABOUT PRACTICE
The term extracorporeal CPR is used to describe the
initiation of extracorporeal circulation and oxygenation during
the resuscitation of a patient in cardiac arrest. ECPR involves
the emergency cannulation of a large vein and artery (eg,
femoral vessels). The goal of ECPR is to support patients
in cardiac arrest while potentially reversible conditions are
treated.

40. What is the secret of success?
SETBACKS....., COUNTLESS.
What is the secret of success?
NEVER, NEVER, NEVER, NEVER SURRENDER.

41. THANKS A LOT
DECIR QUE AHORA VIENE LA DOCTORA OSLAIDA A HABLAR DE DOCUMENTACION