37. 2010 ACLS Guidelines Update
Emphasis on compression
Push hard and fast
Quality of compressions
Early Defibrillation
Waveform capnography
Hypothermia for cardiac arrest

38. 2015 ACLS Guidelines Update
Emphasis on compressions
Push harder and faster
2 inches, /min
No vasopressin – did not improve outcomes
Hypothermia prehospital
Target temperature now – 36C or 97F

39. Moderate Hypothermia AHA - cold saline fluid bolus not recommended
New protocol change
Cold fluids only if ROSC
Start fluids if temp >36C/97F
No bolus – 150 ml/hr rate
Repeat temp at hospital -
Start cold fluids if temp >36C/97F – OR
Tell physician that temp now > 36C/97F so cold fluids indicated if no time to hang fluids

40. Why continue hypothermia protocol?
Hypothermia now more highly recommended than 2010.
If we hang cold fluids the hospital must either continue or stop cold fluids.
EMS will continue to push hypothermia on hospitals because this is the best practice – It saves lives!