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Advanced cardiac life support, advanced cardiovascular life support (ACLS) refers to a set of clinical guidelines established by the American Heart Association (AHA) for the urgent and emergent treatment of life-threatening cardiovascular conditions that will cause or have caused cardiac arrest, using advanced medical procedures, medications, and techniques.
While CPR is performed (which may involve either manual chest compressions or the use of automated equipment such as the AutoPulse or LUCAS device), members of the team consider eight forms of potentially reversible causes for cardiac arrest, commonly abbreviated as "6Hs & 5Ts" according to 2005/2010 AHA Advanced Cardiac Life Support (ACLS).
ILCOR produced the first International CPR Guidelines in 2000, and revised protocols in 2005 (published concurrently in the scientific journals Resuscitation [2] and Circulation). [3] A total of 281 experts completed 403 worksheets on 275 topics, reviewing more than 22000 published studies to produce the 2005 revision.
The LUCAS can be used both in and out of the hospital setting. [6] [7] The 2015 European Resuscitation Council Guidelines for Resuscitation does not recommend using mechanical chest compression on a routine basis, but are good alternative for situations where it may be difficult or to maintain continuous high-quality compressions, or when it may be too strenuous on the medic to do so. [8]
The ABC system for CPR training was later adopted by the American Heart Association, which promulgated standards for CPR in 1973. As of 2010, the American Heart Association chose to focus CPR on reducing interruptions to compressions, and has changed the order in its guidelines to Circulation, Airway, Breathing (CAB). [48]
In their 2015 guidelines, the American Heart Association re-emphasized the importance of more bystanders performing hands-only CPR until EMS personnel arrive because, at present, fewer than 40% of people who have an out-of-hospital cardiac arrest receive CPR from a bystander. [4] The guidelines recommend lay rescuers start CPR on a person with ...
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Hypoglycemia was removed from the Hs and Ts by the American Heart Association in their 2010 ACLS update. [5] The association between hypoglycemia and sudden cardiac death is unclear. Moderate and severe hypoglycemia were both associated with increased mortality; however, giving dextrose is also associated with worse outcomes in one trial. [6]
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