You are on page 1of 65

1 Major issues affecting all rescuers.

doc

!" Guidelines highlights !"#"$%&'()*+"*+,-*./(0$1234#5 67.4+3,/-7%89$6-7:;%8/<=(>?&$@$ American Heart


Association (AHA) Guidelines for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care
(ECC) !"#"$%#"$%&' (.). 2553 (*.). 2010) +,-'./012'3!"#$%&'(%)'*+,-!./)0"'&+!"1'23!45637189:;<0&=>,!+"?@0A-.B+@0AC.%(
(resuscitation provider) !"#$%&'&()*+ (instructors) !"# AHA !"#$%&'!()*+,-./01'(23456#$7'38#&97:;8/&<2 (resuscitation
science) !"#$%&!'#'%&('!')*&+,&-./0123045)'*678.9'4&-#4%&$2: ;-<=>2+?@5@6A!B "#$%&'()*+*!* (controversial)
!"#$%&'()*+,$-."/0123+1-."4,56-784(51+ !"#$-."9:-;$<-."4,56-784(51+ <$-%.-<3=< 63>2$-?@>A!+B)*"$>"32C8$D<&<E.+,.>F
!"#$%&'
!"#$%&'()!"#*%+(,"-./."0*!12")(3435167889% ':&;<=7>;0)(3?')?'&@:& !%)4(3%>(&%<&)(3A:)B(C<'/8D0$4"/.4"5!
!"#$%&'%()*+,-#./)0)"# (Classes of Recommendations) !"#$"%&'()*+,-.+/0#1$2#$3$4!5'67+- (Level of Evidence)
!"#$%&'(& )*#(+,-+#./0!"1.2!3456!7468"98&"6:/;/0!"<)#+"&#9"497=#9> ?:&"=#@)#6#+A(#$2&B#< 2010 AHA Guidelines for CPR
and ECC !"#$%&'()*"(+,& Executive Summary1 !"#$ %&'()*+,-+./0 Circulation !"#"$%&'($)*'&+( ,&'-.$& (/0123 4.5.
2553 !"#$%&%'()*+,%'%-"#./0-12/34%$5'6!,738%'97!"#$%&'!() (resuscitation science) !"#$% 2010 International
Consensus on CPR and ECC Science With Treatment Recommendations !"#$%&!"#!$!%&'#()*+),-.* Circulation2 !"#
Resuscitation3
!"#$%&!'#!"($)*+,+-, 50 !" !"#$%&'()*+%(,-',./0)1*+2*3)*+$,24.2(5)6&*7893 !"#$%&'()*+&#),-.$-&/0#.%-1.!"#$%&'$!"()*+(',*#-./01$ (survival after closed chest compression for cardiac arrest) !"#$%&'()*&+4
!"#$%&'())*+,&-./012#34156 789+*:85;<-./1=43;./124>? ;@3,$:$A*=B0A0CD#E8F;5<0G23124>?789:45BC>;5<)5; !"#$%&"'(()*+,!"#$#%%&'"()*+,-"'./ !"#-$0'"12("31245161+78
!"#$%&'()&'*+,-./0 (bystanders) !"#$%&'()$&(*#+,%+'-&.#& (first responders) !"#$%&"'()*'+(')!,*!" (healthcare
providers) !"#$%&'()*)#*+,#-./01%#23"45%673(48!967:;45<.40=<5>?@!71 *.A$1(A9673"45%673(48!B.A1+6$ (advanced providers)
!"#$%&%'()*+,%'-./01"2#345167*"8)9*!:-;<+=/05*0"#9%,>?8!,.+>68@<$A%;'B9 (periarrest and postarrest care) !"#$%&'()*+,"2010 AHA Guidelines for CPR and ECC !"#$%&'()*+,"-./*01231-/4!1563578*49:")*/*/;/!6*")5"*<)")
!"#$%&'()%&')*+,+-(./01'(.-/2/0345( )%06752/-89:8,;&3<=#8'<->?-@*/A)B+$.-/<+'8.;&<='5*C-.2/03D?*+-$E (F1/&68
!"#$%&!#'()*+,-(.)/0'(&1.,/0'2).(34-(&1#'567 1

1 Major issues affecting all rescuers.doc

!"#$%&'( 1
!"#$%&!'"("#)*+&,-.!/'&01'23
2010 AHA Guidelines for CPR and ECC !"#!$% "#!$#%#&&#'()(*!&#'+,&-#*.%/0(123&120*&/)&#'45*0&6741*.8905#:%'.:%/:
!"#$%&'()%$*+,-.(/$%0$12*3456%7890:9;(/$#<$<$)%-=6> %?:!#@A80-#%%!#$%B&7 AHA ECC
ILCOR 2010 International Consensus on CPR and ECC Science With Treatment Recommendations !"#$%&'()'*'+,!"#$%&$'()%
Circulation !"# Resuscitation !"#$#%&'()*+,,+'-)./.,+'01,2+34*56758957: ;4<7=>?@,>?63$#%A,58,+';B36,C#;>34D EF6%+056/C#@;>?63;+G 356
!"#$ %#& 29 '()*!+ ,#("-,&.$-/*0(#)12 34/'(#5 67)8/%#(9#!.:;<$&#('()=>,6??8?')&.$ &#('()=>,!#;@!(+.8!2
!"#$%&'!"#$%&'()*+),-*!.,)/- (webinars) !"#$%&'&!()*+,- 36 !./0$ %(1+,- 2010 International Consensus Conference on CPR
and ECC Science With Treatment Recommendations !"#$%&'()*!"#+,-./&%00%1 +!234%1 567+!8196%:.+,6;3< =*>?@/AB*5C D.8. 2553
!"#$%&'(& )*+(",&-!.!/'!"#$%&'()*'+&,-./0./012 411 34#4 ()*$"+&5012!#567/8+&29 :;&'5' 277 !#567/()*,$)*<567/2 6#='8/'>?@$/4A>B75<
!"#$#%&'()*+,"-'./00/1) 2(&3#"%45 /6%7894'294':,;*-468!<")=8>-4'9 #2'?$@A-!"#BC03D)
!"#$%&'()'%*+",)#-./012%*34502675($8'9&:;<0=&4>0'()?;'@(AB(CD (potential conflicts of interest) !"#$% 2010 AHA Guidelines for
CPR and ECC !"#"$%&'()*"*'(+,-&'(*./0./123456+789:;/<(#=>8$4?8 &@(5A(</B(AC*<(#3;*)2"<(#*'(D=CEF
!"#$%&&'()*+,#--./01*+234/567+8

!"#$%&'()*+,-.$+-./01234+*5672890/+728-0:;,<+=' (Major issues affecting all rescuers)


!"#$%""&'()#*+,-./,*)012"3456!" 2010 AHA Guidelines for CPR and ECC
!"#$%&'()#*'+#,-+./0*1/2)+3'45*1#367581,92:;/&<;/='/ (basic life support: BLS) !"#$%&'()*+%&'")!, "#$%&
!"#$%&'()*+!)$*)+,-!./,(0%&''(!"1234 567$!+)% 89 2005 AHA Guidelines for CPR and ECC
!"#!$!%!&#'()*+,-(./'(,"012+3(4356!%(232&7(+.8,9:;(< (high-quality chest compressions)
!"#$%&'()*+%,-./(0&(,12-+,-)34&05&6. 78'9.0:8"(;<#5=</$=) %8>)/12-)(9?@43.AB,283!"#$"%&'()*+$,-!
!"#$%&'('$)*+,(-$*)*,%./01&' !234+((+567(8+9:4;%./02/<:=<>(3,) !"#2;?@!23AB<.6. 2548 (C.6. 2005) DAE)2*)=+ !1'@-$*D$F)93+
(1) !"#$%&'()*%+*,-./%(*01)2/()34*%+5+165+")27(85 93/&6:7%-;1)*%+.<% 2005 AHA Guidelines for CPR and ECC !"#$%
!"#$%&$!"#$%&'()*+,-./$+01234$5617389:7;<7-=>! ?@A$+00.<17389:7;B+$-=>!$C9+B (2)
!"#$%&'($)*+*,(#-.#/0(1'12345.67%'8*/(+9(':;"'</;!=6>*411.+?5#@!(A(B (out-of-hospital cardiac arrest)
!"#$%%&'#()*+,-.&/-0"!"(123$)45"*67 (3$ (3) 89:;<=+*67>6?'=$@A=!B@+.C/1:""D&E#F)!"#"$%&'()*+&
!"#!$%&'()*&+#,-).%+/,012*)3.%4(56785619)*&:;
!"#$%&'()*+,&'-.()%/01234+ 5+,+".#-/#6&7089:0;8985<$=+(4 %/()*"2>?-/98&6@%1A+19-/'=#"
!"#$%&!'#'()*+&,)-./!"0/1234$5"%&674$,/16849:;()<-=> (post-cardiac arrest care) !"#$%&''(")*+,$-,./01-234

!"#! !"#$%&'&()%*+,-./0%1(2*-*3!$425'%46#$#(78%&(9)6:)#6!;+
2010 AHA Guidelines for CPR and ECC !"#$#%&'&!()*+,#-*.-/0&'*1-1!2*#34$567*8 1"&9.:-1;<9/'=!

1 Major issues affecting all rescuers.doc

!""#$%&'()*+),$ &%-*./#&% 100 0)'1.(-&/*23 (+4536%/7*! !"#$%& 100 !"#$%&'()*+,)

!"#$%&'!()*+,-%() 2 -./0 (5 !".) #$%&'#()* +,- ./*01$'./ ($2314*5$40"6.1750"($06.1($'0.8#$90:8+,-;<=8


(!"#$%& 1.5 '()* +",- [4 .$.] /'0%"1 23# 2 '()* [5 .$.] /'4561) 7#4+6'*8% 9$8/:;4!<':8*=>*%$3?1 1 ! !"# 2
!"#$%!&'(%)*+,-($ .+$!/$01-2345630738%!98:3,-;<073=;1033$+0%!/>0,!;!>03+5!)!(0!"#

!"#$%&'($)*+,-./012'".3)45)26-#"7*5.83

!"#$%&'("#"&)*$+#,&*)*+'-./0(" &%1+#"&)*$+#23+4)1/+5#6),&*7"*8$#-./0("

!"#$%"#&'($)*+,-'!)'./0)$%$1234

!"#"$%&'()*$+,-./0'&1#2-3.4%&'%56-7&.%0#.%&'8#2,6&,9: (compression-to-ventilation ratio) !"#$#%&'( 30:2


!"#$!%&!"#$%&'()*+,%-., /012 3456$&2 (72/8+96$&23&2/2:0) /!;<=!>)*+?.87/%4;=@9/0>78 A077'B@B,%+?.87%$7,CD&5!$E 1
!"#$%&'()*+,-./0(#/1"2 '()/234)56( advanced airway !"#$ %&'&()*+,-#&.*/0.1-23.4 (.5/(&1(6$.70&4-#.7 100 8(594/0.-&:;)
!"#$%&'()*+,-./-./012&3#40#56789!"#$% #&' (!'")&!&* (+,-./0+10(2+!3456"7*589'% 6-8 !"#$%& ('()*$+ 8-10 !"#$%&'()*+,)
!"#$%&'"()*"(+,-).&/0%,'.,123.)*)4567 (excessive ventilations)

!"#$%&'()* A-B-C !"#$ C-A-B


!" 2010 AHA Guidelines for CPR and ECC !"# $!%!&'()*+,-"./!01#!23!034 BLS (%$ A-B-C (Airway, Breathing, Chest
compressions) !"#$ C-A-B (Chest compressions, Airway, Breathing) !"#$%&'()*+$,-, ./01 2345#%1 (61.7*85#%12%1.19/
!"#$%&'()* +,-./01+'#.)023(,-+4-+5+2& [Neonatal Resuscitation section])
!"#$%&'()*+%&,-./*01*-1,!"#234)!562'4708.!"#$%&'(%)*+,-./!0/,12."3456.789):;)<8;,"%<=$&;"6.=8&>-?%"$/,7@":,
!"#$%&'()*+,-./#01234.5+6/+78)%98#0.,:8109;<0<09=>.0('&>=?9#=?%@).8>
!"#$%&: %'()*+,-./"0+12",$3!#(456+41"76!)84%'(1"76 9&:;0#<=>=<<;3?.+@#5'A-./5$3-./B.<=,A=4
!"#$%&'(")*+,-./0123""43567813!"#$"%&'()*+,-*+./01234 (witnessed arrest) !"#$"%&'()*+,-.&/0*,12$0)34!05 (initial rhythm) !"#$
ventricular fibrillation (VF) !"#$ pulseless ventricular tachycardia (VT) !"#$%&'()*+,-."/0
!"#$%&$'()*"+&,-)./01*2&1)0134$5)&1/671)0107%814"9:;&,-).093<0=9 (chest compressions and early defibrillation)
!"#$%"&'()'*+!,+ A-B-C !"#! $%&'()*+",-.&/"0,1/,.2!&13,4&1,)516789)/ :;/1<$%&45)*:2=>3?&3@:A7*:)=1B!,1/:'C.61@:.D!21*BE
!"#$%&'()*#+,)-'.*/0 *#+$*1#234%51%67899)#:*9)1* 5#;'"<'.!"#$%&'()*#+,60*1#234%51%67
!"#$%!&'(!$ "#$%&'()'*"+,"-./" C-A-B !"#$ %&#'($)*+,-#./012.1-34#2516.7$89:4
!"#$%&'"(&)*&+,-&.)(%/0&/+1-2'3453/64"2-,*7/48(&,9:, (/-;9%7/(&64)(,
!"#$!%&'()*+(',-)%$.'$/012(34(',(5.+6'*(,*47,( 30 8,39: .,;*2,<='> 18 %?+'@#
!"#$%&'"(&)*&+#,-./0*1,"/1234&3'256*)(%,74"8!"!#$% &%'()*+,-'./*0,12345'6789()')

1 Major issues affecting all rescuers.doc

!"#$%&'()&*+(',-./#00123456'7879:;&0*(<;=>;=-#4)8274?;&'2"#?@&A/+72!"#B@C1'";*0.(/,274DE 1)0.0FC15>7+72(97':7.(/,
!"#$%&'()%%*+%%#,-./,-,012,3*45*+%"6% A-B-C !"#$%&'#()*+,-./012034#56*78+,%9:;2<(8=>)+?34#@>3AB 2.0<)*C?8!"#$%&'(")$'*+,"-./
!"#$%&'()*+%*,- $%&.&/01'()*.+"2345)*$%&$4+65%3$6(%-#78%,+519:;5'()*.+"23*/649.&/0178%$%&'()*$;5'9)/<1%$=>?6
!"#$%&'!()$*&+,-./012/03"04.!4*!"#5##'"'67809:";.5-./0,<0 =>?@6780A#+@;.@&%"B0!#C*D*?4*E()$%&'6F92<61*'@G06;*'&
!"#$%&&'()*+(,)(*!!"#$%&'"()*)+,-.+"/% 0123%)45'6+"/%'7829(),+5+:&;+<=+<>)*? @-!AB=%? '&+ #'<&C=#>)*,4>+
!"#$%&'()*+,-.)./01(230456787289).#7,8 ,:8-.)./012#,1;,-&74$%&'()*+, <*=>?.67(-2+0,1 AED (automated external
defibrillator) !"#$%&'()*(+,-. /0123453678'894:;+<%2":;%$8'".&= !"#$%&'()'*+
!"#$%&'()*+
!"##$%&'(%)&%'*+(,-#.'(/%&%'01.,&2304.5678923:;.,*61$<'%,*6&61%)&=8>:6%?@5A)(4A#5B.1%C:D8@%CE6"7E3E=.7FE,"BC638 C018
!"#$%&'()*+")#",-./01203&45'6%7!89$7:0%;<)7=0%6 >846:?7!@)7!AB#",-.3&4CD6%!2=*AE8428;#F/G)!G)
!"#$%&#'()'*+,"-%."$/!"#$%&'()*+,-.+(/0012!3456%78(9:: shockable !"#$%&%'(!)*#$+,-.$(&/01* 2034567+&#%18*9 AED !"#$%
!"#$%&'()*+,'-!.+!/0$1.#!2+)!#3!43561*7+8'#9 AED !"#$%&'()*+,-./01213-,#%4%56%&%7 89#:'()*+,-;<:=>%
!"#$%&'$(!)*+,-.!/01&'$(*-(23!'.+45!*,-%.6 (7%18-9 2 +-:;) /0,!"#$%&'()*+,-.!/012!*'345!"#$%&'(%)*+,&-.," 2010 AHA Guidelines for CPR and ECC !"# $%&'()*+*,-.%$/012$(3/415678%9&:. (Post-Cardiac Arrest
Care) !"# Education, Implementation and Teams !"#$%&'()*$!+,$)-.#-/ Post-Cardiac Arrest Care
!"#$%&'()*!+$,-'./#01.2'.!"#$$%&'()*+ (Chain of Survival) !"#$%&'!()%&'*+,'-./01-)2!-" (345%&' 1)

1.

!"#$%&'()*+,-./0-12/.34!5*6 72*89:'''9;<=9<=97&>.?@3<!@;6>06>A

2.

!"#$%&'()*+,&-(*!"./

3.

!"#$%!&'()* (defibrillation) !"#$%&'

4.

!"#$%&'!(#)*+,-./&01$"203(456/)7!"#$%

5.

!"#$%$&'()*+,-.*"/+0-1234)567(#888"69)*)6

Lay Rescuer Adult CPR

!"#$%&'(%)*+",-.&!/01234&,567789(:%;- ( Lay rescuer adult CPR)


!"#$!%"&!'%()*+,&-%".$,/012+$,34/0!'%()*563-%"-789/:
!"#$%&'()*%+,-.*/01#23450567(38# (AHA ) !"#$%!&'()*+,"+-./'0 +,"*123#145/61)3,)4543.76,)89:*2#7"-!;'( 2
!"#$%&'!"#$%&'()*+,-./0 1,2+3'45 +3'451,2.6-&7 +89:1,2$7/0 (!"#$ %&'()!*+,-)
!"#!"#$%&"'()*+,-./01234&5%6,718 (1669 ) 9&:;<9(#4/*3=<>?@@A)B2./9>#:;<8 AED

!"#$%&'&!()*+,)-.$,($" /*0 1234567$%&'&!8!9:2;('&!+&0-.<67=>58?)0

!"#$%&'()*%+,-./0-12'34,(567*08 *%+*.93* *%+*.:+;!"#$%&'(")*+,-&'.*/!"#$%"&'%()*+(,-.'+/!0#$12 '3"(%"&'*45)%()*+(,-,*6%6$4789:5)


!"#$%"#&'($)*+)',-./#&0)$%$123,

!"#$%!&'()*&+,-#$.,"./01'23,. .,"%!4-5,6%-7*8,)93 !"#$%&'("')* !"#$%&'(%)* ( A- B- C )


!"#$%&'( !#)(*+,-*./ !"#$%&'(")$'*+,"-./ !"#$%&'("')* (C-A-B)

!"#!"#$%&'$() *#+#,!",%&#+!-,-./!0#+-. 100 1"'20 / #!34 5"'6*5748.#)!,*%9: (


!"#$%&'!()*+&, 100 -)./0 / $&12 )

!"#$%"&'()&!* #'("+$,#-.#,/0$1"+,/ 2 "23& (%4, 5 56"72587% 9%):59-;</"*$#5'28


( 1 1/2 !"#$ )

!"#$%&'()*+%&, $-.(/01"234%!"#$#%&'()*+&,$-$!-./#01*2/34$5678% 9:" !0;&,$-$!%)2<')=>&'%&0=%?%*6/&0(<@2ABC@0D$)"<')=><5E2FB/%G';1:'%

Lay Rescuer Adult CPR

!"#$%&'()*+%&,-'(./"01234,!"#*5671589*
2010 (!"#$) : !"#$%&'()*+,-./01%02#!%34536,7615365"#$.8135%,4 (1+/,8794)12:;<)=&>?)'@2(;#4>)#-A35364&2)=&>?2#!"!#$%
Hand only ( !"#$%"&'()*+,-+./,(#*+") 01-(!2!3*45/65#$!2/-578597:(6;"3*4<=/9$!.,<6,57/,$!2/-5
!"#$%&'&()%&!*#*%&+,-./0&1*0&23*45678-9&:$&-;$:27<$5
!"#$%&'()*+,-&./0121.23)4#1,25,6!"#)7389:,'%169%,(4+;,6<4(-.+;,62.=9>#4)?&@< (AED) !"#$%&'()*+,!-.+ /*0,
!"!"#$%&#$'()*+#,(-./0&1+23$4+56789!&:)92
!"#$%&'()*+,-./$012345(,#67#%2'%87#%6-9$&-:;+,-.$#.:; (CPR) !"#$%&'&#(")*+",-'./( 012
!"#$#%#&!'(#)#&*+,-.#-/0123#2#)45" $#%#&!'(#)#&)5.6"#7)8+75",-)#&*+,-.#-/0 /6798&# 30 : 2
!"#$%&'&()*+,-*./012.340'(#$523/46&706&$82'!96 "#$%&'()*+,-.*
2005 (!"#$ ) : !"#$%&'"(#")*+,-./, AHA 2005 !"#!$%&'()*+,-./+(01(*23$4,$56,787419%:#,*;5<=3&/>1#(4+(03?0"+9%:/@
!"# $%&'()*+,"-./0123(24&$(56758.9837%&'0: !;(24&9.7<,&+=&5/01>%6*?@A1B758<,&CD5!6#6D57587%&'0:/5BE/8>A:/? !"#
!"#$%&'()*$+,-./*.!" #$%&'$()*+,-./012)3$045%6-6/012)7%2%6#,89%8%51:$
!"#$%&'()*+,-./.0123.4.045)6#.,4(78'9,'%.9(58'&(2%.6:;6
!"#$%& : !"#$%&'(%)*&+%,%-./ (Hand only ) !"#$%&"#'()*+,-&$./012"34$)"#(%#56752%*+8/92#%"6(
!"#$%&%'($)*+,-./%01,023-%4*-%5675%.15'89:5; *)<3%<*9=*)9!"#$#""%&'()*!+,-./)01(234)56307&8!-96#$:";34)56
!"#$%!"&'()*")+,-*(./&01234567#89:"#;<634)%('4(6=*3'5(!>#$,5$&',!6#$8 ?.@(./&0"#;A2(7&8$!=.B5638$89A#(6=*3'5(7&8$='$-C
!"#$%#&'()*+"&, *)-./012.3/#&4*&)$5),*016.7,.89&,:&,&);2.3<=2>&*&)?@A&@&*(B1!4=4>&CD12>&89!"#$%&'()

!"#$%&'()*+%&,-'(./"01234,&/"516317*84*9*!"#!:;<'=317*.:, >"! A-B-C !"#$%& C-A B*


2010 (!"#$) : !"#$%&'!()$*+,#-./0"!!"#1&234&50 ( C ) !"#$%&'!$()*&+,- ( A ) !"#$%&'()'*+ (B ) !"#$%"&'(
2005 (!"#$) : !"#$%&'!()$*+,#-./0"!,1234"5,3-67"'80 ( A ) !"!"#$"%& (B ) !"#$%&&%'()*+,)-$ ( C )!"#$%"&'(
!"#$%& : !"#$%&'()%*%+,-./01231#/14$5367$89#:*1/14;4<=%/>&?+59&:6:<@+A,%*;2&2/142:9,2&1B/30 C4.D#
!"#$!%&'"()*%)+, 2 -&./0 ,123%+*4566.789:#0!%&'"()!;4'<7##!=%><!("%
!"#$%&$'()*%+$$#+),-./%0(*12345+'342678+9:79-.2;!"#$%& '()*+%,-./01!234
!"##"$%&#'"()#*+,-./01234567893(!84+:;<0))=#>$?@4"A"*BC:?(80;8D)3,"=9<<$"#"$$=:E63F<!G@A-"##3,"()#*+,-567-6./0E,34;
!"#$%&!'()$%*)%+$' ,"- %)./0%1)2'34567 %).%&!'()$%89:;.<:*=() !.#$ *9%).>4&>6)?%).%&!'()$%
!"#$%&'()*+,--./0/..+12345!"#$%&' ()'")*"+,'-.//01."12/1(3"#2$143#"#$%56789( :/;7<1(3"#2$15)"56
!"#$%&'(")$'*+,"-./ 01232"/4$%5+ !"#$6-7") !"#$%8"%"! 9:4!"#.6;<=%!#>?7:<@,+;"623-$%8":1,"-./
!"#!$%&'()(*+,-!-! ./-$0&*'1234-'450!&-64%&- 5"7!"#!8+'9:1;"<15"7!=#

Lay Rescuer Adult CPR

!"#$%&'& 2 (" )*+,-./!"#$%&'()* 1 !+,*-'./"0.12 30 &+034 56%/7.89:7;6.8!"#$%&'()* 2 !<=/(>4!/,'">812!<?><>@ 2 &+034


!"#$#%&'#%(!)*+,%" -./0#$'1234& 1 56 2)4&"%**$#% 1 56 *%)1)78",/6*./09:5$)1)78";<%*%)6$=2>$?@*=26/%&*?2/1)+$;98AB= C3D
!"#$%&#'(')"*+%,"(-+($./&0(123456

!"#$%& '!-!" #"-!"# $%&'-!"#$"! %&'()%*+*


2010 (!"#$) : !"-!" #"-!"# $%&'-!"#$"! %&'(")**'+,'-"./(*/',012,',0'&3456789.*:(3/ ;<":+,'$&34=>?7;<9*12,',0/>);">@+
30 !"#$%&'()*+,'-,&. 2 !"#$%
2005 (!"#$) : !"#$%&'()*+,"'(+-.$"#/0 /$1231456#($%78)9:(;-.<"9$"#/0 ="-!" #"-!"# $%&'-!"#$"!
!"#$%& : !"#$%&'()*+,-.$/0123*0# 4#%5%,3/67)48792: -7*;4#%4-$)7#<41&)125/=3<:'5$>)?87.$@0 !"#$%& '"(!)*+,
!"#$%&'()*+, ( !"#$%-./0* ) !"#$%&'()*+,#-,'()./,0,-1-"#23&0,-$,45!67)$2(8939:;<=9+>-:;<=-0
!"#$%&'(#)(%*$+,&%&''&-(./!#.0% ( C ) 30 !"#$%&'()*+%&),-.+/01 ( A ) !"#$%&'()'*+ (B ) 2 !"#$%

!"#$%&$'()!*+%$+,-./%!+!01%*./!0 100 2$"3*/.%45*


2010 (!"#$) : !"##$%&$'()!*+%$+,-./%!+0.+%$12%+%$+3/456!78%*./!7 100 9$":* /.%15
2005 (!"#$) : !"##$%&$'()!*+%$+,-./%!+0$12%3 100 4$"5* /.%67
!"#$%& : !"#$%$&'()*+,*-#'-./$0#,-12,$#34 54&%#56"#&(7 89:54;912,-#'',.<4%=1 89: ;9+,*-#'3"#*#$+,*65,*
!"#$%$&'()*+,*-#'-./$0#,- 1.0!#-,(22'#3'4%-#'-./$0#25,$#67 /(-3%8#6793:7;1<!#--#'3<=.6#*3.>$/#;?! -#'3<@#<#!"# $%&&''(%)*"+',-.&/0',$&#123)45678 (AED) $%#&'#%()*'+! "#$%&%'$(')*%+$,'-./!0(1&
!"#$%&$'()*$+,$-./*/..,01234- 56" !7/'3'8.$9:;,:*/.*0<'=/,*>4?:'=,> !"#$%&$'()*$+,$--./*/..,01234-@2?606:
!"#$%!&"'(##()#*%!+("#,-.$/-01/"23+4 051'6($78!9+"13*):0:$43(#();5*;4(1#()#*%!+("#<%+!+"0,-.=>*
!"#!$%&'"(!)*+(,-#".#/0123.4*!"#$ %&'$ (()*)+,&%!-.+.%/0,$+12$! 3*).+,&$45&,+,&+.%/0,$+
!"#$%&'()*+,-.$)/,.01%*'234 2

!"#$%&'()*'#+',-./#)'*
2010 (!"#$) : !"#$%!&'()*!+%(,&-./0"1#23!*4.)5'(*4 2 '670 ( 5 89. )
2005 (!"#$) : !"#$%!&'()*!+%(,&-./0"1#23!*4.)5'(*4 1 , -2 !"#$ ( 4-5 -.. )
!"#$%& : !"#!$%&'"(!)*+,"-%'./012($3%10456.789&)"!!"#+/6:;".$<&-&=>(?(!0456.789& @1*./A1B>(%<;-)
!"#$%&'()#*+,-.(/0123/4501(6789309(78:;3+'38<1=%>?$@
!"#$%&$'(confusion)!"#$%&'%()*+,-./01"2+3-%456&%%&'%5!0)&7%"8%9:;-,+<$,7 6&%!"#%=&02&$%&'>,2<?@)&%5"8% 2
!"#!"#$%&'()*+!%, 11/2!"#$ %&'!%()*+,-./012345 AHA2010 !"#"$%&'()*+,)-./%0"(-.2 "123

Lay Rescuer Adult CPR

!"#$%&'$(&)*+,-./0-.1".23"4#,55678"!#9":!"#;/9'< (Healthcare Provider BLS)


!"#$%&'()*!+)',-./01)"2$/3456.$/78/,1
!"#$%&'()*+,-./#0*"$!/123'.!/45/,067'.'89*4!:;<,=; American Heart Association (AHA) Guidelines
for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care (ECC) !"#"$.%. 2553
(!.".2010) #$%&'())*!+%,'-%.,%'/0-12345/,6
!"#$%&'()*+,-./012/3'1045!6," %(''78(5,/0%()(9:;,(0<2) 19#%1(03'!=#%) (Agonal gasps)
!"#$%&'()*&$+,&-(./(012*3./45*12*3&)67,892:;%<=* 9'*&20*&>?#@508A(!.# "#$%#!"#$&'%()*+",*-. (Dispatcher)
!"#$%&!'()*&+,-.&/0-/12.3)4567.'89*:.2.&;<+-;.2=.-.&>?*@A%4
!"#$%&'()*+*,-.%/01(23*45(6728%853&9:*2;'<2&='8>1!?(9',#%0+3
!"#$%&#$'()*+&,-./)01$2'$01$234',-561!57& (Dispatcher)
!"#$%&'('#)*+,!-'./%/-'01234,56"78+9:;82:<;!"#$%&'()*$+,--.%/'01)2.3145(-6758$98:;+:498:<506=>?$-@$<&A
!"#$%&%'()*%+%',-./,0.12345678569%6:;; Hands-Only CPR !"#$%!&'()*+,-./0123&42!5&67/,8%",9*6:;<4"=/%
!"#$%&%'()&*"+,-./$0-1-/$)23+4567897&:;,<=7%'(#$%=90*%'#>$?$#%1(((%@#$%#$%02A,BCD#)C@-E=,)%F;,@+G!"#$
!"#$%&'()*+,- ./0%)*1+)'*)123+#4 3.56)789:;5#<=6>?.@A?'>6?*)1*1B>/9A 2%B<=6$)#C( $1D?=,*)1$)#C(2>6<=6:*>E
(!"#$ %&!'&()*+#,-(./!0123) .,4."4!56-"#5)789$:.$3-;<;5/72=>?(@A-3-;3;B<C4$ ,-3'=5#-DE4FG5(H%#,-(./
!"#$%&'&()*"!*+,-.(/0)12 ,!34567*)".*8)*"9:.!"#$%&'(&
!"#$%#&'()*+',-./0#1(2!34456748972(!2(!:;<,=>?2->7@A@;0B@<CDE8$2/+(' :/3@F(-&!0D#$*G#2HIIJ( AED !"
(!"#$%&'()*$#+,-.+$/)&0"1234,56,782$9:9;!*) <9=,56,0>?@9="-9'=9"AB-/C()*,56, 7:&?3";D*23@9:9==3&9 10
!"#$%&'#($)*+,$-&./) 0+123$*+,$-&./)4564738$9'# 10 !"#$%&'!()("*+%,$-$(./!0123#'4#.&5%6#%& 789:.;)'(4*<=.><-?11@$
AED !"#!$%&'()%*+'(),&-./,
!"#$#%& !"#$ %$&'( )*+,-.,/.- !"#$%&''#()#*+,-./0%$/#)12345264/$
!"#"$%&'!()*+,-+,.'(/01$234"5)"/67+$0',869(:;<=><?'7 (.'(.@A"#'+.@#1$+BC('!(D1EF:51'8FG.=6*!76$!"#
!"#$%&'()*+*,+"'!-%"(./0)*+123 !"##4!0,!"#!3*,+"'!)*+,+'(567123 8%9!"#*%6!:%67(;!"#<&0(*"()=567>"!:!?,@$)
!"#$%&%'()(*+'(),)*&,-)./ Cricoid !"#$%&'(%$)#&)*+,-./%,01
!"#$%#&'()*+,-%./01+(-(234&5%6#'0&&*067839:)*+,%',$9 ($)# C-A-B !"# A-B-C) !"#$%&'()!""!#"$%&'!("")(& 30 *#+,!"#"$%&'()*#+,-./012,13&+/4# 2 5-678 (9:%4;<50,=;/,.>,?48+,-(-@%=+<2#>,4+5-678!-+
!"#$%&%$&'()*%!&+,-./0)1%& 100 2$"34#5!)%6. +,7) !05%4)*!0 100 2$"34#5!)%6.
!"#$%&'()*'#+',-./#)'0.12/0-34 56%789.:#'',%&' 1 1/2 - 2 !"#$ (4-5 !".) #$%& '()*+&,'( 2 &-./ (5 !".)
!"#"$%&'()*+',-.,/$/!0-'12#!2-3456%"7895:.1";<0* ,/$/!0-',/20<'*+',+.2"#'4+=,6%*5:.7#'$+6>+',;?4=@AAB'
!"#$#%#&'"($#)'*(+)",+-./01223(4,54($&$6789:;4<);:(/4=)8*>,;>?)",+-./0
!"#"$%&'()&$*+,-./&01)&.&"02%'/*"!34"15'067%2&!"#$%&'()*+,-.,%/0

!"#$%&'()*"+,-"./01234! 56.!"#$%&#$'()*+&,-./)01$2'$01$234',-561!57&
!"#$%&'(! "#$%&'()*'+,)(-./0$1 23,,453.$'(23!3678$3(9*! )6:2)3(+,;4<3= (Agonal gasps)
!"#$%&'()*&!"#$%&'(&)*+,-'(./,*+,-$012#34+56789, 4:,$+),$;<=>/)3?&'=!-$0;$!-$0@A;3?BC-4BD) (Dispatcher)
!"#$%&'()&*+,-&./,.01-2(3456-789):-1-&;&7+<=-%749>?-0@A'()
!"#$%&'$()*+,-./0121(3456.0)+40*(+578!9,2:;)/'<*+,-./=>05?@A2B#2='"C8,
2010 (!"#$) : !"#$%&'$()*+,-./01!20 "#$%&'() (bystander) !"#$%&'()*+,-#$&-./$0123!4%

!"#$%&#$'()*+&,-./)01$234526$758$9+#:;5,2+#.<1=/5%2>?@78 ,/0%$,A"%2>?@78
!"#$%&'%()*+,-+.$/0'&1234567182*#*9%!+$:;<.=>(?@8'%()*6A12$ (BC8D/<2D$%&$%&E5>(FGH+I1+E@7)
!!"#$"%&'()*+,-./$+0#12'("345671893'!:"$!"#!$%&'()*+,-+$./ 0#"1234!567809:+;<+ 84=+7:,,>?;@&A4
!"#$%&'(#)*+,#-./01(2#345+,#67"89:;/!</6=>?(,@A(BC"8&571,80$1#<.1,80$>%D,*
!"#$%&'()*+,!-.,'/0+.12"#(3"4#"(56378
!"#$%&'()*%+,!-%./012*3%456!-%78$9:;<0#=07>?@*-AB*CD$9(682-91&2%=/(686>!-%2-91&C!E4 378! "#$%&'()*+,-./0
!"#$"%$&'(!)&'(*'+,-.!+,/0123'4"%$5 -6#7891:;$4<2$*$6=#,$&'(>(2-49?2<'@)0:A2+9+)<,$B'2C*"2,-*+D!1>0$*(89EF<
!"#$%&'()*+,!-%,.!,-/0%12345#*6,78"619:+;#3,!-4(((-<!,-!,-/0%12=)!9=<$ /+4$>,9*-;'#.8?#!@AAB, AED
!" (#$%&'()*+,&%-./01&"!"2#,) 3!"#$%&'(&%)*+$%$,-,.#/0)1023#,456$7,.8/,).9!"/,:;<-=&*+$%$,06.5>?@&1A&023
!"#$%&'()*+,-%.,/01123 AED !"#$%!&'#$%(")*+(
2005 (!"#$) : !"#$%&'(")*+*(",-./01("!"# CPR !"#$%&'()&'*+,-.)#/01,23'4*'23'456*#/783$79))1:)
!"#$%&'!()*)&+',$%-."/0123425#%67819:6)&)#*7;<!"#$%& '(#)*$+,&+-./-012&3&,4&+5678923
!"#$%&'()*+,-./01.230456(78+09&':;< (=&#'(=>#;?'@-A@-9:6891B@-9C<.4DEF+G&+CH=?64@-9IJ- CPR !"#$%&'()*+,-./
!"#$%& : !"#$%&'#($)*+,-.#"/-)#,0 120,3*#$%45#$%.#*67$)89,):+9-26.3;< =>8?>>,@A5B1C#$%DE)-FGH<IJ<D"@
!"#$%&'()!"#$%!&'()#$%*$!+',"#-./01'2342&452&1%67.829:;7&<(8*7=!$
!"#$%&'()*+,*-./01*234%5&*6-#78789:;<=2)>&?&'@0'8?&A(;&?B)C$%&'DC$EB:389F?9*
!"#$%&'()*+,&-./0+-#1123.-45*+,&-/6%789:3$43/;< 2=)!'637>&705+?@A3.<45*,&-1-0=&-B-C<7&,-23,&--C,D&
!"#$%&'()*!"+,-..+/01 !"#$%#!&'
!"#$%&'()*+,-./012345!3/67'289#:*;<=./012>"?'<@2AA$>B0*$>C0+*"D@<;<@@*E3/5CDF'@2E"A3G+3'D4<#H*/;E)5!
!"#$%&%'(")*+,-./,01234#"567'869',/(93:;<5.-#"5/91,=1>#74%?%<"%9@:;<0A8&%B%C"$?<=9#"51.D%"E*5&#5=(93!B67'8-7
!"#$%&'()*'+,)-./01234/2/567839&:;2! "#$%&'()* AHA Guidelines for CPR and ECC !"#"$.%. 2553
(!.".2010) #$%&'()**+,-*)./+01'.$23)04)+&)(567898:;<51;1;!=>*+(1,?<);@A'B23)0>C898*+,,()*D<E.D'EF?
!"##"$%&#'"()!*+,*-.*/01.2345.%.2005 637,.8,9" :-(2"
!"#$%&'()$*+$,-./0!10,234,5/3*67(.'89$:(!-7!"#$$%&'()*+,-,.
!"#$%&'()*+,-./01*2034556'789:;1<8=>?<)$@A3?BB./0C'-'<D<8)E'4"FG*"/"F9#)'<HIJ)4556' (shockable rhythm)
!"#!$%&'()*+',-%./0123422"567()++"(8)9%:;<'!=>)?,% @/:?9A)BC>D!>!@#A)EF?;.)$*A);"G='?()+9A) CPR
!"#$"%&'()!*)+,-./0,1!23!041!"567$,8/)#19:!;
!"#$%&'$()*+,-./012034)56!/78 (bystanders) !"#"$%&'(%)*+",-./,01.2345678947:/8:; 517".87":;<=>82?!/<*("$@
(Dispatcher) !"#$%&'()*+',-*./$*%$.01/2,"-*34516",0+-7'(&8'.7-'9*#9#%7:58;<-=#>'0+!"#$%&''()*+',-.'"/*01.23/ 4567#+'()*+',-.'"/ 8+0*+',-9.)!"!# "#$%&'%!()*+,-./01 2345+%456789:%$;<&8=(5,>
!"#$%&'(#)*+,#-.+-/0123456(!",789":06;24<=(>#%?*06@A (bystanders) !"#$%&%'(')*+,%-)"%.!/0123456#
!"#$%&#'()*+,-./0123245467892:6/":.;/<8=)>0%?=0@3A%<B232'<C,$DE#%
!"#$%&#$'()*+&,-./)01$23 45267028971!.:;5<$
"#$!"#$%&'#(#%)*&+,*-'./01$2(34/1$#$%5%#061*7$,89',:29;<=(>?/@=? A=;-%<35B?,:/#%C"(&+//".
!"#$%#&'()#*(+#,-.(/*(0+(12%+.3%!%456-2 &$-%7!-%*(08,!)9:;0<#%' =
!"#$%&'()*+&,-.'#)+/01+-!"'(#230,.)4"5+-62378"9 :;%.'#<'9=$"*'7.)><#?+@(*
!"#$%&'()*%+,(-.!/012/2345%67-!"#$%&'()*+,-./0123*-45*6,4+71.8'9 :;-.,'349'3"#$<&9+=>5$?/3!@

!"#$%&'(!)*+,%,)*&,-*#.)*-*#.)* CPR !""#$%&'()*%+,-.,/0 (Hand-only CPR)


!"#$%&'()*#+,-./01234+56$478!7(9#(337!4982:&

!"#$%&#$'()*+&,-./)01$2'$01$234',-561!57& (DIspatcher) !"#$%&%#'()*!+%,-.-+%/%#0+% CPR


!"#
2010 (!"#$) : !" AHA Guidelines for CPR and ECC !"#" $.%.2553 (&.%.2010) '()(&*+,-.+&#/012+3145367)
!"#$%&#$'()*+&,-./)01$23 4526#70.$8$29:%#4;$<&=&;$<1>?+#@2=.A!%6B'()!@C&@2=D$D&'/)5E@<F=E8>!4,?>$&1$27A28
!"#$%&%'()*% Hands-Only CPR !"#$%&'()*+",-./!"#$%&'()*+(,'&(-./-/0'12+340$%&5.678
!"#$%&'("!()*+,-./%.0'-1/23 )'4536*6'"7&8&940:6;<30=5)!>5*+!)?24-36+(''("@(2$('(A
!"#$%&%'()*+,'(-(./012345%67%/89$::;<=>
2005 (!"#$) : AHA Guidelines for CPR and ECC !"#" $.%. 2005 &'()*+,!"#$%&%'"(")*(#+,-(.*/0123('"!"#$%&$'()*%+$,-./0+/#%0,'./1+%22345%6'* 7%$$1#%
!"#$%& : !"#$%&'$()!*&+,)+!"#$-+().+/'.!01'-234()5)6*7/8/9:;4
!"#$%&'()*+,-./0-12/34*'5#667(89:;3,<,=>?-61/@?AB?A*#90<(,9$C, CPR !"#$%&'()*+,-./
!"#$%&#'(!"#)*+,-./012%,$%&#'(!"#34" CPR !""#$%&'()#)*+(,-$.*/!"#$%&'(#)*+,*-. +/0& Hands-Only
(compression-only) CPR !"#$%&'()*+,-./ 0)1234-&!563*(5",789:;<=>,'?>5#@3A:36,:B95,1C#+6D+E:@E"&123
!"#$%&'#($)*+,-./01$ 2,34567089:02;98<=>?5,@"+A=5%:/#$%@B$ Hands-Only CPR
!"#$%&'()*+,-./012,'34+/55607289':1;7.(<=<((;">18?.!"#$%&'($%)*+,(-.#%&/!"#0,(+*01)2'34567861&9:(($";<%&$"&'2
!"#$%&'!"#$%&'() '*+ ,-./0&123&4053&$%&61(7,89&6/9&!"#:;/4<$(#20&1=!"#8>?69'%&@/>/%&0&1!%& Hands-Only CPR
!"#$%&'()*+,-./012,'34+/55607289'0129:#9;&$#<4"<(=+(::<"#=4,:>2=,01?+"7+"<(@-&5A<!4)4A<@4"<(B#8?CD!E "#!$%&'(
!"#$% #&'(&)(*(+,-'.-/01+203+$45!&!67%1(3) 89'%:1'67;<+-%=>-<&?*@A"(;(!,!-,.-/67;"8;-7(;-,3BCD(2E=&B'.-/F
!"#$%&'()(%&*&+,%& Hands-Only CPR !"#$%&'
!"#$%&#'()*"+,-./%01$!+)!&23&456%#"768)$*92$:;9!<6#=%&>-?@);#"76;)"")+A)6@)")B (#C4& ;D&3E))

!"#!$ Cricoid (Cricoid Pressure)


2010 (!"#$) : !"#!$%&'(')*+,%-)*.*/.$ Cricoid !"#$%&'()&*+(',-./#0*01,22345652/768$
2005 (!"#$) : !"#!$ Cricoid !"#$%&'!($)*+&,-"./012344567 '89:9;&<=40*+&%(".>?8@<!)/01 3
!"#$%&$'()*+,-(+)./0&12,+234,5678',-(+78 9:;-<=()*+
!"#$%& : !"#!$ Cricoid !"#$!%&$'&()*(+(*,+-(./.$ cricoid !"#$%&'()*+',%),-./012)(1+',*2
!"#$%&"'%'(&()*&+!,-$.-$)#%/$0.,&".1-)23456' 7.81,983:;<'=>'1$.,?@A*&+"@3B+($)#3:(#
!"#"$%&'()*'+$'(,-."/0&1!"#'(,)2("3'45#678/.(/9:$08/8+;< bag-mask ventilation
!"#$%&'()*+',!"#$%$&'()$*+,!$&-./0+$0*10$!234567, %8!$&93!:$;<<#=.% 7 !$&93!:$(8>?</.$ !$&()$!7 cricoid
!"#$%&'#()*+!,*%#-$.)#/#(0!"#1+&2&#34 %(5*!"#$%&!,*%#-$.$),-#' 6784-984!"#$%&/:;*'#)<'9+'#()"#3='/#'>7?@1+&
!"#$%#!&'! ()*+#%,!+'-&./0%123-%#4536!7839:(-;<=>"/+?7:%!#%,"@,5!"#$%& '()*(+*,"-./",' cricoid
!"#$%&'()*+,-.)/012345"6"7.89,:482&

!"#$%&%'()"$#*+,-!"#!./%&",!
2010 (!"#$) : !"#!$%&'"(!)*+&,-.&/(&0123$'#-4!"#)&'&56"789:;%'<=">?6"<-@(5A"B>"!
!"#$%&'()*+,-./012!34'56&78,9:5'56&;6+<.+::6;5<&
!"#$%&'&()*+,$-./012345607849+$:/!"#$%#&!"#'()*+,-./0.'12&"!($. !3/)#45'()*+,-./0.'126%% Hands-Only
(compression-only) CPR !"#$%&'()#$%!*+,-./*0(!1*)2345%"46.)7890":3% ;3)<2,=4"%"-./>?@>3*"%?A>
!"#$%#&'($)* !"#$%#&$'(&)*+(,$ )-.,/0123414(567(8*9*7(:,&;<+()*+(!"#=>*?@A3#&$(-B 8'96C-<9!7( CPR
!"#$%&'()*+,-./#0$%&'123',!445/ AED !"#$%&'()"*+,-#./,'$0 1+2-!0345$+%*6$7$)893:8;0!"#$<=()>=,?@46A5!"#$%&'(%)&%'*+(,-("&#. #/'012'3!&%'4!'5&%'67/,89:.#;.6<+=3>.+;>.?%.@AB.4,7%)1<
!"#$%&"'()*'+(')!,*-. */0+123245-$)6(')(')!,*-.7%(8762
!"#$%&'()*+,-./!"#$%&'()*+,-.+/#0102%/34#,#"5)607"-$$89' !:%.;</=#>#%?&@# CPR !""#$%&'()*+),-.'(/01()
!"#$%&'()*+,-./0-12/.34!5*674*
2005 (!"#$) : !"#$%&'()*+,) AHA Guidelines for CPR and ECC !"#" $.%. 2005 &'()*+,-./0123, CPR
!"#!$%&'()*+,-./"0121#/,34,2/&56/ CPR !"#$%&'!"#$%&'(&!)*+,-./01%&2)*345+/67
!"#$%&'&()*(+,-+%*(+.&/0123)45).67%(*&,)
!"#$%&$'()#*+,-(-./01234561%!787&149-81)9:(501!-#-01,;<=>?@A*B7A71%)#:6&148)CDED=FG(?)#H*,:7+,?I-?)#J1J-EB=
!"# $%&'()*+,-.#/01&'234'#56&4789$/:9;$9/<=:>? healthcare providers !"#!$%$&'()* !"#$%&#$'()*+&,-./)01$2 3
!"#$%&'()(%&*&+,%& CPR !"" Hand-only !"#$%&'()*#+,-./01 234+56$478!7(9#(3:/8 89!;7!8"<8 =8 AHA
Guidelines for CPR and ECC !"#" $.%.2005 &#'()"*+,- ./'012+,-3425()6"789* :);1,92<'=-(
!"#$%&'()&)"*+',-!)-./%01 $-')231$-456,"78)4)"40!!"#$%&'%($! )(*!+,#-!.!,#/012$3 AHA Hands-Only CPR
!"#$%&'()*+,-./+01"#2"3!24$567 2008
!"#$%& : !"#$%&'()*+,-./0123(0#45#%6'%/5#%70839:;42<47,= 5#%+"# Hands-Only (compression-only) CPR
!"#"$%&'"()*+,"-./," 01234*"56*"&789:6-;!<8+."$=!"#"$%>5*?'"0626'"&"+@&$9<A&;!"#$%&'()*+,-./0&' $%&'(!1/23')
!"#$%&'()*+,-()./(&)(.01/23,4.'567%&897.:*)(.%*.;)(.<=42>?@",#"<A1;(*7(&0-74
!"#$%#&#'()(*+,-./*+/%0#1+213-(.+41'5)1+2678$-+$,!
!"#$%&'&()*+,&(-.&/(&-!0.12345367#8&7&-$9#:1'&1;<6=%
!"#$%&'()#$*+,-$./012)&*!03-$.4%5!*%!*%678.9!"#$!%& '()*+,#,-#./&0,1#-)/23,4-1

!"#$%&'"()*'+,-./%0"!#1222#3!"#!"#456+789!,83:
2010 (!"#$) : !"#$%&'(%)&%'*+(,!"#$%&#"$'()*#&+,-.+/&0+)*#)#%&12.3.45%678&#"$'("0*9(2:;"<<=/>*<3$>#?+>*<3$@:A.:)&B>#?+CD0
!"#$%&'#()(*+%,-./012%+3+/,456-%#7*%4'7+89:;05<0!"#$%!&'()*$+,-%.!+/0 .123.!+/045236
2005 (!"#$) : !"#$%&'(%)&%'*+(,- #.'/012#.%345.,67$82/%&'0!!!'9&%'&%'*+(,-:"&6:9;
!"#$%&'()*+,-.&/0123-4!56789 :5.8;,7<;$8.;'&='=>8?1< %&'<#@<%A$'"#,5&()*8#-/0123-4B+C*;B2D6(&$B69<!&4E%

!"#$%&'()&*+,)-./&00123+04'3%56!"#$%&$'()*"+,-./#0-&%123!4
!"#$%& : !"#$%&'(%)&%'*+(,-./0#1'(2%345&%'67#1%/801,94$:7$0%85%
!"#$%&'()*+,"+-.*/01+#213456'27,89:191);<9=/213+," .>1+</?10:"19?;1+</+/%?@2" A5%+</B<)!C
!"#$%"&'()*+,-./01.2-,.3#4345-6"1 785*+,9#):;<8) 94=.+>3#49#):;7-,$?@&3-? (!"#$ %&'(#)*+,-!./01)
!"#$%&'()*+,-.%/&01-.2345.6)*781/29%&(((%:92%92%;<=6>?,9)?:@ ;7&@A2)-%8B1C4D19EFFG2 AED !"
(!"#$%&'()*$#+,-.,/0102!*) 3*0()*4&567!8#$9:+7.;,<=>80?"90'?0"@A96B,CD,-1&%010"3>8/04:AE"-F*G062, 10 5H,09:
!"#$%&'(%)*+,-./0$1234.#5./67 89':!"#$%&'()!*(+,--./ AED !"#$%!&'#$%(")*+(

!"#$%&'()*+%&,&-"./01/2*34*!"#567)89:*;<*5'= >.)?5@ C-A-B %&' A-B-C


2010 (!"#$) : !"AHA Guidelines for CPR and ECC !"#" $.%. 2010
!"#"$%&'()*+,-.("/(012%*2/'"(%32243"56,7#8401'%1&7
2005 (!"#$) : !"#$%&'%()*+),#-./0!"#$%&'%()*+%,-.+/01 234567899832:;<=8>2<4%/8!+7+/.?@1>
!"#$%&#'()&*+,#-.(-/$+0!1."2345' 6*(45' /.*7'#-.(-/$ 2 8"9:; !(5%*#-0("0%.<*(30 30 8"9:;=>?7'#-.(-/$ 2
!"#$%&'()*%"+,
!"#$%& : '()*+,-./0123,/,4"&567089:8958;5<*=8>8+&2?5#.@./0 60A!ABC,#-860AD/.9EFG8>:!"#$%&'()*+)%,!&*-) 30
!"#$% &'(')*+,-./(01"23456157+ 2 !"#$% +,'81769:;;#<=>?)@A$( &B301"0?6(91C0 0D'81769E)01"F6;-4)5(-;GC?
!"#$%&'($)%*%+#,-+./,0123456.6785.,9:6;$<&=>0%?%"$@>?+:%
!"#$%&'()#*+,-./0123456"!"#!7.8("9!!298$":;<#=.
!"#$%&'(&)*+,-./012#3#22/45.!"#$%&'!()')*+,-./(/,')*'0123)4'567 ')*89':);2$<#!=>?!() ')*'0123)4'+,-6()@3)
!"#$%&'(")*+,*-!./"/!.0(-'("'+!12($' ,/34(5!26$'(7"$+8&.9::;4(<- +*-1*=1
!"#$%&#'(#)*+,#*-./0.1)"2,#*,/)3(#4,356 !"*02%/%17)(8)%+43(49:5;<=/>%4/'&"1-41,#*'&"9?@A3!+3'5B
!"#!$%&'"(!!"#"$%&$'(#)*"+,-)./)0 1/234)0(5"$6.,)7"289:0$;4&<=(8&>?,)"9&,'/@"A16
!"#$%&'()*+%*,-./()(%-#0123$%&014%1%$ +&56,'7681$&9:'()*;(%<;76<,'70)"%=>?<@A?3
!"#$%&'"($)"*+",-!"#.#/0(!"#!%1-+"2!3"("#456"7%+28!1"!(89:+*)';.1$<2 2 &- =%;5809:+*)';.1$<2&-580 1
!"#$%&'(!"#$% &!'()*+,-."/0123456$7!*+, 2 389:*#;3:<!4#2&= >5)3?@+2A/0124#2&=&4"3@B1*+,CD:*+,=)*E#F:"
!"#$%&'()*+,-./012!"345678''9!6-&4'58: 30 58#;$ 7</=>/0/&%?>)+,-./012!"34 1 56!834>&''0/&
!"#$#%&'()*!"#+,-./01*23*+456)-.!"#!67*)"8!!9:;<=">7)?@)AB-.C6)#DE!"#+,-. !"#$%%&'()*+,!*-+

!"#$%""&'(')* !"#$ %$&'( )*+,-.,/.- !!"#$""$%&%'()*+"$%,$-.#


2010 (!"#$) : !"#$ %$&'( )*+,-.,/.-
!"#$%&%%#'&#()&*+,-+./#&0102$34/#&05&67'5(+8'&#$19*:&8$*4/5&67'75;<(=8 ,>?(&#0:&8#&0@A:6B
!"#$%&'"()*+,-.'/0123#"4*256)#7)8$4$-9:;<=13#!"#$%&'()*+,)-(.)%&'%'/(01 ,2)-3$145!6
!"#$%&'()*+',-.(/%/')012*(345(064/7&!8,149#%:;) <*9!-=&>*?!&@14*/06AB3C)(/4*/06 2 D95E?
!"#$%&'()!%*#+,#$%*%-*.&/0%1*2-3 30 2-(4)5'06

2005 (!"#$) : !"#$ %$&'( )*+,-.,/.- !"#$%&'$()$*$+,-"-.!/0$+,-1,2*314&53,+678!"9:6!"#$%&'!()*+,-.


!"#$%& : !"##"$%&'()*(#"$+,-./01(23(+45678, (C-A-B sequence)
!"#$%&'(%)&*+'!,)!"!"#-./0*12&34/56708+.9)+: ;<=670%*5$>%?@+6707"'*?%*5$>!"#3'8A (BC0) 670%*5$>
!"#$%&'(&)*+,-!.)/0(1*.2) 34*54657."8"903:7."!.)/0
!"#$%&'()*+,-*.*"/#0&#12343-!+&!"#$%&'()"*+*&#,-.$"/01",20*3456'-078+9:# ;</.$*0<1=2$>?@A>40-'$+>B7! 1
!"#$%&'()*+,"-./0123*.14563-7( $%89,'-63-7( 2 +!:;*

!"#$%&%$&'()*%!& : !+,%-)*!+ 100 .$"/-#,!)%01


2010 (!"#$) : !"#"$%&'()%*%)*+,"-%&*.$%,)'/01-2$%*%)34563758(279:;<";)#3%3"2'95=; !>#
!"!"#$%&#'$#%()&*+,-.&/#$#%$0-1.#2$0.3*245%#2*6#'1.2* 100 !%47'5621#&8
2005 (!"#$) : !"#$%"&#'($%#)*(+,-'.-/0'1 100 2-+34,5(&'67
!"#$%& : !"#$%$&'()*+,*-#'-./$0#,-12,$#34'5/%2#*-#'62%789:$&;$64<
!"#$%&'(%)*+,-./'0/123456*762,80*0/6*79:2!;/<$!2=5>9>?!5( (ROSC)
!"#$%&&'()*+,-.*/0123*$%&.4%2%56'2&#778&#9%..*/8$-, :4%5+5;&1<26'2
!"#!$%&'"(!)*(&"+,+,-.+'/#01!"#!$%&&'()!*+*, -"./(&(/&*)!0(-&
!"#$%&'(')(*+,-.)#/#0("&+12*13&)4,5$,.6(#3&)356'7&83 (09:' 0;<280=>5+&.05?'6&/@$ 0;<289:(/6&/@$
!"#$%&#'$(!)%*"#'$+,-$./001! AED !"#$%&'()$*+,-.//0&(1!23) #45-67- 8&%9:8;&<=!->&8?@!=&
!"#$%$&'()*+,*-#'-./$0#,-1234#-+5)$ 42&%#46(47($89-(:;,-#6',.<2%=>123.2-%?# @AB-#'-./$0#,-123$0,C-%?#
!"#$%&'()*!%+,*-./01223$%!04% -567587!%,!-'7(%*!#/39:/;6:* <=49:/;6>242(*6!%,*52,%!%,!-'7(%*!!"#$%&'()$!*+,-.,
!"#$%&"'(&)*+)*+,%-.%&/012/'3'($45678-(5)-'0$ (%"+*)*+)-/3'*()4569:#;+<0=(
!"#$%&"'()*(+!,-%&"%)!./&$%01$23 !"#$4(5+6$+7"-%&" *-48&9!/*8&.,.:"(5+'$+%&"%)!./&$%;1$.&4<=)=+
(!"#$"%&'#()"%*+,-./0*-$/* 12"3+450',6%&)"%78#*450 2 29"#450 4)

()"*!"#$%&#'(#)*+,'%#
2010 (!"#$) : !"#$%!&'( )*+,-!&%.+*/0,1234/01(5/"%01 2 "67* (5 89":68;:+)
2005 (!"#$) : !"#$%!&'()*+,-!&%.+*/0,1234/ 1 1/2 !"# 2 $%&' (()*+,- 4-5 !"#$%!&$')
!"#$%& : !"#!$%&'"(!)*+&!"#,-".%')/0($1%/)234&)56789:;& <$4!"#)5678=2"8$>&.&?@!"!#
!"#$%"&'()*&+,-./012 23&4561.789:";<% <=<$>?:2- !"#@"/&&6-'(:"9AB&./012!"#C8<&:@?D8E3A!"#!$"%&'()"*+,!-./!"#!'%&0".!123&45)/!)0"/6."78$"9%01!:'()"*;<=;&>'0
!"#$"%$&'#()*+$!,-*./'(0+/120345# 1 ,6* 789+*:4;3<,12=>?@6-50+/12."(&A(!+$?*2(B.6/'(32<625C
!"#$!%!& "#"$%&'(!"#$! !"#$%#!&' ()"*+,-%./0-1%2%3456-&789)1:.;<.=&'/<% #%5#9>!)%"#,?#"1<%.!)"1 2 !0'/

!"#$%&'()'*+,!+--./+-+$-012- 1 1/2 3'4. 05.6789:;13"4 <3 2010 AHA Guidelines for CPR and ECC
!"#$%&%'()*+,-./01%234/01567,804#9:(,704+5'(;<*=>(<>7;%2(3>?%@A2?;B: !"#$%&'()*$"+,-./0123"422*56786!'#'86$39:

!"#$%&'"()*
2010 (!"#$) : !"#$%&$'()*+('(),-./012$34$,56!"#$64#$7($'+(8$9:;<$=+(9">!"#$
!"#$%&'()*(+,-.!'/#%!"0.123!40.-567689:;6'34:68+,-.!'/#%<67/;64=>:,%3'/=1 ?4(9*:<(%1
!"#$%&'()!*+$!,-$*./012")#$%34+56789*:93"'&1;!"#$
!"#$%&'()*"+,---+.)(+)(+/012345)!4."/6,+,--7(8(+975:7;<"*=>; ?@ABCD;<2!=6#%1E(&("!FG"1@?
!"#!$%"#&'(')*+,-)./!$%"#012'$3'456783+9,1' :;%'
!"#$%&'()*+,-.)./01,23(45'67,-&28$%&'()*+,326).%&'94:624;<6(;:. = >50(6:?()@<.AB.C
!"#$%&'()*+,-./012345"&'(647089!( "#$%$&%'()*$+% ,-*./012(34+5)"678$!29&61!+:;%&<=./01($1>?
!"#$%&'()*+,"-./0123423056+/7-3.8'9.:;<<=6>6?'&
2005 (!"#$) : !"#$%&$'()*+,-./0$12$*34!"#$42#$5($678$*9:!&;'()7)<6=>$?@<'()7A>B"%>%(= @C(:"B!"#$
!"#$%&'()*&+,-./.012345*"6/768)(.)94:;<=>?@A%>B@/6(!@ "#$%&'()*+,&-.+/01$ 23(4*5,!'6#%78*69:-;9!/1,-/3( ;<;=+
%&'()*#+
!"#$%& : !"#$%&'#("%)*+,-./0$10)234%567890:"(;<9)*+,4=>1?=0@6#$0A?$+"7)*+,4=>1?
!"#$%&'()*+,-./012+.345,678"-9"3':;'<=>345,?)*9@)*+,-"
!"#$%#&'(#)*+*,-./0!"#1#+"2./&)&30$&/45+67(8)9:3$);<0&!"#$ %&'()*&)+*%$,-./%./%$0*12340*3256078/9:%;'(%;*9<$
!"#$%"&'(!)*$"+,-( .(/01&$!2*"1&$13042567/89:5!.;#%<%=<0"'( >?@AB7>>CA@05D./>EF1G>'(D(1&"
!"#$%&%'()*%)+,-./0120345'#2&6,.037# 7#89:"1+0;/ ,%'<=,2>'&,%'?@89ABC0DE0?;5-./05E/0F%0
!"#$%&'()*+,+-.+*/01#2'&3!4 "#$%&'()*+,--.$/0)'12'
!"#$%&'()*+,-.,/#%01+23('454&678494)1:;)7<5=>,(0#495<:&?'@7A@B4C(<D>,%0

!"#$%&'()$*'()%&+$,-./01234*'5.61/.787.91&:6;(<=>.2?.:'@!3A.@?A.B1.7.CD"7E46 $,-9 FG+*1&9


!"#"$%&#'()%*'()&#+%,-./0"1234.5"#678(9:;.1<.6'=>2?.=<?.@".4.ABC4D37 %,-! "#$%&'! ((!)*+,)-.!"'!)!/-)
!"#$%$&'() 1
(+%','+
!"#$%&'(!)
!"#$%&'
!"#$
(#$"
!"#$%&'(%)$#%*+,*,-$./( (0.**1.#"%+2.)
!"#$%&%'()*,!"#$%&#'(%)*+ !"#$%&'( $)*+!"#",-%)$%&'(.,/0-12
!"#$%&'( $)*+",-.#$%&'(/01%2
!"#$
(!"#$ %&'(#)*+,-./0*1)
!"#$%&'()*+,*-.!"#$% 10 &'%"() $%(*++,*-./"#* (01"2345 HCP !"#$%&'%)
!"#$%&'#()"# CPR
C-A-B
!"#$%&%$&'()*%!&
!"#$%&'!" 100 ()*+%,#!&$-.

!"#$%&'()*'#+',-./#)'
!"#$%&'()#*+'!,-./0123*
!"#$%&'%()*+!"#!&),-".!

!"#$%&'!"()*+%,&*+%-!% !"#$%&'!"()*+%,&*+%-!%
!"#$%&'!" 2 &()* (5 +,.)
!"#$%& '"()*+ 2 ($-./" 0$'+#1 1 2
!"#$ (5 %&.)
!"#$ (4 %&.)
!"#$%&'()$*+,-./012(+,-345'6,(#7)*7'*5,0-7$*
HCP !"#$%&"'()*+#*+,-*./ 0+12+ 2 */1'
!"#$"%&'()*+)#&,-*.)/&-,-.012345#
!"#"#$%&'("()*%#+,- ."/&0&.12#304.2123"0*5# 10 *61#+,
!"#$!"#-!"#$%& ('()*+,-./0#123456!752 87- HCP () jaw thrust)

!"#$%&'(")*+
!"#$%&%$&'()*%!&#+!&%$,+
!"#$"%&
30:2
30:2 !"#$%&'()*+,-./0 1 12,15:2 !"#$%$ HCP
(!"#$%&!'()%*%+,%$-.&-(! !"#$#%&'"()*+,#$-./012 1 /312 2 45
!"#$%&'() 2 *+
)
!"#$%&'("')*
!"#$%&'()*+,-./012),3+%)45!
!"#$%"&#'($)*+,- (,.'-)%+,/
"#-.#*
1 !"#$% &'( 6-8 !"#$%& (8-10 !"#$%&'()*+,)
!"#$%&'("')*
!"#$%&'()"*)+,-.)/.01 .23+%0&.
!"#$%&'(')*'+,-.,%/012+
!"#$%&$'( 1 #)*&+,-"./0123
(HCP)
!"#$%&'()*+,-./01
!"# AED !"#$%&'()*+,-()*./(012-# 34-.45"'/61%6!"#$%&'("$#$&)*+,-.!'/&#012
!"#$%&!'(()"
!"#$%&'(;
!"#$%&'()*+(',-).+%/ 01(02 +314),"56-)7&/389"1:4

3. Healthcare Provider BLS

!"#$%&'$(&)*+,-./0-.1".23"4#,55678"!#9":!"#;/9'< (Healthcare Provider BLS)


!"#$%&'()*!+)',-./01)"2$/3456.$/78/,1
!"#$%&'()*+,-./#0*"$!/123'.!/45/,067'.'89*4!:;<,=; American Heart Association (AHA) Guidelines
for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care (ECC) !"#"$.%. 2553
(!.".2010) #$%&'())*!+%,'-%.,%'/0-12345/,6
!"#$%&'()*+,-./012/3'1045!6," %(''78(5,/0%()(9:;,(0<2) 19#%1(03'!=#%) (Agonal gasps)
!"#$%&'()*&$+,&-(./(012*3./45*12*3&)67,892:;%<=* 9'*&20*&>?#@508A(!.# "#$%#!"#$&'%()*+",*-. (Dispatcher)
!"#$%&!'()*&+,-.&/0-/12.3)4567.'89*:.2.&;<+-;.2=.-.&>?*@A%4
!"#$%&'()*+*,-.%/01(23*45(6728%853&9:*2;'<2&='8>1!?(9',#%0+3
!"#$%&#$'()*+&,-./)01$2'$01$234',-561!57& (Dispatcher)
!"#$%&'('#)*+,!-'./%/-'01234,56"78+9:;82:<;!"#$%&'()*$+,--.%/'01)2.3145(-6758$98:;+:498:<506=>?$-@$<&A
!"#$%&%'()*%+%',-./,0.12345678569%6:;; Hands-Only CPR !"#$%!&'()*+,-./0123&42!5&67/,8%",9*6:;<4"=/%
!"#$%&%'()&*"+,-./$0-1-/$)23+4567897&:;,<=7%'(#$%=90*%'#>$?$#%1(((%@#$%#$%02A,BCD#)C@-E=,)%F;,@+G!"#$
!"#$%&'()*+,- ./0%)*1+)'*)123+#4 3.56)789:;5#<=6>?.@A?'>6?*)1*1B>/9A 2%B<=6$)#C( $1D?=,*)1$)#C(2>6<=6:*>E
(!"#$ %&!'&()*+#,-(./!0123) .,4."4!56-"#5)789$:.$3-;<;5/72=>?(@A-3-;3;B<C4$ ,-3'=5#-DE4FG5(H%#,-(./
!"#$%&'&()*"!*+,-.(/0)12 ,!34567*)".*8)*"9:.!"#$%&'(&
!"#$%#&'()*+',-./0#1(2!34456748972(!2(!:;<,=>?2->7@A@;0B@<CDE8$2/+(' :/3@F(-&!0D#$*G#2HIIJ( AED !"
(!"#$%&'()*$#+,-.+$/)&0"1234,56,782$9:9;!*) <9=,56,0>?@9="-9'=9"AB-/C()*,56, 7:&?3";D*23@9:9==3&9 10
!"#$%&'#($)*+,$-&./) 0+123$*+,$-&./)4564738$9'# 10 !"#$%&'!()("*+%,$-$(./!0123#'4#.&5%6#%& 789:.;)'(4*<=.><-?11@$
AED !"#!$%&'()%*+'(),&-./,
!"#$#%& !"#$ %$&'( )*+,-.,/.- !"#$%&''#()#*+,-./0%$/#)12345264/$
!"#"$%&'!()*+,-+,.'(/01$234"5)"/67+$0',869(:;<=><?'7 (.'(.@A"#'+.@#1$+BC('!(D1EF:51'8FG.=6*!76$!"#
!"#$%&'()*+*,+"'!-%"(./0)*+123 !"##4!0,!"#!3*,+"'!)*+,+'(567123 8%9!"#*%6!:%67(;!"#<&0(*"()=567>"!:!?,@$)
!"#$%&%'()(*+'(),)*&,-)./ Cricoid !"#$%&'(%$)#&)*+,-./%,01
!"#$%#&'()*+,-%./01+(-(234&5%6#'0&&*067839:)*+,%',$9 ($)# C-A-B !"# A-B-C) !"#$%&'()!""!#"$%&'!("")(& 30 *#+,!"#"$%&'()*#+,-./012,13&+/4# 2 5-678 (9:%4;<50,=;/,.>,?48+,-(-@%=+<2#>,4+5-678!-+
!"#$%&%$&'()*%!&+,-./0)1%& 100 2$"34#5!)%6. +,7) !05%4)*!0 100 2$"34#5!)%6.
!"#$%&'()*'#+',-./#)'0.12/0-34 56%789.:#'',%&' 1 1/2 - 2 !"#$ (4-5 !".) #$%& '()*+&,'( 2 &-./ (5 !".)
!"#"$%&'()*+',-.,/$/!0-'12#!2-3456%"7895:.1";<0* ,/$/!0-',/20<'*+',+.2"#'4+=,6%*5:.7#'$+6>+',;?4=@AAB'
!"#$#%#&'"($#)'*(+)",+-./01223(4,54($&$6789:;4<);:(/4=)8*>,;>?)",+-./0
!"#"$%&'()&$*+,-./&01)&.&"02%'/*"!34"15'067%2&!"#$%&'()*+,-.,%/0

!"#$%&'()*"+,-"./01234! 56.!"#$%&#$'()*+&,-./)01$2'$01$234',-561!57&
!"#$%&'(! "#$%&'()*'+,)(-./0$1 23,,453.$'(23!3678$3(9*! )6:2)3(+,;4<3= (Agonal gasps)
!"#$%&'()*&!"#$%&'(&)*+,-'(./,*+,-$012#34+56789, 4:,$+),$;<=>/)3?&'=!-$0;$!-$0@A;3?BC-4BD) (Dispatcher)
!"#$%&'()&*+,-&./,.01-2(3456-789):-1-&;&7+<=-%749>?-0@A'()
!"#$%&'$()*+,-./0121(3456.0)+40*(+578!9,2:;)/'<*+,-./=>05?@A2B#2='"C8,
2010 (!"#$) : !"#$%&'$()*+,-./01!20 "#$%&'() (bystander) !"#$%&'()*+,-#$&-./$0123!4%

3. Healthcare Provider BLS


!"#$%&#$'()*+&,-./)01$234526$758$9+#:;5,2+#.<1=/5%2>?@78 ,/0%$,A"%2>?@78
!"#$%&'%()*+,-+.$/0'&1234567182*#*9%!+$:;<.=>(?@8'%()*6A12$ (BC8D/<2D$%&$%&E5>(FGH+I1+E@7)
!!"#$"%&'()*+,-./$+0#12'("345671893'!:"$!"#!$%&'()*+,-+$./ 0#"1234!567809:+;<+ 84=+7:,,>?;@&A4
!"#$%&'(#)*+,#-./01(2#345+,#67"89:;/!</6=>?(,@A(BC"8&571,80$1#<.1,80$>%D,*
!"#$%&'()*+,!-.,'/0+.12"#(3"4#"(56378
!"#$%&'()*%+,!-%./012*3%456!-%78$9:;<0#=07>?@*-AB*CD$9(682-91&2%=/(686>!-%2-91&C!E4 378! "#$%&'()*+,-./0
!"#$"%$&'(!)&'(*'+,-.!+,/0123'4"%$5 -6#7891:;$4<2$*$6=#,$&'(>(2-49?2<'@)0:A2+9+)<,$B'2C*"2,-*+D!1>0$*(89EF<
!"#$%&'()*+,!-%,.!,-/0%12345#*6,78"619:+;#3,!-4(((-<!,-!,-/0%12=)!9=<$ /+4$>,9*-;'#.8?#!@AAB, AED
!" (#$%&'()*+,&%-./01&"!"2#,) 3!"#$%&'(&%)*+$%$,-,.#/0)1023#,456$7,.8/,).9!"/,:;<-=&*+$%$,06.5>?@&1A&023
!"#$%&'()*+,-%.,/01123 AED !"#$%!&'#$%(")*+(
2005 (!"#$) : !"#$%&'(")*+*(",-./01("!"# CPR !"#$%&'()&'*+,-.)#/01,23'4*'23'456*#/783$79))1:)
!"#$%&'!()*)&+',$%-."/0123425#%67819:6)&)#*7;<!"#$%& '(#)*$+,&+-./-012&3&,4&+5678923
!"#$%&'()*+,-./01.230456(78+09&':;< (=&#'(=>#;?'@-A@-9:6891B@-9C<.4DEF+G&+CH=?64@-9IJ- CPR !"#$%&'()*+,-./
!"#$%& : !"#$%&'#($)*+,-.#"/-)#,0 120,3*#$%45#$%.#*67$)89,):+9-26.3;< =>8?>>,@A5B1C#$%DE)-FGH<IJ<D"@
!"#$%&'()!"#$%!&'()#$%*$!+',"#-./01'2342&452&1%67.829:;7&<(8*7=!$
!"#$%&'()*+,*-./01*234%5&*6-#78789:;<=2)>&?&'@0'8?&A(;&?B)C$%&'DC$EB:389F?9*
!"#$%&'()*+,&-./0+-#1123.-45*+,&-/6%789:3$43/;< 2=)!'637>&705+?@A3.<45*,&-1-0=&-B-C<7&,-23,&--C,D&
!"#$%&'()*!"+,-..+/01 !"#$%#!&'
!"#$%&'()*+,-./012345!3/67'289#:*;<=./012>"?'<@2AA$>B0*$>C0+*"D@<;<@@*E3/5CDF'@2E"A3G+3'D4<#H*/;E)5!
!"#$%&%'(")*+,-./,01234#"567'869',/(93:;<5.-#"5/91,=1>#74%?%<"%9@:;<0A8&%B%C"$?<=9#"51.D%"E*5&#5=(93!B67'8-7
!"#$%&'()*'+,)-./01234/2/567839&:;2! "#$%&'()* AHA Guidelines for CPR and ECC !"#"$.%. 2553
(!.".2010) #$%&'()**+,-*)./+01'.$23)04)+&)(567898:;<51;1;!=>*+(1,?<);@A'B23)0>C898*+,,()*D<E.D'EF?
!"##"$%&#'"()!*+,*-.*/01.2345.%.2005 637,.8,9" :-(2"
!"#$%&'()$*+$,-./0!10,234,5/3*67(.'89$:(!-7!"#$$%&'()*+,-,.
!"#$%&'()*+,-./01*2034556'789:;1<8=>?<)$@A3?BB./0C'-'<D<8)E'4"FG*"/"F9#)'<HIJ)4556' (shockable rhythm)
!"#!$%&'()*+',-%./0123422"567()++"(8)9%:;<'!=>)?,% @/:?9A)BC>D!>!@#A)EF?;.)$*A);"G='?()+9A) CPR
!"#$"%&'()!*)+,-./0,1!23!041!"567$,8/)#19:!;
!"#$%&'$()*+,-./012034)56!/78 (bystanders) !"#"$%&'(%)*+",-./,01.2345678947:/8:; 517".87":;<=>82?!/<*("$@
(Dispatcher) !"#$%&'()*+',-*./$*%$.01/2,"-*34516",0+-7'(&8'.7-'9*#9#%7:58;<-=#>'0+!"#$%&''()*+',-.'"/*01.23/ 4567#+'()*+',-.'"/ 8+0*+',-9.)!"!# "#$%&'%!()*+,-./01 2345+%456789:%$;<&8=(5,>
!"#$%&'(#)*+,#-.+-/0123456(!",789":06;24<=(>#%?*06@A (bystanders) !"#$%&%'(')*+,%-)"%.!/0123456#
!"#$%&#'()*+,-./0123245467892:6/":.;/<8=)>0%?=0@3A%<B232'<C,$DE#%
!"#$%&#$'()*+&,-./)01$23 45267028971!.:;5<$
"#$!"#$%&'#(#%)*&+,*-'./01$2(34/1$#$%5%#061*7$,89',:29;<=(>?/@=? A=;-%<35B?,:/#%C"(&+//".
!"#$%#&'()#*(+#,-.(/*(0+(12%+.3%!%456-2 &$-%7!-%*(08,!)9:;0<#%' =
!"#$%&'()*+&,-.'#)+/01+-!"'(#230,.)4"5+-62378"9 :;%.'#<'9=$"*'7.)><#?+@(*
!"#$%&'()*%+,(-.!/012/2345%67-!"#$%&'()*+,-./0123*-45*6,4+71.8'9 :;-.,'349'3"#$<&9+=>5$?/3!@

3. Healthcare Provider BLS


!"#$%&'(!)*+,%,)*&,-*#.)*-*#.)* CPR !""#$%&'()*%+,-.,/0 (Hand-only CPR)
!"#$%&'()*#+,-./01234+56$478!7(9#(337!4982:&

!"#$%&#$'()*+&,-./)01$2'$01$234',-561!57& (DIspatcher) !"#$%&%#'()*!+%,-.-+%/%#0+% CPR


!"#
2010 (!"#$) : !" AHA Guidelines for CPR and ECC !"#" $.%.2553 (&.%.2010) '()(&*+,-.+&#/012+3145367)
!"#$%&#$'()*+&,-./)01$23 4526#70.$8$29:%#4;$<&=&;$<1>?+#@2=.A!%6B'()!@C&@2=D$D&'/)5E@<F=E8>!4,?>$&1$27A28
!"#$%&%'()*% Hands-Only CPR !"#$%&'()*+",-./!"#$%&'()*+(,'&(-./-/0'12+340$%&5.678
!"#$%&'("!()*+,-./%.0'-1/23 )'4536*6'"7&8&940:6;<30=5)!>5*+!)?24-36+(''("@(2$('(A
!"#$%&%'()*+,'(-(./012345%67%/89$::;<=>
2005 (!"#$) : AHA Guidelines for CPR and ECC !"#" $.%. 2005 &'()*+,!"#$%&%'"(")*(#+,-(.*/0123('"!"#$%&$'()*%+$,-./0+/#%0,'./1+%22345%6'* 7%$$1#%
!"#$%& : !"#$%&'$()!*&+,)+!"#$-+().+/'.!01'-234()5)6*7/8/9:;4
!"#$%&'()*+,-./0-12/34*'5#667(89:;3,<,=>?-61/@?AB?A*#90<(,9$C, CPR !"#$%&'()*+,-./
!"#$%&#'(!"#)*+,-./012%,$%&#'(!"#34" CPR !""#$%&'()#)*+(,-$.*/!"#$%&'(#)*+,*-. +/0& Hands-Only
(compression-only) CPR !"#$%&'()*+,-./ 0)1234-&!563*(5",789:;<=>,'?>5#@3A:36,:B95,1C#+6D+E:@E"&123
!"#$%&'#($)*+,-./01$ 2,34567089:02;98<=>?5,@"+A=5%:/#$%@B$ Hands-Only CPR
!"#$%&'()*+,-./012,'34+/55607289':1;7.(<=<((;">18?.!"#$%&'($%)*+,(-.#%&/!"#0,(+*01)2'34567861&9:(($";<%&$"&'2
!"#$%&'!"#$%&'() '*+ ,-./0&123&4053&$%&61(7,89&6/9&!"#:;/4<$(#20&1=!"#8>?69'%&@/>/%&0&1!%& Hands-Only CPR
!"#$%&'()*+,-./012,'34+/55607289'0129:#9;&$#<4"<(=+(::<"#=4,:>2=,01?+"7+"<(@-&5A<!4)4A<@4"<(B#8?CD!E "#!$%&'(
!"#$% #&'(&)(*(+,-'.-/01+203+$45!&!67%1(3) 89'%:1'67;<+-%=>-<&?*@A"(;(!,!-,.-/67;"8;-7(;-,3BCD(2E=&B'.-/F
!"#$%&'()(%&*&+,%& Hands-Only CPR !"#$%&'
!"#$%&#'()*"+,-./%01$!+)!&23&456%#"768)$*92$:;9!<6#=%&>-?@);#"76;)"")+A)6@)")B (#C4& ;D&3E))

!"#!$ Cricoid (Cricoid Pressure)


2010 (!"#$) : !"#!$%&'(')*+,%-)*.*/.$ Cricoid !"#$%&'()&*+(',-./#0*01,22345652/768$
2005 (!"#$) : !"#!$ Cricoid !"#$%&'!($)*+&,-"./012344567 '89:9;&<=40*+&%(".>?8@<!)/01 3
!"#$%&$'()*+,-(+)./0&12,+234,5678',-(+78 9:;-<=()*+
!"#$%& : !"#!$ Cricoid !"#$!%&$'&()*(+(*,+-(./.$ cricoid !"#$%&'()*+',%),-./012)(1+',*2
!"#$%&"'%'(&()*&+!,-$.-$)#%/$0.,&".1-)23456' 7.81,983:;<'=>'1$.,?@A*&+"@3B+($)#3:(#
!"#"$%&'()*'+$'(,-."/0&1!"#'(,)2("3'45#678/.(/9:$08/8+;< bag-mask ventilation
!"#$%&'()*+',!"#$%$&'()$*+,!$&-./0+$0*10$!234567, %8!$&93!:$;<<#=.% 7 !$&93!:$(8>?</.$ !$&()$!7 cricoid
!"#$%&'#()*+!,*%#-$.)#/#(0!"#1+&2&#34 %(5*!"#$%&!,*%#-$.$),-#' 6784-984!"#$%&/:;*'#)<'9+'#()"#3='/#'>7?@1+&
!"#$%#!&'! ()*+#%,!+'-&./0%123-%#4536!7839:(-;<=>"/+?7:%!#%,"@,5!"#$%& '()*(+*,"-./",' cricoid
!"#$%&'()*+,-.)/012345"6"7.89,:482&

3. Healthcare Provider BLS

!"#$%&%'()"$#*+,-!"#!./%&",!
2010 (!"#$) : !"#!$%&'"(!)*+&,-.&/(&0123$'#-4!"#)&'&56"789:;%'<=">?6"<-@(5A"B>"!
!"#$%&'()*+,-./012!34'56&78,9:5'56&;6+<.+::6;5<&
!"#$%&'&()*+,$-./012345607849+$:/!"#$%#&!"#'()*+,-./0.'12&"!($. !3/)#45'()*+,-./0.'126%% Hands-Only
(compression-only) CPR !"#$%&'()#$%!*+,-./*0(!1*)2345%"46.)7890":3% ;3)<2,=4"%"-./>?@>3*"%?A>
!"#$%#&'($)* !"#$%#&$'(&)*+(,$ )-.,/0123414(567(8*9*7(:,&;<+()*+(!"#=>*?@A3#&$(-B 8'96C-<9!7( CPR
!"#$%&'()*+,-./#0$%&'123',!445/ AED !"#$%&'()"*+,-#./,'$0 1+2-!0345$+%*6$7$)893:8;0!"#$<=()>=,?@46A5!"#$%&'(%)&%'*+(,-("&#. #/'012'3!&%'4!'5&%'67/,89:.#;.6<+=3>.+;>.?%.@AB.4,7%)1<
!"#$%&"'()*'+(')!,*-. */0+123245-$)6(')(')!,*-.7%(8762
!"#$%&'()*+,-./!"#$%&'()*+,-.+/#0102%/34#,#"5)607"-$$89' !:%.;</=#>#%?&@# CPR !""#$%&'()*+),-.'(/01()
!"#$%&'()*+,-./0-12/.34!5*674*
2005 (!"#$) : !"#$%&'()*+,) AHA Guidelines for CPR and ECC !"#" $.%. 2005 &'()*+,-./0123, CPR
!"#!$%&'()*+,-./"0121#/,34,2/&56/ CPR !"#$%&'!"#$%&'(&!)*+,-./01%&2)*345+/67
!"#$%&'&()*(+,-+%*(+.&/0123)45).67%(*&,)
!"#$%&$'()#*+,-(-./01234561%!787&149-81)9:(501!-#-01,;<=>?@A*B7A71%)#:6&148)CDED=FG(?)#H*,:7+,?I-?)#J1J-EB=
!"# $%&'()*+,-.#/01&'234'#56&4789$/:9;$9/<=:>? healthcare providers !"#!$%$&'()* !"#$%&#$'()*+&,-./)01$2 3
!"#$%&'()(%&*&+,%& CPR !"" Hand-only !"#$%&'()*#+,-./01 234+56$478!7(9#(3:/8 89!;7!8"<8 =8 AHA
Guidelines for CPR and ECC !"#" $.%.2005 &#'()"*+,- ./'012+,-3425()6"789* :);1,92<'=-(
!"#$%&'()&)"*+',-!)-./%01 $-')231$-456,"78)4)"40!!"#$%&'%($! )(*!+,#-!.!,#/012$3 AHA Hands-Only CPR
!"#$%&'()*+,-./+01"#2"3!24$567 2008
!"#$%& : !"#$%&'()*+,-./0123(0#45#%6'%/5#%70839:;42<47,= 5#%+"# Hands-Only (compression-only) CPR
!"#"$%&'"()*+,"-./," 01234*"56*"&789:6-;!<8+."$=!"#"$%>5*?'"0626'"&"+@&$9<A&;!"#$%&'()*+,-./0&' $%&'(!1/23')
!"#$%&'()*+,-()./(&)(.01/23,4.'567%&897.:*)(.%*.;)(.<=42>?@",#"<A1;(*7(&0-74
!"#$%#&#'()(*+,-./*+/%0#1+213-(.+41'5)1+2678$-+$,!
!"#$%&'&()*+,&(-.&/(&-!0.12345367#8&7&-$9#:1'&1;<6=%
!"#$%&'()#$*+,-$./012)&*!03-$.4%5!*%!*%678.9!"#$!%& '()*+,#,-#./&0,1#-)/23,4-1

!"#$%&'"()*'+,-./%0"!#1222#3!"#!"#456+789!,83:
2010 (!"#$) : !"#$%&'(%)&%'*+(,!"#$%&#"$'()*#&+,-.+/&0+)*#)#%&12.3.45%678&#"$'("0*9(2:;"<<=/>*<3$>#?+>*<3$@:A.:)&B>#?+CD0
!"#$%&'#()(*+%,-./012%+3+/,456-%#7*%4'7+89:;05<0!"#$%!&'()*$+,-%.!+/0 .123.!+/045236
2005 (!"#$) : !"#$%&'(%)&%'*+(,- #.'/012#.%345.,67$82/%&'0!!!'9&%'&%'*+(,-:"&6:9;
!"#$%&'()*+,-.&/0123-4!56789 :5.8;,7<;$8.;'&='=>8?1< %&'<#@<%A$'"#,5&()*8#-/0123-4B+C*;B2D6(&$B69<!&4E%

3. Healthcare Provider BLS


!"#$%&'()&*+,)-./&00123+04'3%56!"#$%&$'()*"+,-./#0-&%123!4
!"#$%& : !"#$%&'(%)&%'*+(,-./0#1'(2%345&%'67#1%/801,94$:7$0%85%
!"#$%&'()*+,"+-.*/01+#213456'27,89:191);<9=/213+," .>1+</?10:"19?;1+</+/%?@2" A5%+</B<)!C
!"#$%"&'()*+,-./01.2-,.3#4345-6"1 785*+,9#):;<8) 94=.+>3#49#):;7-,$?@&3-? (!"#$ %&'(#)*+,-!./01)
!"#$%&'()*+,-.%/&01-.2345.6)*781/29%&(((%:92%92%;<=6>?,9)?:@ ;7&@A2)-%8B1C4D19EFFG2 AED !"
(!"#$%&'()*$#+,-.,/0102!*) 3*0()*4&567!8#$9:+7.;,<=>80?"90'?0"@A96B,CD,-1&%010"3>8/04:AE"-F*G062, 10 5H,09:
!"#$%&'(%)*+,-./0$1234.#5./67 89':!"#$%&'()!*(+,--./ AED !"#$%!&'#$%(")*+(

!"#$%&'()*+%&,&-"./01/2*34*!"#567)89:*;<*5'= >.)?5@ C-A-B %&' A-B-C


2010 (!"#$) : !"AHA Guidelines for CPR and ECC !"#" $.%. 2010
!"#"$%&'()*+,-.("/(012%*2/'"(%32243"56,7#8401'%1&7
2005 (!"#$) : !"#$%&'%()*+),#-./0!"#$%&'%()*+%,-.+/01 234567899832:;<=8>2<4%/8!+7+/.?@1>
!"#$%&#'()&*+,#-.(-/$+0!1."2345' 6*(45' /.*7'#-.(-/$ 2 8"9:; !(5%*#-0("0%.<*(30 30 8"9:;=>?7'#-.(-/$ 2
!"#$%&'()*%"+,
!"#$%& : '()*+,-./0123,/,4"&567089:8958;5<*=8>8+&2?5#.@./0 60A!ABC,#-860AD/.9EFG8>:!"#$%&'()*+)%,!&*-) 30
!"#$% &'(')*+,-./(01"23456157+ 2 !"#$% +,'81769:;;#<=>?)@A$( &B301"0?6(91C0 0D'81769E)01"F6;-4)5(-;GC?
!"#$%&'($)%*%+#,-+./,0123456.6785.,9:6;$<&=>0%?%"$@>?+:%
!"#$%&'()#*+,-./0123456"!"#!7.8("9!!298$":;<#=.
!"#$%&'(&)*+,-./012#3#22/45.!"#$%&'!()')*+,-./(/,')*'0123)4'567 ')*89':);2$<#!=>?!() ')*'0123)4'+,-6()@3)
!"#$%&'(")*+,*-!./"/!.0(-'("'+!12($' ,/34(5!26$'(7"$+8&.9::;4(<- +*-1*=1
!"#$%&#'(#)*+,#*-./0.1)"2,#*,/)3(#4,356 !"*02%/%17)(8)%+43(49:5;<=/>%4/'&"1-41,#*'&"9?@A3!+3'5B
!"#!$%&'"(!!"#"$%&$'(#)*"+,-)./)0 1/234)0(5"$6.,)7"289:0$;4&<=(8&>?,)"9&,'/@"A16
!"#$%&'()*+%*,-./()(%-#0123$%&014%1%$ +&56,'7681$&9:'()*;(%<;76<,'70)"%=>?<@A?3
!"#$%&'"($)"*+",-!"#.#/0(!"#!%1-+"2!3"("#456"7%+28!1"!(89:+*)';.1$<2 2 &- =%;5809:+*)';.1$<2&-580 1
!"#$%&'(!"#$% &!'()*+,-."/0123456$7!*+, 2 389:*#;3:<!4#2&= >5)3?@+2A/0124#2&=&4"3@B1*+,CD:*+,=)*E#F:"
!"#$%&'()*+,-./012!"345678''9!6-&4'58: 30 58#;$ 7</=>/0/&%?>)+,-./012!"34 1 56!834>&''0/&
!"#$#%&'()*!"#+,-./01*23*+456)-.!"#!67*)"8!!9:;<=">7)?@)AB-.C6)#DE!"#+,-. !"#$%%&'()*+,!*-+

!"#$%""&'(')* !"#$ %$&'( )*+,-.,/.- !!"#$""$%&%'()*+"$%,$-.#


2010 (!"#$) : !"#$ %$&'( )*+,-.,/.-
!"#$%&%%#'&#()&*+,-+./#&0102$34/#&05&67'5(+8'&#$19*:&8$*4/5&67'75;<(=8 ,>?(&#0:&8#&0@A:6B
!"#$%&'"()*+,-.'/0123#"4*256)#7)8$4$-9:;<=13#!"#$%&'()*+,)-(.)%&'%'/(01 ,2)-3$145!6
!"#$%&'()*+',-.(/%/')012*(345(064/7&!8,149#%:;) <*9!-=&>*?!&@14*/06AB3C)(/4*/06 2 D95E?
!"#$%&'()!%*#+,#$%*%-*.&/0%1*2-3 30 2-(4)5'06

3. Healthcare Provider BLS


2005 (!"#$) : !"#$ %$&'( )*+,-.,/.- !"#$%&'$()$*$+,-"-.!/0$+,-1,2*314&53,+678!"9:6!"#$%&'!()*+,-.
!"#$%& : !"##"$%&'()*(#"$+,-./01(23(+45678, (C-A-B sequence)
!"#$%&'(%)&*+'!,)!"!"#-./0*12&34/56708+.9)+: ;<=670%*5$>%?@+6707"'*?%*5$>!"#3'8A (BC0) 670%*5$>
!"#$%&'(&)*+,-!.)/0(1*.2) 34*54657."8"903:7."!.)/0
!"#$%&'()*+,-*.*"/#0&#12343-!+&!"#$%&'()"*+*&#,-.$"/01",20*3456'-078+9:# ;</.$*0<1=2$>?@A>40-'$+>B7! 1
!"#$%&'()*+,"-./0123*.14563-7( $%89,'-63-7( 2 +!:;*

!"#$%&%$&'()*%!& : !+,%-)*!+ 100 .$"/-#,!)%01


2010 (!"#$) : !"#"$%&'()%*%)*+,"-%&*.$%,)'/01-2$%*%)34563758(279:;<";)#3%3"2'95=; !>#
!"!"#$%&#'$#%()&*+,-.&/#$#%$0-1.#2$0.3*245%#2*6#'1.2* 100 !%47'5621#&8
2005 (!"#$) : !"#$%"&#'($%#)*(+,-'.-/0'1 100 2-+34,5(&'67
!"#$%& : !"#$%$&'()*+,*-#'-./$0#,-12,$#34'5/%2#*-#'62%789:$&;$64<
!"#$%&'(%)*+,-./'0/123456*762,80*0/6*79:2!;/<$!2=5>9>?!5( (ROSC)
!"#$%&&'()*+,-.*/0123*$%&.4%2%56'2&#778&#9%..*/8$-, :4%5+5;&1<26'2
!"#!$%&'"(!)*(&"+,+,-.+'/#01!"#!$%&&'()!*+*, -"./(&(/&*)!0(-&
!"#$%&'(')(*+,-.)#/#0("&+12*13&)4,5$,.6(#3&)356'7&83 (09:' 0;<280=>5+&.05?'6&/@$ 0;<289:(/6&/@$
!"#$%&#'$(!)%*"#'$+,-$./001! AED !"#$%&'()$*+,-.//0&(1!23) #45-67- 8&%9:8;&<=!->&8?@!=&
!"#$%$&'()*+,*-#'-./$0#,-1234#-+5)$ 42&%#46(47($89-(:;,-#6',.<2%=>123.2-%?# @AB-#'-./$0#,-123$0,C-%?#
!"#$%&'()*!%+,*-./01223$%!04% -567587!%,!-'7(%*!#/39:/;6:* <=49:/;6>242(*6!%,*52,%!%,!-'7(%*!!"#$%&'()$!*+,-.,
!"#$%&"'(&)*+)*+,%-.%&/012/'3'($45678-(5)-'0$ (%"+*)*+)-/3'*()4569:#;+<0=(
!"#$%&"'()*(+!,-%&"%)!./&$%01$23 !"#$4(5+6$+7"-%&" *-48&9!/*8&.,.:"(5+'$+%&"%)!./&$%;1$.&4<=)=+
(!"#$"%&'#()"%*+,-./0*-$/* 12"3+450',6%&)"%78#*450 2 29"#450 4)

()"*!"#$%&#'(#)*+,'%#
2010 (!"#$) : !"#$%!&'( )*+,-!&%.+*/0,1234/01(5/"%01 2 "67* (5 89":68;:+)
2005 (!"#$) : !"#$%!&'()*+,-!&%.+*/0,1234/ 1 1/2 !"# 2 $%&' (()*+,- 4-5 !"#$%!&$')
!"#$%& : !"#!$%&'"(!)*+&!"#,-".%')/0($1%/)234&)56789:;& <$4!"#)5678=2"8$>&.&?@!"!#
!"#$%"&'()*&+,-./012 23&4561.789:";<% <=<$>?:2- !"#@"/&&6-'(:"9AB&./012!"#C8<&:@?D8E3A!"#!$"%&'()"*+,!-./!"#!'%&0".!123&45)/!)0"/6."78$"9%01!:'()"*;<=;&>'0
!"#$"%$&'#()*+$!,-*./'(0+/120345# 1 ,6* 789+*:4;3<,12=>?@6-50+/12."(&A(!+$?*2(B.6/'(32<625C
!"#$!%!& "#"$%&'(!"#$! !"#$%#!&' ()"*+,-%./0-1%2%3456-&789)1:.;<.=&'/<% #%5#9>!)%"#,?#"1<%.!)"1 2 !0'/

3. Healthcare Provider BLS


!"#$%&'()'*+,!+--./+-+$-012- 1 1/2 3'4. 05.6789:;13"4 <3 2010 AHA Guidelines for CPR and ECC
!"#$%&%'()*+,-./01%234/01567,804#9:(,704+5'(;<*=>(<>7;%2(3>?%@A2?;B: !"#$%&'()*$"+,-./0123"422*56786!'#'86$39:

!"#$%&'"()*
2010 (!"#$) : !"#$%&$'()*+('(),-./012$34$,56!"#$64#$7($'+(8$9:;<$=+(9">!"#$
!"#$%&'()*(+,-.!'/#%!"0.123!40.-567689:;6'34:68+,-.!'/#%<67/;64=>:,%3'/=1 ?4(9*:<(%1
!"#$%&'()!*+$!,-$*./012")#$%34+56789*:93"'&1;!"#$
!"#$%&'()*"+,---+.)(+)(+/012345)!4."/6,+,--7(8(+975:7;<"*=>; ?@ABCD;<2!=6#%1E(&("!FG"1@?
!"#!$%"#&'(')*+,-)./!$%"#012'$3'456783+9,1' :;%'
!"#$%&'()*+,-.)./01,23(45'67,-&28$%&'()*+,326).%&'94:624;<6(;:. = >50(6:?()@<.AB.C
!"#$%&'()*+,-./012345"&'(647089!( "#$%$&%'()*$+% ,-*./012(34+5)"678$!29&61!+:;%&<=./01($1>?
!"#$%&'()*+,"-./0123423056+/7-3.8'9.:;<<=6>6?'&
2005 (!"#$) : !"#$%&$'()*+,-./0$12$*34!"#$42#$5($678$*9:!&;'()7)<6=>$?@<'()7A>B"%>%(= @C(:"B!"#$
!"#$%&'()*&+,-./.012345*"6/768)(.)94:;<=>?@A%>B@/6(!@ "#$%&'()*+,&-.+/01$ 23(4*5,!'6#%78*69:-;9!/1,-/3( ;<;=+
%&'()*#+
!"#$%& : !"#$%&'#("%)*+,-./0$10)234%567890:"(;<9)*+,4=>1?=0@6#$0A?$+"7)*+,4=>1?
!"#$%&'()*+,-./012+.345,678"-9"3':;'<=>345,?)*9@)*+,-"
!"#$%#&'(#)*+*,-./0!"#1#+"2./&)&30$&/45+67(8)9:3$);<0&!"#$ %&'()*&)+*%$,-./%./%$0*12340*3256078/9:%;'(%;*9<$
!"#$%"&'(!)*$"+,-( .(/01&$!2*"1&$13042567/89:5!.;#%<%=<0"'( >?@AB7>>CA@05D./>EF1G>'(D(1&"
!"#$%&%'()*%)+,-./0120345'#2&6,.037# 7#89:"1+0;/ ,%'<=,2>'&,%'?@89ABC0DE0?;5-./05E/0F%0
!"#$%&'()*+,+-.+*/01#2'&3!4 "#$%&'()*+,--.$/0)'12'
!"#$%&'()*+,-.,/#%01+23('454&678494)1:;)7<5=>,(0#495<:&?'@7A@B4C(<D>,%0

!"#$%&'()$*'()%&+$,-./01234*'5.61/.787.91&:6;(<=>.2?.:'@!3A.@?A.B1.7.CD"7E46 $,-9 FG+*1&9


!"#"$%&#'()%*'()&#+%,-./0"1234.5"#678(9:;.1<.6'=>2?.=<?.@".4.ABC4D37 %,-! "#$%&'! ((!)*+,)-.!"'!)!/-)
!"#$%$&'() 1
(+%','+
!"#$%&'(!)
!"#$%&'
!"#$
(#$"
!"#$%&'(%)$#%*+,*,-$./( (0.**1.#"%+2.)
!"#$%&%'()*,!"#$%&#'(%)*+ !"#$%&'( $)*+!"#",-%)$%&'(.,/0-12
!"#$%&'( $)*+",-.#$%&'(/01%2
!"#$
(!"#$ %&'(#)*+,-./0*1)
!"#$%&'()*+,*-.!"#$% 10 &'%"() $%(*++,*-./"#* (01"2345 HCP !"#$%&'%)
!"#$%&'#()"# CPR
C-A-B
!"#$%&%$&'()*%!&
!"#$%&'!" 100 ()*+%,#!&$-.

3. Healthcare Provider BLS

!"#$%&'()*'#+',-./#)'
!"#$%&'()#*+'!,-./0123*
!"#$%&'%()*+!"#!&),-".!

!"#$%&'!"()*+%,&*+%-!% !"#$%&'!"()*+%,&*+%-!%
!"#$%&'!" 2 &()* (5 +,.)
!"#$%& '"()*+ 2 ($-./" 0$'+#1 1 2
!"#$ (5 %&.)
!"#$ (4 %&.)
!"#$%&'()$*+,-./012(+,-345'6,(#7)*7'*5,0-7$*
HCP !"#$%&"'()*+#*+,-*./ 0+12+ 2 */1'
!"#$"%&'()*+)#&,-*.)/&-,-.012345#
!"#"#$%&'("()*%#+,- ."/&0&.12#304.2123"0*5# 10 *61#+,
!"#$!"#-!"#$%& ('()*+,-./0#123456!752 87- HCP () jaw thrust)

!"#$%&'(")*+
!"#$%&%$&'()*%!&#+!&%$,+
!"#$"%&
30:2
30:2 !"#$%&'()*+,-./0 1 12,15:2 !"#$%$ HCP
(!"#$%&!'()%*%+,%$-.&-(! !"#$#%&'"()*+,#$-./012 1 /312 2 45
!"#$%&'() 2 *+
)
!"#$%&'("')*
!"#$%&'()*+,-./012),3+%)45!
!"#$%"&#'($)*+,- (,.'-)%+,/
"#-.#*
1 !"#$% &'( 6-8 !"#$%& (8-10 !"#$%&'()*+,)
!"#$%&'("')*
!"#$%&'()"*)+,-.)/.01 .23+%0&.
!"#$%&'(')*'+,-.,%/012+
!"#$%&$'( 1 #)*&+,-"./0123
(HCP)
!"#$%&'()*+,-./01
!"# AED !"#$%&'()*+,-()*./(012-# 34-.45"'/61%6!"#$%&'("$#$&)*+,-.!'/&#012
!"#$%&!'(()"
!"#$%&'(;
!"#$%&'()*+(',-).+%/ 01(02 +314),"56-)7&/389"1:4

4. Electrical Therapies

!"##$!%"&'()*++," (Electrical Therapies)


!" #"$%&'(&) CPR !" 2010 #$%&'!'()*!+$,-.*/0,12345167+418%()3+(%9&.:$,*/;,#*<;#=>?.#&*%$,-@%()%&'
defibrillation, cardioversion !"#$%&'(#)*$&)+,-./012345.2 67*5#%+8/ pacing !"#$%&'(#)* bradycardia
!"#$%&'()*+,-./01+2!"#$%&'&()%*()+),)-./&0/1 CPR 2005 !"#$%&!'()*+(!,-.,/.(01+( defibrillation
!"#$%&'()&*' (early defibrillation) !"#$%& CPR !"#$%&'()*+$,
!"#$%!&'(&)**+,-.$/+01231.$456786&9:,5+:4*5,;<!=6( #><?2:@=

!"#$!"#$%&'&()*&+!"#$%&'()*+%&,-'(./"012

!"##$% AED !"#$!%&'()*'+!"#$%&$ '()$*+(%&$,-..&/01)234!51#6-7-.89


!"#$%&'()'*+" AED !"#$%&'()(*
AED !"#"$%&'(&)*+,-."$-/+( %("/#0#1 defibrillator
!"#$%&#' ()*# CPR !"#$%$&'()*+,-.+%/-,0123($
!"#$%&'()*+ 1 +',-. /0$12%,2%&'()*+ 3 +',-.3"4%,565 VF
!"#$%&'()**"+,--."/*012 30145!)5!"!"!#$%&'()&*#++,-.-/,!01233!#4+5627"
!"#$%& electrode
!"# defibrillation !"#$%&'()*+,-./ cardioconverter !"#$ defibrillator
+($,- synchronized cardioversion

Automated External Defibrillators (AED)


!"#$%& AED !"#$%&''())*+&,-./
2010 (!"#$%&'("#)!#*+',-&): !"#"$%&'( CPR !"#$%&'%(!)*+ AED !"#$%&'()*+,-./
!"#$%!"&$'(%)*+,-)*..%/012&34%56789:2;<=2,><;?/!38--%)(.5";*@*A ,-B-2C*5)*. CPR 2010
!"#$#%&'&()*+,-./)01231"4# %5'*6,#)& AED !"#$%&'(')*+#$%,$-./'&0&$%123+0/450678/')*9:;<=>?16@?!3618507<"
(!"#$%&", %'(")#!&!" #$%"&'())**+%,-.*%/) 012()3450*6789:!/;"<#=.#>7 AHA !"#$%&%'()*+,-.(/0"12"3# 4(#$5%
!"#$%&' ()*+,-.&'/0##123*22#43(560789#+8:; +5-.&<=%+#:>#4351?;4@9AB45&0C4DEC&+;-.&D
2005 (!"#$%&'): !"#"$%&'(&) CPR 2005 !"#$%&'(")*++,- 4 .#/ 0120%&3'#4567$&6 AED
!"#$%&''(!!"#$%&'(()*+,!&-.+/-0)12'34 !56
!"#$%&'(%)*+,-+!"#.")/0( /1234!56%-17.)8(6"
!"#$%&'()#*+,-./01/20/)3&456%&'37860/1(0$90:01;97<
!"#$%!&'"(#)*+,-./012(3456)78!"# CPR !"#$%&'() AED
!"#$%&'()*+(!,-#.--!"#/012345!$467

!"#$%&#'()*'(+(,-./0%&#-)1(&230,(./0$

4. Electrical Therapies

!"#"!$ "#$%&'()*+,)-./&0.12*$&13453#6, AED !"#$%&#'%()*+!,!"#$%& AED !"#$%&'()(*

2010 (!"#!$# %#&'()*#+, 2005): !"#$%&'(")*+,-.&/'0&-,1 !2%-34&'56'&78&/0& AED !"#$%#&'()*+","-./%


!"#$%&'()*+*,-./* defibrillation !"#$%&' (<=3 ()*+ ,-./01#23'4,5"678)
!"#$%&'()*&+!, "#$"#$%&'()*+,-*./!01234/!/56!7/89(:%:;/<=>,<6?@-'!%*A(7-* >8BC012D2CE1#FC7/G0A'"4/
defibrillation !"#$%&'&()*"+,-&"-.&-/'012(34*#5*(&6/7#26489:;<*%=+0>6? @ABC#-&"3DE))"/7#2"!"#$""%&'()*+,-./012/3145
!"#$%& AED !"#$%& '()*+,#$%&-.'&

2010 (!"#$): !"+($ defibrillation !"#$%&'( 1-8 !"#$%&'( AED


!"#$%&'()*+,-&./$#.0112.314*35567899:6;<6).31(=>? @#6AB ,'%658.?>C6A@#6)6? AED
!"#$%&'()("*+,,-*.,/0.1123'44526728*.,9:;< <;62(2*=$%& AED !""#$%&'$()*+ ,(-*./0$&/ (1$23 <1 45)
!"#"$%&'()*+%,-%&.( defibrillator !"#$%&%'(!) "#$%&'%()* AED !"#$"%&''(%)'*+),,-./0-1%)'2345 1%67 AED
!"#$%"& #"!'(")*+
2005 (!"#$): !"#$%&'()*+,#-. 1-8 !" #$%&'()*+,-./(01&% AED !"#$"%&''(%)'*+),,-./001-23-4%)'56785(9.:).6)';%8
!"#$%&' AED !"#$%"& '(")!*!+,--,$. ,/0)!*!+1/2.%"&34+564789"1$2-."$:;( AED !"#$%&'()&*(+, < 1 -.
!"#$%&: !"#"$%&'"()*#+,)-..+/012+3$1456 3$1!6&7)8/9+:32+ defibrillation !"#$"%&&'()*+,-&)*+,./)*+,'0'12)3'
defibrillation !"# $%&'()*+",- ./01&(-234+15&6" .758/)99&:;:&" > 4 J/kg (!"#$%&'(& 9 J/kg)
!"#"$%&$'()*+,-./0/+123& 45'!-(.672589:!"#$%&'()*+,-./0.1&2 3!$4(%()567"&'89)$'/):-;&9<=
!"#$%&'($)*(+,-./01(,/23 AED !"#$"%&'()*+,,'&-./&%0',12, 3$4#/3!"567+68+9:20;<95 =(5>$.$":*%0',3-"5,!"#?+(3@&

!"#$%&'!(&) *#+& CPR !"#$


2010 (!"#!$#%&'(#)*&+ CPR 2005): !"#$%&'()*+,!-.#%/012345367+1-5+89-,:!"#$%%&'()*+,-.-/
(witnessed sudden cardiac arrest) !"#$% AED !"#$%&'()*+,%-./*01"2 3#/4$+"*5.6!0+78*()98:;7-7( CPR !"#$%&
AED !"#$%&'()*+,-$(./()*01(2/3-# +2/"%455,67/8%(/98/%:;(<=!>?%9;</5/7 8&6'%$%@*A(2/8/% CPR !"#$%& AED
!"#$ defibrillator !"#$%&'()*+,-$(.!"#$%&"'!()*+,-.+)#/012. 3'!4.&.'!.#56#785.+9:$;<.2=<.>.?@*6#1!A +AB$6 CPR !"#
defibrillation !"#$%&'()&*' +("),-$./01$'.23453 AED !"#$ defibrillator
!"#!$#!%$&'()*+,-#./'0"1'!2"034567%58*09:;1% !%<=>*)*+,-#./'0"1'!2"03456#%<&?%"%#@)*+,-#$&'05";A?2BC.:9 !"#5=D!+ "#$
CPR !"#$%& 1 ! 3 !"#$ %&'!(!)*+,&"-.),/0'1/2-+,*%")3.4!5'-+2,(/678%")(94 AED !"#$ ECG
!"#$%!&'()*+,- defibrillation !"#$#%&'()"*+,-.$/01 2 23456378 9$".:;<&=># CPR !"#$%&'()*+,-./012344'56"1"7(89:04;
defibrillator
!"#$%&' (#)*$&)+,!"#$%&'()(*+,-"./.0 12324!0567.(%-4",-894:;<=5$='.( !>?8"?("5(6.> CPR !"#$!%&'(%
defibrillation !"#$%&'()*$+',",-./$*01%2*#-(34 VF !"#$%&'()*+),#$-./00$'1)2$#34506$7#8" 3 ",&9 2:%06$&;,

4. Electrical Therapies

CPR !"#$%&'()*+%,-./0)1&2 defibrillator


!"#$%&: !"#$%!&'( VF !"#$!%&'('!!"#$ 2-3 !"#$ %&'"()!*+,-./0112)345(6"7,,%84)1! 9&2:&.;;"!
!"#!$%&'"(!)*+,-./%'01234($53*63788"&9:231;.8!3'"02&4;(%7-/) <=>82:?&!"#26@>0A(!"B#7!C" VF !"##"$%&"
defibrillation !"#$%&&%'()* ROSC !"#$%$&'($)*'+!', CPR 2005 !" 2 #$%&'#($ )"*+,-+.#/,$#$%)0$ CPR 1
. 3 !"#$%&'!%"()*'+ ,!(-./&"0#$1 EMS !"#$%&'('()%*' 4-5
!"#$!%&!'()*+,-."/."00-12$3)45-6789:;3<=%3>?=<@1'49! -<A"6B0.C4"+ >!-$. 2 ."0DE.F"GHH randomized
controlled trial !"#$%&'("%)%* CPR !"#$ defibrillation
!"#$%&'()&'*+,-.&/+0)12)34561401)78-19:1;<'-!""#$%&'()*+,##-.!-/",01!2!3 4#-.!-4&516,7&-!"8+-9!:22
retrospective !"# 1 #$%&'#($)"*+,-.$/0123-4 VF !"#$%&'()*++,%-./012324 !"#5'6.73%2.!82 CPR !"#!$
!"#$%&'()*+,-./-./%0112%03$44"56"#,7$#$%48$ defibrillation !"#!$
!"#$%&' 1 '#()* +,-./!(/!"#$%&' 3 '#()*!"#$%&

!" #$%&'( 2010 )* 2 +,-./+0,1*23'-*4531*45+,-#678 1 8-9:&+95+,-#678 3


!"#$%&'()#*+*),""#)-,.,/01#/+2134(5&6*2,) VF !"#$%&#'"()*+,&-+ 2 #"./0#1"2345" #".67*8
!"#$%&'()*+,-&$./0123455674 8#$9,4:4554&0;<%%&'()8&5*37-&$=>%643=?4@&;A
!"#$%&'(#$)*+",,)-./!"#$%&'()*+,-&./0.12.3#4 5*,6)* CPR !"#$%&$'()%*+,- defibrillation
!"#$%&'()*%+,-!./#001"# 2/345!6#/#78$#*9#*"1/0:;0#*<'=5>?!@:A1.20B4,10:;C=2@B,$#00#*D,E'0'D!(#50
!"#$%&%'()*+,'(-(./012,34&2.56# $4&7819+:;-(.,'( CPR !"#!$
!"#$% (waveform) !"#$#%&'("&))*+
2010(!"# $%&'()*+%&,-./ 2005): !"#$%&'())(*+,)-(./01234&53#)6*178(9(&9:1;<0=:( )(*;>#?@"=8 biphasic
waveform !"#$"%&&'()*+,)*-.,)/' 01234+5'67/'6'1893:;<7- 200 J monophasic waveform !"#!$%&'()*++"),*
VF !"#"$%&'()*+ ,-./"$)0'( /1'(2!-)34(5 1*2!5'5$6#/7-897:(,-*;-!"#$%&#''()*+,-./(!0/01(.2#$3(24567"89:
biphasic waveform !"#$%&"' &()*#%+,-./0-1 waveform !"#$%$ &'()'*+,-. ROSC !"#
!"##$%&'()*$$!+"!,#-./"0"1 213-+"!42*5!"#6723(8+2/5%4*9:
!" #$%&'&()*+*& biphasic defibrillator !"#$#%&'&()*+, monophasic defibrillator !"# waveform !"#$%&'("#
biphasic defibrillator !"#!$%&'(&)'*!+,-'.-'/&"!012!3.-45678649.
!"#$%&'(#()*+,-.,)$/-0)$/.,1230435+678(89:$; <%&8%=8>?&@A,7BC,1<%/6D%&&+8"+(0)EFGCFD3"!818H+ (120 I,JK 200
J) !"#$%&'(#)(*+,)-.,//#0'1234"3.5670*08# 9:"9;"(*+,)-.,//#0<4/<=+!"+($,- defibrillation
!"#$%" defibrillation !"#$

2010(!"#$%&'("#) *+,-.+('/'.+!012): !"#$%&'()*+,-"./" 01+.234.556"789*:;61<;"./").5=;>;8?%@<0A&


!"#$"%&'()!*+#,"-%.,/0123/0$+/&&456-74893 :+28*&893874;1/0,41<74 defibrillation !"#$%&'()* +,-./01&22/)345/!"#$%!"!#$%&'()'*+,-.//0( 2-4 J/kg !"#$%&'()*+,-*%.+/01+ 02)&'("30+/4+!/3$5-(67(8, 2 J/kg !"#$%&'()*+,-)./0 4
J/kg !"#$%&'())%*+,-.(/$ ($0120$%3$!&415*,,$"67,#8.$"9+:;4 <-.:/.=#2" 10 J/kg
!"#$"%&'()*'++,-./+.0&1234564-7/64!89
2005(!"#$): !"#$%&'$(()*+!,-./0*12)3!"#$%!&'% defibrillation !"#$%&'(#%) *+,-./)01232#4,-567 monophasic
!"#$ biphasic !"# 2 J/kg !"#$%&'($)*+ 4 J/kg !"#$%&'()*+,

4. Electrical Therapies

!"#$%&: !"##$%&'(&)*+,+-./0+1234-()405'6783!2-9(':!2);<7:'='<736-9(>6&%8=?&% 42&))7'5'678@<7


defibrillation !"#$%&'()*+ ,-.%/)&'01&22#3 2 J/kg !"# monophasic waveform !"#"$%&'() VF !"# 18%50% !"#$%&%'(")*+,-./0'12.3'12*)20#4)25")66,-3'7896*:&,-'; %'*,00,16,-<:,%8=,.0>?@-*,03=, defibrillation
!"#$%&'()**+, 9 J/kg !"#$%&%'()*+,-./'#- 012-#3-4+5-6,76,78169,.:;2%.4;%<=5=,/4
!"#$% &'()#*+,-./0!"#$$%&
2010(!"# $%&'()*+%&,-./ 2005): !"#$%&%'()*+,-.+/01,"2,34"256"##078'9:1%03+%;7<0,=>*??,"@#A,<
!"#$%&'()*+ , -. /01234 biphasic waveform !"#$"%$!&'()*"+,-$./01/2(345$67889:"$
!"#$%&'$(()*+,-./0.*1)!/2344!$5(67389:;(4<!=+,>%=+7) ?!@3AB(1<7)1)!/234.*4!$%5 /$+

!"#$%&'( Electrode
2010(!"#$%&'("#) *+,!-./): !"#$%&'()*+,-*%.+/-01 234.+/&'(56+7/8( -9+2':*) anteroposterior
!"#$%&'()*+,'-#.*(/0*' 1-2'()*+,'-#345' 6 (anteroposrerior, anterior-left infrascapular !"# anteriorright infrascapular) !"#!$%&'()&"$*+#",-!"!#$%!#&'#!()#*+,-./01%2 345,)!#!67 defibrillation !"#$%&' 4
!"#$%&'(
2005(!"#$): %&'()*+!,-./0*12#"3%)4 AED electrode !"#"$%&'(&)*+$,-./0"12%3#"4) sternal-apical !"#$%!&
(anterior-lateral) !"#$%&'"()'*+) (sternal) !"#$%&'()"*#+,-&#+*./+ !*$0+1"*23 superior-anterior
(infraclavicular) !"#!$%& apical electrode !"#$%&'()*+,&)*(-)*. /')+.01!"#$2*3'(14 inferior-lateral
!"#$%&'("#)$*+,-./* 0 12/!#3#%4(567689:;.- (5612/68#*<8#,$*8#-91&=, 2 <8#, (biaxillary) !"#$%&'(!)*+ apical
!"#$%&'()&*+)&, "-./0"123*4*56'%0647-'()&*.!"#$% &'()*+$,-./#
!"#$%&: !"#$%&'($)*+,-'(".(/01)2 342*(0)- electrode !"#$ 4 %&'()*+$ ,-./012!324'56!+'6!-7,8"*9*8'//"8:'!"#$
atrial !"# ventricular arrhythmia !"#$%&'()*+,-*%.+/0%1 23)45*56.+/!786$,19:+;1<1:+2+.7= 2005 2+.!>?5
!"#$%&%'()*+,(-).'/0*#1%234"56!"#$%&'(!)*!%+(' electrode !"#$%&'()&*+,-.#/0&+1)& defibrillation
!"#$%&&'()*+,!"#$%" defibrillation !"#$%&'()*+,-+ implantable cardioverter-defibrillator
2010(!"#$): !"#$%&'( anterior-posterior !"# anterior-lateral !"#$%&'()$*+,-./'0'12,&'3456$785"9:;,-.0implantable cardioconverter-defibrillator !"#$ pacemaker !"#$%&'()* electrode !"#$%&"'&( paddle
!"#$%&'()*+,-)&'() defibrillation !"#$% &$'()*)#%+,#&-./%01% electrode
!"#$%&'#()*+,-./(01(12345678&'9:(1#;/<.)=>?;@3A>#
2005(!"#$): !"#$%&'()*($+'& electrode !"#$%&!' "#$%#&'()&*+,-./01$'23"4567893:);82'2"#$5:'2 1 5<=8 (2.5
!"#$%!&$')
!"#$%&: !"#$%&%"#'()*)+!,#)-./(-0*%)#1234%1,*#5/6)
!"#$%&'(")*$&"+,)-./0)-'(+123*$&"+,).4&.1567891:;<0)-=>/7.?%@AB5$C?#9D$. 0)- +123'&11&:0E& defibrillation
!"#$%&'"()*+,!-./-01234-567 8+-%!"#$%&'$()*+$,-$&!./& cardioversion
!"#$%&'"()*+,'(%)-%./01.234*+,56)!"#789:;1<8= 8 >?"#@>A#2BA(C()9D#(/.%2*$%)%"E/)/01.234"7F" G C7HH%3
(spike) !"# pacemaker !"#$%&'()) unipolar pacing !"#$%&'(&"$)*"+"(,!+ AED !"#$%&'()*#(#+,-+./01

4. Electrical Therapies

!"#$%&'VF !"#$%&'()*+,#$( -./!!"#$%"&'($%")#'*+,-./012)345 &45 !"#6789+/: electrode !"#$%&' paddle


!"#$%&'"()*+,-'.%/0.1234561789*+,:;)!"#2<=>?6@<A BCAD.(*$%!'?1%7 defibrillation !"#$%

+($,- Synchronized cardioversion


Supraventricular tachycardia
2010(!"#$): !"#$%&'$(()* biphasic !"#$!"#$%"&'(#)*+# cardioversion !"#$%&'()*+,-. atrial fibrillation
!"#$%&'($) #*+ 120-200 J !"# 200 J !"#$%" monophasic !"#$%&'(#)* atrial flutter !"# supraventricular
tachycardia !"#$ % !&'()*+,-..&$$*!/012& 34/5$6$7&()*89:#;<*$=># 50-100 J !"#$ monophasic /*0 biphasic
!"#$%# cardioversion !"#$%&"'()*(+,-. /0,1234)2.#%%567896$ 1:;6.<5+#=
2005(!"#$): !"#$$%&'()*&+&,%-&.%/',% cardioversion !"#$%&'()*+*,- atrial fibrillation !"# 100-200 J
!"#$%&' biphasic cardioversion !"#$%%&'()*)+, -./01,2%/%&3)45"678&$-9/(1:'9!";$4,"!"#$%&#''()
!"##"$%&'()*&+,()-.+/01-#"$23" elective cardioversion !" atrial fibrillation !"#$%& rectilinear !"#
truncated exponential waveform !"#"$%&'(&)(*+,--%"./0123("451 100-120 J
!"#$%&'%#(&')"&**+,-./,0+123+145+6$7, 8.9*1:;<=+>$%#>'23+1>5+6%?4 80-85%
!"#!"#$#%&'(#$#)%*+,-./012-34-#%5(# biphasic cardioversion !"#$%&' tachyarrhythmia !"#$%&'" (
!"#$%&: !"#$%&'()*+( biphasic cardioversion !"#$%!&'( 2005 )*+,-./01+23'40567%'4$34817.96
!"#$%&'$()*#"+")*&"*,&'$-./$$*"012!34!"5*60)* cardioversion !"#$%&'#($)%*+,-.,/$01!" waveform
!""#$%& ' ()%*+,*-.%/()% biphasic cardioversion !"#$%&' atrial fibrillation !"#"$%&'())$"!"*+,) 120-200
J !"#$%&'()*+ waveform !"#$%&'()
Ventricular tachycardia
2010(!"#$): stable monomorphic VT !"#$%!&'()*+,"*-./)(* monophasic !"#$ biphasic waveform
synchronized cardioversion !"#$%&''()*+,#-./) 100 J !"#$%&$'"()*+,#-./011-2345-,
!"#$%&'()*+,-./0)12*+-3*##45 60%078394):"9;4<=4>)*+94))*9;48?@(AB'C593D%057E
!"#$%&%"#'()*#'#+*,-./)0123.45%!"#$%&%"#
!"#$%&%'()*+),+ synchronized cardioversion !"#$%&'()* VF !"#$%&'()%*+),-./012(0(,34,5'67 QRS wave
!"#$%&'()*+,-./0).)123456-7, VT !"#$%&%"'"()* +,- polymorphic VT (polymorphic VT)
!"#$%&'()*+,-./01&*234+5( synchronized cardioversion !"#$%&$'&()*'+,-!.. unsynchronized
!"#$%&'(()*+*)!,-( (./0 defibrillation dose)
2005(!"#$): !"#"$%&'()*+,-$./-0,-1203+4+5*6+*7-&'//*+60/ biphasic cardioversion !"#$%&'
monomorphic VT !"#$%"&'( polymorphic VT !"#$%& stable !"#$%&%"#'%() 2005 $%&%"#'*+',+-#.,/0! $11
unsynchronized
!"#$%&: !"#"$%&'(&) CPR 2010 !"#$%&'()!*+$,-.-+$/-$0'1233$-/43 biphasic cardioversion !"#$%&'
monomorphic VT !"#$%"&'($)*+,&,-./)01(23)45/)+67,8,$)**9$:) polymorphic VT
!"#$!%&'()*+,-./0('1*(231'4%!5.$ 678,-./0('9&:;<# stable

4. Electrical Therapies

Fibrillation waveform analysis to predict outcome


2010(!"#$%&'()*+%&,-./ 2005): !"#$%&'#"()* waveform !"# VF !"#$%&'()*+,-./0 defibrillation
!"#!$"%&'(')*+,'-"./0!

Pacing
2010(!"# $%&'()*+%&,-./ 2005): !"#$%& pacing !"#$%&%'()*+,'()%-./0123*42)5*3.678+%$99 asystole
!"#$%&'() symptomatic bradycardia !"#$"%"&'( )*+%,-./0123'456-(/7(".$789 transcutaneous pacing
!"#$%&'()*+,-./0123"140/1)5 657!3/ pacing !"#$%&'(%)&''*" (transvenous pacing) !"#$%&'()*#+(,!"#$%&'!()*+%, -'"."/01" transcutaneous pacing !"#!$%&'

CPR Techniques and Devices

!"#$%#&'( CPR !"#$%&'()*+,-. CPR


!"#$%&"'$()*+,-$(./)*!0&123
!" #$%%&'(" )*+*,-&#./01.2/3+45 CPR !"#$%$&'($')*+,),-&., CPR !"#$#%&'()*+,)!"#$%"&%'()&%'*+,-*.,/0123"4%""5&6'71-%8%9
!"#$%&%'()*+,-.(/01234'05&6789:0%;(+<=+<,,(35'6:>21,#7#7<6?<+@<6#AB62? A7)!"#$%%&'()*+,-.-/
!"#"$%&'(&) CPR 2010 !"#$%&'&()(*+'&(,-'.&$/01'2"3-4565789:;<=:1>&!9#?<#9

!"#$%#&'( CPR
!"#$%&'($)*(*($)+,-(.(/01234325- 6 -3407-23!89(44(:.;( CPR !"#$%&'
!"#$%!"&$'()&'*+!,#%-./$0(!,/123!4#1%!2#$%54)6789*3:*);982;/8&< !"#$%!"&$'=%:*>:*))!"#$%&' ()*$+,(-$+,./,.0*-10
CPR !"#$%&'()!% *+,-%.*/01"-'2 !345)"678"-$-,- )"69:);34# <0=4>()6?@#"))$1"
!"#$%&'()'*+,-./-012-34-"56*78-39:3 $;<4"56*!=8-3>: $-?&8@A139/13;3 ".//4-"(!=*@>A3B=!CDE$0FG'<H@A
!"#$%&'()*+,-+,..*/012&345.#6#-785 9:,40:)/6;<=",+.>1!' "#$%&'($)*'+(,-./012(3"4 5/67#-891,:;(<$(1
2010(!"#$): !"#$%&'()*+,-./ (precordial thump) !"#$%&'()*+(!,*)-./0%""123456)7879:;<=>?>;#$%68/*@"
!"#$%&'#(')*+),#'-./0123,45+26"- unstable VT !"# VT !"#$%&%"'"()* !"#%"+,*-./-,%0122,3'"(456&
!"#$%&'()*+,-. !/0!"#"$ defibrillator !"#!$#%&'()#*+'*, -./(0/123*4&!"#5&3 CPR !"#$%&'()*+,)-',%))$./
2005(!"#$): !"#"$%&'()*)&'+#,)-).')$/
!"#$%&: !"#$%%$&'$()*$#$%+,-.(/$0#1$!$%2345"6&( VT !"#$%&'()'*+,)-' ./0$%)'*+,)-'1%'"$230)40'56) 2
!"#$%!&" !"#'()*+,"-!./012/32+45!2)!!"#$%&'!'(#!")*$+,(-.+$/01)12+034.56278,- VF
!"#$%&'((')*'+,'-#!.(&/01+2'&&'(.345+0'1& 678+ &(#9:&5+0'1&5;&, &(#9:&<=967>?1, stroke
!"#$%&'()*+,-(./'0*1)23,-4+1,562!57$.87'2*-9+!"#3:)'(;< 2=+0&+2>8 +&5$6?(2)&=+0@7AB<C/5$%&'()+&5 CPR
!"#$%&'()*+,)-',%))$./

!"!"#$% CPR
!" #$%&'()&*+,-./0,1-2,+34%,)5678,.9:;+3#$%4;<- CPR !!"#$%&$'(')'*+, -'./(,012+#34'5!,"$1-.4!67"1890):/$';<
(!"#$%&$'() *+,-'&$."*/01)23)345!#67) 3"-8."9/:!"# CPR !"#$%"&'$ ()*#(+,-%.$/0
!"#$"%$&'()*+,-./0123#4+56!(5"7895:;8<(1=895>)(1?@85AB$"%$=98*!" #$%&!'()*+,-(.-/012,!/)*+)(0"3*!)
!"#$%&'()*+,,-%
!"# $%& impedance threshold device !"#$%&'(&)*+%'%,&'(-.)!/,01!)234-45!36
!"#$%&&'()*+,-./&#0#123/./456.789:*;72+.<70=(>-6//'$?&@A0%B%" !-9CD9>A,;D$%&&'()*+,-./&#0#0%+
!"#$%&'#($)"*+,-. multicenter, prospective, randomized controlled trial !"#$%&!'$%& load-distributing
band CPR (Autopulse) !"#!$%&'$ CPR !"#$%&'()*+",-#$./#(0.$1!23"))'45678$9:9;8:#<9 496(="'1,46>?)@A
!"#"$%&'()*+",-./,01023'&%&''045$6*37/ 4 52+68"1 9:;"$%&'<=>/326,01';??@';A&BB$+9C#%6#&
!"#!$%&'#()*+,-"*.+/012(/%1(%3'45/*)267*895:!!86/*)267*890;<=>)2 ?@$5,$A9*+,BCD=*+,%1E%8<#'F5*,BC

CPR Techniques and Devices

!"#$%&'(")*+,-./0.1#23+4)5$" 6789,7%:;<=>?=5$"$%3'?@A#7B2%>=2)/%C;,-7?D-7E7@#+6FG=#7)E*@+9H7%:67&IG
!"#$%&'()$
!"#$%%$&'$()*+",-*$#-*$&./'#$%012/34#%56178& CPR !"#$%&'(
!"#$"%$&'#()*+,&-*.-/01/$23-$4-*.56789-4:;<4-* CPR !"#$#%&'()*% (+,-. /.012#-34)30*0#5#%.%567$809)
!"#$% &'()!'($*+),-!.(*!/', 0'12&3!)456-1.47849,".:+.;5 <=+>/-?(),-@A)B3%? C45C,?
!"#$%$&'()*+,-./0+1-.(2'3+4256(78349: CPR !"#$%&'(

5 ACLS.doc

ADVANCED CARDIOVASCULAR LIFE SUPPORT !"#$%&'$(&)*+,-./012.304256%


!"#$%&'()*!+)',- ./0 1)"2$/3456.$/78/,1
!"#$%&'()*+%&,-'(./"0123*+*4-",!"#564)5'47891:*.;,3*<;=3>26 %? 0.@. 2010 %#A!BCD%E=4)
!"#"$%&'()*+%,&-( Quantitative waveform capnography !"#$%&'"&("!"#$%&'()'*%#+,- $./
!"#$%&'(&)*(+,-./)"0%12)345) CPR
!"#$%&'()*+,-.+/-'0123*45()*6*456*789:&,9:3;<3)9=8,).(-,);2'&
!"#$%&'()*+',,*!))-.&/0&0123+456*+'-.&78+9:3+7(;<,6*+'=>81=?8@A,1>+69?B'#:@CD@E+F
!"#$%&'()&$*+,*-,&./01/&'(2&%34&5(.6.%047&'&,70859:;<
!"#$%&'!"#$%&'()*+,-./01+2'324-567,8.98:*%&'(%;'.<=;#-;)*+>.=?.@:!
!"#$%#!&'()*+,-./01",23(+!#%435!5$6)(32%78-9:3(#;)<=%=&#%4>?;.3&(!@"*.;0"A>A-."*B;-3?40">=2
!"#$%&%'()*+),+ Atropine !"#$%%&#'$ PEA !"# Asystole !"#$%!&'
!"#$%&'(#%%&()#*+,-./0 Bradycardia !"#$"%&'!"#$%&'((!)*+,-./012. #3%34!5.6+7*89! chronotropic drug
!"#$#"%&'$()"*(+)" *,-.)/0&%&'*(+)0$.12'3.0&44506& .)0*$.+)7&00&4389 pacing
Adenosine !"#"$%&'()*(+,-"./0+*12,304#5/$4!67861"9 72:.&;<"$&'(=9>?+'-@,@6;6AB2, 304<"$$2<C" undifferentiated
regular monomorphic wide-complex tachycardia
!"#$%&'()*+,-#&./01#%,2-3.)45"67+8,0%9*-*+,-#:(0;"+6<;0=>&:&);>? >6@-?;4AB#199 /01C@?D@>,-##%,2-:46%?(>3.)45"6>-,-#(<%,
!"#$%&'()*%+#,*-./-0121-3-)3(-45,$647)$891:-,7;-< physiology !"# neurology !"#$%&'()* +,-#./!"#$%&'!"#$!%!""&%'!()*+%!",*-,./0.1234/5 (Therapeutic hypothermia) !"#$

!"#$%&%"#'"#()*+,#)-./ Capnography
2010 (!"#$) : !"#"$%&'(&)(*+,-./0 Capnography !"#$ Quantitative waveform
!"#$%&#!'()*!%+(,-./01"23*+4#2#!5$"+6&7!89#1%'17$23*:8.;<=>$;9#1"931?& @8">;A3,-./!0 "#$%&'()*+,- .&/&01*+)*2)#3456 (1)
!"#!$#%&'()#*+,*-)'!./ (2) .01234'%56%'7(89:;9275#<=>?'@A'; CPR !"#$%&#!'()*!% (3)
!"#$$%&#'()*+,-#./0%&1(12/("3405#2.65078939+58:;0+#4"7831' <9.=%>:41962> ?@+/("9*A'( end tidal carbon dioxide (PETCO2)
(!"#$%&'()*+, 3)

5 ACLS.doc

2005 (!"#$) : !"#"$%&'(&)(*+,-./01,2334567%8 CO2 !"#$%&"'(!))#&*+)(,-)./#*012*3!!45#"*(6787)&"'(!9:-"&$);)"&"*


(esophageal detector device) !"#$%&'(&)(*+,-.(/01/%.,&23 3,4 AHA guideline !" #.$. 2005 %&'()*+,-%./0.-1#2PETCO2 !"#$%&'()*+,-.,/#'.+01&2,34!!"#$%&!'(& noninvasive !"#$%&' cardiac output !"#$%&'()*+,-./ CPR !"#
!"#$%& : !"#$%& waveform capnography !"#$%&#!'()*!%
!"#$%&'()*$)+$,-./0$123140.)56%1.4)715$08498:;43(<!=*<4>*4?9@:.A3(<BC95$DEF$(G /8F
!"#"$%&'()*+"$,-./-0"1023"4&54./2460&789":370/1;!< "#$%&'$(&)#*++,#-*
!"#$%&'('#)'*+,-"*(.)/012*3*456$'7)")89#:;<4&/<'/='>7)!('%?3%&()/8, !>%$@/=?A"%"*012*8B3*4"*(.=$C)'D0)"'%):9<4&5<&:3*/E:3%)
!"#$%&'(&)*+,-./01234#5-64&57$-.#89:;(&)7<=.;'><?"@;8,:;>&#AB >)=;,:;>&#AB@#CD72<-.#',-. 6=;E:48)F>4:&8(&)76!"#$%&'(&)*'+,-&
!"#$%&'(%)&%'*+(,-./0120&%'3/*$'4&5%#6'#7,84)9&:&%'2%,1;<7)./0=>6,#6!#/?@=&4!&%'3/ capnographic waveform
!"#$%&$'()*+!*&,'-+.&),*
!"##"$%&'()*+,-.)(/&012345+,(6*'+7)#(5)&'01#8"9 carbon dioxide !"#$$%&'(')"&*'+,- (.',*/0'&'12,3/ capnography
!"#$%&'(!)*+,-(!./01*210)3405(6073'8'5*690:%7;<=&>59?2=2=59 @-A05B#% 30)0'C2<&'(3*6D*40":%7@0'@2E+=0%@
!"#$%&'()*+,-./01.234563-6"78439:"'.5;<'")+090&'+= (ROSC) !"#$%&'()*+ ,-&,.%/#-(,0123&4560768-9)*+:91;<9(
(!"#$#%&'()*+&%),-&&./+0%12.)34'567890,:$!"#$ %&'#()*+,&&-./0#$123456!"%7'#) (/89:5) PETCO2 !"#$ %$&'(" cardiac output
!"#$%&'()*+,+# -./" $%&'()*0123145.4+67358-+9)1*:9+/",8,&9"#;+&)4+678'-6)<=-*>,9?&:@AB5 C535.D0B5<-&EF5 PETCO2 !"#$%&'()*+,-+
!"#$%&'%()"*+$, -./0$1,234,5($'(6).,$7861/59"1624!"!#$%& (ROSC) !"#$%&'(&' PETCO2 !"#$%&'()*+#,-./0'

!"#$%&'()&*+,-./0-1/&)2.$,('$,345678,10'4.+09:;# !<= !"#>?@&56@.8A&B@8)&@


2010 (!"#$) : !"#$%&'()&*+,-./0-1/&)2(3#45675*$,('$,869+*:;&< =>?4+<+,7:2?+9@;?6.+02A3# !BC:D&E<*+,=>?F/+<4G+F(H2I6*+,JG+
CPR !"#!"#$%&'()*+),!- ./0"%&'1234567 1!&14895!21*$0:;1<52" , =41!&&31691!&14895!21>859527*$0(?4 @='
!"#$%"#&'($)*+,-'!)'./0#&1)$%$2345 36$/)$3#7 $)*+,-'+#-289:73;<(':(%5=3$)**:$>)0#&?-*4@A*:B$)*B*2!)*$)*0C)()36',)(%5=3*DBB
!"#$%&%'()*+,-.*/(012.,$%&34)567131(0&!"#$%&%'&()*!+,-.%#(/01234.5)6784 89:;21<3/0 %3. 4
(!"#$%&' 4)

5 ACLS.doc

2005 (!"#$) : !"#$%&'()&*+,-./0-1/&)23&4567$8 9.:. 2005


!"#$%&'()*+,-./01234#567894:319//:1;9<:4=9)>59?89>:@!&19/"A56",5*=
!"#$%& : !"#$%%&#'$($)*+&)!,+-./"&0" #$%12)-13)456&0"789:3;/3,*<3%!"#!$%!&!""!'()*+(,*-./01$231$#!$40$5'6"4789*+"!':;!
CPR !"#$%&'()*+,-.,/$0 1023!10,3&4!5$+5$)5678&$&'5$)9:61;'"<162!=9=>1!% (ROSC)
!"#$%& '.(. 2005 !)*+#$!)*,"-.,/-01234$+567$289$34$:5!;,<=#-")>?@AB)!)* CPR !"#$%&'()*+,-./01/2'3"*43*%(3$56#7
!"#$%&'()*+,!"#$%&'%('#))%'*#+,-./+0-/1234#2'#)567'899:# (defibrillation) , !"##$!%"&'())" *+,
!"#$%&'()!#*+%,-./012#3445"67/89:".$; 7%,9!"#<'/5,':".$;
!"#$%&'()*(+,-.//*!!0/1*+234#+53#678*"9:;/:*#<="35)=45>.(?@A,+%B723+C1 D767%E :.C. 2005
!"#$%&'()*+,-.&/0,+12,/)3')!"#$$%"&#'()*+#*,-./-01%"+#*2%345*67#27684'9./:;"#<$;32-69=>3?3- *%.*@(; "#$,A# CPR
!"#$%&'()*+,-.,/$0 ( 12345# 5$)52673$!5-'89:549*;)<=;0'"%0! , (9#!">63-)=%!5?"$"59@A>63+B269@%C$55$)524D#9*E)@F% ,
!"#$%%&#'(#$%#")(*$+#,)*(*+-./012" , 3!4 )!/#5!/0-6#$%78'-!"#$%&"'(')*%+"(,-* )
!"#!$%&'()#(*+,-./*012(*++)(3*4."/(*+5647%6 58*-+)#09:';<#)=<(*+>%"/>?"<=@AB:5$C 'D !.E.2010
!"#!$"%&'()*+,-.+)"/&!-0*!!1#230!4"! 4+5 CPR !"#$%&'()*+,*-./0)12$.+,(+$)2$.345167"845%#$%9.1.-,#7$ ,
!"#!$%#&'($)&*+,'-.#*/0123$4 oxygen !!"#$%&'!$&( )*+,'-./01#,,213#405!1#,67(1899:#%;<=(;'>0(-"$6'? )*+.@>A+%4'!512@
!"#$%&'(%)&%'*+(,-(./012&%''3&4%#5'(6%&%'7'89:;< #2<1% *$8 '3&4%=;/)(./>%?97@<=%91A"&%'9=.,B.5;AC7+'2>:D&3<E25,
!"#$%"&'()*+,-,&./)012"32*4/5"50,2067&(*789-202::&;<8=3-8.2(!>
!"#$%&"'()*&%+)(,-./01(2-*34.56$7/"&%&""$8(,-./09:;<-79$$%0&%="<4*&>&?=8*@,56,%&"@A&<&9B$<"1>>C"1D&@@,5C%/.E8)

!"#$%&'(%#)*+,-.#/01,-&0, / ,234/56 , 7% 8!94%//)4:%;<1=&>?(%.3@A,01AB


!"#$%&'()&*+,-./0-1/&)2(3#45675*$,('8$91:0#;<=82=+;>6.+0*/.+8?&@ 8#=#8AB+!"#$$%"&#'()*!+,-.//%012'()3(456789#:%; <=)>:?@"#$'9#
CPR !"#$%&'()*+,-.,/$0 12* 3456$))768$9:"6$);<!6=>>?$3@AB5(CD" VF , pulseless VT !"#$%&''(%)&*+,$-*($./01%"
!"#$%&'"(")%*+,-*.+, /*0!"#1+,(2+%"'$34564'5)/4047"$%&89:;5<:+'=2
!"#"$%&'(#)*+,-./0&+1)+!"#$%&'()*'%++,'-%!$./'%+01&'2334%

!"#$%&'()*+,-"./012010 (!"#$) : !"#$%&%'()*+),+ Atropine !"#$%&'(#%%&()# PEA / Asystole !"#$%!&' ()*&+,-!+./ Atropine
!!"#$"%&'()*+,-*"$./012/31*-4,5'678%9:1;/0'",' "$..,"<$ PEA / Asystole
!"#"$%&'()*+",*!"-.%/0%1!2"!"#$%&#'()*+,-*.,#&/%012345$$6+(278
!"#$%&'()*+#%%&+,# Tachycardia !"#$"%"&'()*+,-./(01/(2345+36789:;< $".7(=<><?745+4%+ Adenosine
!"#$%&'()(*+*,-.)/012.3456789:() tachycardia !"#$"%&''()*"+,-./012 31456778(9,:50;; regular monomorphic widecomplex tachycardia !"# ($%&'()*+),-./012/314567-8.%9+:#(8;0*<=>"?,) @#AB1..=1%'67-B%;BCA !D0B1.(/# Adenosine !"#$%'(& )*+
irregular wide complex tachycardia !"#$%&$'()$*+,-./01-0%!234 VF !"#
!"#$%&'()*+#%%&+,# Bradycardia !"#$%!&'()*+,*-./.012345./6*7506%.1892:''.;6*7#<3=/>< !"#$%&%'()*#)+#,(-./01
Chronotropic drug !"#$%&'(')!*+#$*,+#-#& .,+$/012'33425'(')$*,+2+62(')1+2$!1,+7'22'3 pacing.
2005 (!"#$) : !"#"$%&'(&)( Atropine !"#$"%&'()*'+,-./01.20'*3)4"567!"$68%901 Asystole !"#$ slow PEA !"# $%&'(')*'
Tachycardia !"#!$!%!&'!"#!$# Adenosine !"#$%&' tachycardia !"#$% regular naroow-complex reentry supraventricular

5 ACLS.doc

tachycardia !"#$%&'% ()$*+&,-.% Bradycardia !"#$%&'"!()*+ Chronotropic drug !"#$%&!'(#)'*(##+%


!"#"$%&'(&)('*+,-%./0123(456789(7% Atropine !"#$%&'()*+,- ./0123041!"#$%&'(#)*+, pacing !"#$%"&'(&
!"#$%& : !"#$%&'()*+,-*.!/0,12$3/04"0*252)*46$-*..7-8*9:'/;(2 arrhythmias !"#$%&#'"()"*+%,(,#-(./!!01&( 2134"#"5-67
Atropine !" Asystole / PEA !"#$%&'()*+%,%-./012314453617!8 !9:;#$<=(->)?20@17$9A'! Atropine
!!"#$"%$&"!"#!$%&'%()*+,-*.!"/01#/21*!"#$%#!&'()*+&,-)#.%!/,+01&230*40% Adenosine !"#"$%&'(&)*"$+$,-#.) /.0).1234 56, $3*7" Tachycardia !"#$"%&''()*"+,-./
!"# $"%&'(()*+,-&!.. regular monomorphic wide-complex !"#$%&'()*$"+,%-*.!"#/*"0 -1&1#$(2)345*674!889'-::
regular !"#$%&'% ()$*+&,-.% Bradycardia !"#$%&'" Chronotropic drug !"#$%&'()*(+,-)."/)0123.43,%56# external
transcutaneous pacing)

!"#$%&'(')*!"#+,-.+/-01
2010 (!"#$) : !"#$%&'(')*!"#+,-.+/-01 2%!&.!33!4"5678()-5#9:3*;(4,;<&<-6=0>)10!"#+,-.+/-01 AHA '.(.2010
!"#$%&'()*+,-./01234562375$6'(,898,,6":%&7(;6/<=>+?&# @A'/B899A'C$8$%98,D@A2&%#E2A46"D">26/
!"#$%&'()$*&'(+,-./0123'456-)-" 3%67*'8(%19&:;+-'%<!"9"(4+-'=/*6=;*>.?;@:;+-'?A-4-2BCD2'#))06/-47'0)7"E: ,
!"#$%&$'()%'*%+$'#$%,-$'$./01234567%8#9$:5+;<&=6>>>5!"#$#!%&'()(#*#+,-#-./
!"#$%&'()!*+$&,*-./0#123+&41%&506789:&,9;<,9=* (>":8,?)83+&4 3 )

!"#$!"#$%&'( 3
!"#$%&'()*+,)-.+"/01*2.'345676"*2.'89!:8;!<#
1. !"#$%&'()*+,-./01.2.34%2%(5)(671.859:;-./<+=!(;)3!=#%><>,%)'.2!+:.67:?.)+=52@.-AB,CD()-=5E:.:;-./<+=!(;)3!=#%>>,()F3!%2
2. !"#$%&'()*(+,$&-./0.&12)345(63(7/+&&89:*#12)345(59;<0 +,$& =,/>(*:*#?@%A@B7;(8*>!"#$#%%&'()$*+!","-.()$/012/3145
3. !"#$%&'()'*%+,-./) Acute coronary syndrome !"#$%&'!()*&"'%+,-+./($#012+0$&3"4*5&678
4. !"#!$%&$'()*%+,(-.(%/01%.234&5678/7/59:/;/<=&;50##>501/9,(-1/%/5?@AB<C6"DE5. !"#$%&'()*+*,&$-./0123%45 multiple organ dysfunction !"#$%&'("!"#$$%&'!()*+,-."/0 excessive ventilation )*+ hyperoxia

(!"#$%&'$()*+ 3)
!"##$!%"&'#(#)!*+,(-.'/!"#-0123$45#)++ cardiopulmonary !"# neurology !"##$!%"&'()!"#*(+*,-.,/012-3
(Therapeutic hypothermia) !"#$%&'()*"+,-".+,*/!"# (percutaneous coronary interventions, PCIs) !"#!
!"#$%&'()*+(,-.+/012,3 (+0&4'56*('76(84/$ Acute coronary syndrome) !"#$%#!&' #%()*#+*,-./01.2"+3!451678+9183$9+:0;<1!
!"#$%&'()&*+,-&.&%!$/012'334-567# (EEG) !"#$%&'()(*+*,-.)/0123(,45678'%)9
!"#$%&'()*+!, "#$%&%'!&()*"+,'-.+"/01)12+034"2,456-#373)%6(829:!5#,
2005 (!"#$) : !"#$%&'(')*+"!!"#,-./,0.123$145%!#.46/%-789:!"#,-./,0.12;)<8=%*=>"(#)9?%@7(A-2"4&8.BC19)21!"#,-./,0.12BD E.F.
2005 !"##$!%"&'()!"#*(+*,-.,/012-3 (Therapeutic hypothermia)
!"#$%&'()(*+,-#!"#!$%&#'()*+,-.)!/-*01/23$435678*292:;99<+,=+%&#>-?$>-@0326AB;:CD:E,$FGGH2-.)!/;63>'I$;99 VF !"#$%&'%
!"#$%#!&' ()*+!,!-%./0 (1) 123(#%45-%*%!6"*4,77 hemodynamic , respiratory , !"# neurology (2)
!"#$%&'()*+,%-%.$/0123$*456$7089:;6(-%<%)=)*+,%>8" (3) /?!"#$!%&'()*%$+,#-.&/0%1234-5678)1,#99:,;# &-<#/=9,>"#$
!"#$%&'()*+'#,+'-'.'/01'#2'3#456789)349:

5 ACLS.doc

!"#$%& : !"#$%&'( ).*. 2005 +,&%-*.&/%0##1+2342+5"6782%9 2 9%!6:$"8;,<='>!0## concurrent control !"#


!"#$%&'(&)*+,-'."/012)344 historical control !"#$%&#'$(!"#$%&'(#) *)+,-) therapeutic hypothermia
!"#$%&'()*+,-.+)/+(01!"2345)6768 (in-hospital cardiac arrest) !"# $%&'()*+(,-(./01234536789,2:2" (out-of-hospital cardiac
arrest) !"#$%&#'())*+,-./0123456' PEA / Asystole !"#! $%&'()*+,-./!0()1.2/3!4"!
!"#$%&!"##'(!"#$%&'()#*+(,-"#$./0*.1023'!!!&$4#"#$5%*6+6#7#02.#.18 98:;<./0*6=,!6=>="#$?@#-#=7<-$A!!
hemodynamic , neurology !"# $%&'()'*+,+-%.)"/0+1 (&(+234$%&'()'*+5*6789+/ therapeutic hypothermia) !"#$%&'%
!"#$%&'()*+,-./0123405#6&,7!819:;;)28<5).21=>?8 @:?A'8BC)DE%!"#$%&'()*+,(!-.%/01,2314356$+1#7.
!"#$%&'(%)*+(,-./"012"2343(56/7#8029:;%+2<=><233-<?2@AB%C7#8,D3A@/"09%AB@.+2<")D>2,:E++-,
!"#$%#&'()$%*&+,-!.,/'*.#&0(12*34#0%56789$/"+&*&++$,4107":(*./;;)&(<,)9&*=>2(

!"#$%&'()*+),-$,./01-234$567789:9'&(.;!""8:<;
!"#$!"#$%&'()*+),&-'-.&$/+&+&.01-2&34))*+56789'+/+&$!:;<==*/>;567?.9?@1)&$<A13B'+$=9.567?.9$=*C.&DE7-!A1F#$D*'2=*G.6$&!?2=H'6+-H
!"#$%$&'#( )*+,-./0,1-$2(,!+-34+35678+',9$:0;565<+3(=>?@2(%A+A>,-..2,1-$&3@ therapeutic hypothermia
!"#$%$&'%()*'+%,&-./0"%1234506!"#$%&'() therapeutic hypothermia
!"#$%&'()*+,"--.,/"0)1(23",,"-4-56(7'02&8&79)(":-;"'1!!607( <=>,"-4-56(7'02&8 neuroelectrophysiology
!"#$%&'&()&*%+$%,-%+&#../&#0%-12(32-45 3 2362)#.*+746(*%89:/;(,<=*=4$%&'>.02>+!"#=4?,%$&@AB&C-45<=*D4$E'%=
!"#$%&#'"()&*!"#$%&'$()*+,%#$!$-.-/01230+456+7$!-89:"";+<9&$=-/,,.-/>$&?$1%2<@0A21
!"#$%&'"%"()*+"%",-./0"1(234(5,*67.89:0;<=$>.(?@1"((?1A">.:0 therapeutic hypothermia !"#
!"#$%&#&#$'()#*+#,-../&%&#)*01233/%415678$9:65#;*<==,*<>#5'(2?@,A"&567&/;8$9*?@>B)C/"+3/;)3/=$#$6)!"#$%&'()*&%+,-&./*.0
!"#$%& '()*+",-./,.%0.01#$213-!%4-50650678590&":31';",<'!"< 506;":06=0>1?@10>6A4:B053@50663590!C4'*A,4!"#$%&'()*+,-./01234.5'16789:;<=-#134>?'?71'0@23$-7#*$3AB"@";$B.)2?,CD-06E'";-#D-'?0(?4"0(-4.B#,'.#F8.
!"#$%%&'(" )*+,-./,0(1#23+4/!"#$%"$&'(&)*+,#)"+-#./!012!345,*6*47&89-:;<=>?@!A"%029B2/)C9"0C#
!"#$%&'(%)&%'*+(,-./0120&%''3&4%5%6120#7%*8987%&3!#'5!#'3:;5)./0<=:,>'?@5)&%'!'A6%#5:3,:95,B%)>2C%9DC
!"#$%&'()*+,-./0123+4$53678/9,#:;1+05*+0),</='>;)(

!"#$%&"#'"(#)*+,-."/012/123!4"5 oxygen !"#$%%&#'$()&*+$#,-#$%.()/0-1"/)234.45/3*


!"#$%&'()'&'*+,'+-'./%0.12-3/4 oxyhemoglobin
2010 (!"#$) : !"#$%&'()*+,-.'"#/0&01'&23!"4-1.54"67838*47$9"*-:-2;<&'&2=2-%9">=?8=&0-#8:@&:-&07?A0=#-B7$
oxyhemoglobin !"#$%&'(#)*+,%-."$")/,0"12345./"567"8"95:;5 !"#$%&'&#(#)*'&##)'+&,-.'&#/01 oxygen
!"#$%"$&"#'()#!*&+', oxyhemoglobin !"#$%&'()*+),+'-./'01,'+22,*+%34-56*+217 94% !"#$8& Fraction of inspired O2 (FIO2)
!"#$%&'()* +,-'#./&0+/&'$12345 Hyperoxia !"#$%&'()*+,-./0.1"2345*26/0 oxygen !"#$%&'(%)
2005 (!"#$) : !"#"$%&'"()*+,-.,/0$12)#,34562,7879:2,7;#3<=,<>* (weaning)
!"#$%& : !"#$%&%&'#()*&#+,(-!.&!"&'/01'2(" oxyhemoglobin !"#$%&'()* 94% - 99% !"#$"%&'(")$*+,!-.&/01,234$55647$"%&+%
!"#$%&'(%!)*)(%&%++,&-%./0 ACLS task force of the international consensus on CPR and ECC !" #.$. 2010 2,3
!"#$%&'(')*+$,-./'.,01)#%123)4!"5/"/6.5/73.%,.898$:*8;2,.8*#(.0<8;42%=(7#*.#>!&?@ 5A(!.,,.8BC,D.+(.EF?5
!"#$%!&'()*+',-"./012034 Hyperoxia !"#$%%&#'$()*+,-./0#1&2/$/0#$%3415-0."51678579 :8.5/6;7-&8<=$7>;/?&-@79#A$B oxygen !"#
100% !"#$%"&'()*+" PaO2 !"#$%&' 80 ()' 500 **.+!,-./0 1)'*2*3456&78"86&1&9:;0<=2>?$=&@-AB' ACLS !"# PALS
!"#$#%&'()*%+,-./01#/23#4#5/67/ 8!+9:#%#+;<=;#&8"#8!#&(<>&;6!?(@ oxyhemoglobin !"#$%&'$%()*+ oxygen
!"#$%&$'()**+(,) -./$0&12)13)456#47+35/82!"# 94% 9:!; "#$%&"'&()* 100%

5 ACLS.doc

!"#$%&'%"()*+,-#.)/-0)1+23456789:;.7<=
2010 (!"#$) : !"#$%&'()*+*'(),+)*-.(/0(11203(4(-+&50&(%6789:-#6.:$6;8/<=),!>?*"#!@3!>?* 15 AB(*0(1CD >1+08E<;-F
!"#!$% , anaphylaxis , !"#$%!&'()*+,$,!-./*"0/12234 , 1#567.(89*.:;/ electrolyte !"!# "#$%&$'()*'+%,-./' ,
!"#$%!&'()*+,%-..-/0(+/"12-/345 , !"#$%!&'()*+,678).78&#),98:;%-..-/1-()%<1 , accidental hypothermia !"#$%&'()*+,-./)(0 12.
!"#$%&'"(')"* (morbid obesity) , !"#$%&'()%*+,+-,./01213+, (pulmonary embolism) , !"#$%&'(&)*+,"!-./0+*10'2*!"#$%!
(avalanche) , !"#$%&'(&)*+#,-)."/!"#%)0-1)23 PCI , !"#$%&#'()*+,-,.&/ (cardiac tamponade) ,
!"#$%&'()*+),-.&#/,0%1$%&20%.34/3,56 (cardiac surgery)
2005 (!"#$) : !" 10 #$%&'%()*
!"#$%& :
!"#$%&#'(%)*+',-"./0",1"234567.1"21"22&18"%2971"2:;"%&501"2-<!"#$%!"&'()*&+,-'(&./-#0&1-2#3+4!05-67-+8(9:;(0!<=%>
!"#$%&'()*+,)*-.*/01'()*234 25.*6.789:;0<.*#)=(6+>?=<><@!*(6
!"#$%&'()!*'+%&%,-"&.%/0!1$233456781/9$6%#:;<)9:=,($3:'($3/0>(&%,,1&.%?@%$A233BCD
!"##$!%"&'()"'!"#*+,-"./"0.12''34,567389$!:"';2<'=>"6,-"!$?
)!"#$%&'()$*+,&-./0123&"&124255647282409":;<*=>?@%=2)A>?->+5"#B4259C'&D<2&&6E&F
!"#$%&'"()*+,#-./#012(),//")3,4567&89&()":;0+<!%4)='>,#.!"#<-!?@'4A%:
!"#$%&'()*+,-./"0&123'-"14'56#/'+6//&7789&7&00:7;&+&/<*8!&.=981="86+(7+64,81

!
!

"#$%&!'()(*+),!-,*.)(/&0!

ACUTE CORONARY SYNDROMES


!"#$%&'()*+,"))"-./+012!"#$%&'()'*$+!,$-.,#$-!/012$345+6/'7,/8

!"#$%&'()*+*,-.*/-0"1$*2345.$*6723!809,:
!"#$%&'%(#)")*+,-!./01!.2%#/$345')0*%''%(6708,"!"#$%&'()'*$+!,$-.,#$-!/012$345+6/'7,/8 (ACS)
!"#$%&'($)$%&)$*+ !"#$%&'()*+,%-!,.&(//0&1(2)3&0--456(&/7(8&(/9"7:;!"#$%&'()*+,-.+&/012!"#3(*14(
!"#$!"#!$#%&'!"#$ ACS !"#$%&%'(!"#$%&'!()*!"#$%&'()*&'&+
!"#$%&$'()*+,*$))-*.$/01"23'456&5 ACS !"#$%&"'()*+,-./'(/0#1+%0)(2/!"# ECC and AHA/American College
of Cardiology Guidelines !"#"$%&' !"#$%&'()*+,-$./)0$1&2
!"#$%&'(&)*+,-.'/%0!/1-&2,3!4#5%6.78*1,9 %.4!4#$%:3,*,-;,7)-&2,3!4#5%6.78*1,9<.0"&.4 (AMI)
!"#$%&'()*+,&-.$/0,120$034.$56)7%58.$9(0$!80*, +:.$/63;0)&56)7%98<=59)
!"#$%&'()'&*+',)-"./&0+12304&05(67$!"#5"8)+"98)42:8&$+',).;<=>&35"(0
!"#$%&'%()*+!,-./01"2(&345(67,8*)9:(,*;<= Major Cardiac Adverse Events (MACE) !"# #")!"#$%#&'(,
!"#$%&'"()*+,!"#$%&'()*'+,-+./01#2345)65$7' !"#$%&#'()*+%,-./0123'+%!"#$%"&'("()*+,-*.+,+(%"&
!"#$%&'
!"#$%&'(!"#"$%$&'(")"*+,-'.,/0.$1231*0!"#$%&'()*+,-$."/-0,11,2!"#$%&'()!$*+,-+.!/!"#$%"&#$
!"#$%&'()*+",-."/ 0"#&'()*12(/ ventricular fibrillation, pulseless ventricular tachycardia,
unstable tachycardia, symptomatic bradycardia
!"#$%&"'()*+%, !"#$%&!'#'%&()*+%&$,-./01'2'3456&6",7
!

Systems of Care for Patients with ST-Segment Elabation Myocardial Infarction


!"##!"#$%&'#(!)"*%+,-./012314".5!'+"36789:;(.<=>"$6'8:$?7@$01231!"#/!>:A ST-Segment
!"#$%&'#(!)" STEMI !"#$%&'()*+,, -.!%!$/0"1$*23$%$)*#4510)!"#$%&'()67*%8#$"-09%:-#;<5;) ,
!"###!$%&!%&!'()*+,-%.,$/, !"#$% !&'()*"$+,+& -./*)01234.*5+)678(9)*5+):;<90+1)=!< "#$%&$' !"#$%&'()*+*,!"#$%&'(#)#" ACS !"#$%!&'()*+%(,, ,-(."/0-(122("2%34$%516"*$,-( EMS !"#$%&%'(!"#)$%&'&$%('#")!"#$%
!"#$%&'($)*+"%,-)./01#23245'6)*+,"-"(, !"#$%"&'()"*+(,-.(/0!1/2! "#$%&'()*+",-.*+"/+01!2-3)"4.-5"46#7+)89!*
!"#$#%&'()*$)+,(-(" .+/012%3453$6-7($58!"$679(:;0.%<(#=<

!
!

"#$%&!'()(*+),!-,*.)(/&0!

Out-of-Hospital 12-Lead ECGs


!"#$%&'()*#+,-(./012.30!(456$74*!8( STEMI !"#!"#$%" 12 lead-ECG !"#$%&'"()*++%,-'" )%./0120,)!34&5(4
.)*+,"-"(!"#$%#&%'()*+,#-.& /01234'$5641758+9#40:;"<:1!=>$
!"#$%&'%()*!+/0* AHA %(' ECC !"#$$%&'()!" 2000 !"#!"#"$%&'()$%*%+,+-./012"3445%'6-&. 12 leads
!"#$%!&'&()*+,-$./$01+2+3 !"#$%!"#$%&'!"#!$%!"#$#%#&'()&*+*,!(#-.# reperfusion with fibrinolytic therapy
!"# !" # $ %&'() * +, - + !"# $ % &"' ( )(")(* + , - . /01' ) 2)"!"#$%"&'&()$!*+ , -./ ! Primary PCI
!"#$% & '( ) $*!"#$%& ' "$()*+ , - . / 0 1!"#$2& ' 34 ! 15!6 # 37 ) 8-0& * .)*+,"-"(!" # ! "#$%&#'()
!"# $ % EMS !"# $ %&'() ' * + ! , $ -./ 0 1.2 3 %4, - 56, % 4, - 7!, % 830!9 : 74 %;<'* = cardiac catheterization
laboratory !"#$%&%'%()*+(,-,.#*% reperfusion times !"#$%&'()*+,%-.'/,0

Triage to Hospitals Capable of Performing PCI


!"#$%&!#'()*+,-./0123'45"67(8,/%(9#(1/":";<=3>=?%!/@"1A4!"#<5" PCI
!" Criteria !"#$%&'!"#$%&'()*+,-./%0123+4-/+56+3,!"#$% PCI Center !"#$%&'()*+,-*.%/%-*
Comprehensive Care for Patients After Cardiac Arrest With Confirmed STEMI or Suspected ACS
!"#$%&'(#)*('+,-."/#0!"#$%&'()*+,)+'-.'/(01234$5+!6/5(78(+8'9/:%;8 STEMI !"#$%&'()&*+,- ACS
#")1$ PCI !"#$%&'()*+,-./012.1$-3)'4567/892':6/'!;'2<!"#$-!6=> ?)@'2?A/?B/"CD1/0#712../1E2()*">2BF!;
!"#$%&'()*+&,%-#,./%0!123$452/65 Cardiac catheterization !"#$%& post-cardiac arrest protocol
!"#$%!&'()*+(,(-$./%.#)'-2&#")!"#$%&' !"#$%!"&$' neurologically intact survival !"#$%&'()*+,-."/0
!"#$%&'()*+,-+./(0 out-of-hospital cardiac arrest !"#$%&'() VF, !"#"$%&'()$%*%+,-./-+012*34*%+50%678%8
!"#$%"&#$'$()*+,*-#./0(1*-$/23 '452/06"&+378890!:2;<=0.!":(>01%>?$!:2;<20.#0<74/@:$%<3 !"#$%&'(')*+,-.
!"#$%"!"#&'()'*+,(-+.,(/0/#1"#' 213456789$'!: "!#$%&'(#%)*%'$+,%$!'-(./01"(#!"#$%&'()*&+,-./'012./3(
!"#$%&'()"%*+,-'.$%&-/0. STEMI !"#$%&'()*+& ,$(-+(,./!"#$%&'()*+,--./0-(1234",56781"!"#$!"#$%&#'(#")
&0#.)*+,"-"(!"#$%&'()&*+, '-*./012345)+!"#$%&'#()*+#(,#-.#!"#$%&'%#()*!+,!"#-("./0"0123&4253&6&.
(!"#$%&'()%*')+$,-./0!1#2345674089.:;#:,6-<,-.+=.#:).
!"#$%&'()*+%&,-."+*/*."0*!"##1!2"0*345! immediate general treatment
(!"#$%&'(!)*+!"!#$%&'()*+,!-./0()
2010 (!"#$) : !"#$%&'()*+,-.!"#$%$&'()*+!+,-#./0123456763890:!"#$%&'()*+' !"*,-./(01 oxyhemoglobin saturation
3 94% !"#$%&&#'()&#%(*+,&-./'0&1234-456/78%9 Unstable Angina
2005 (!"#$) : !"#"$%&'()*!"#$%&'(')*+,-./01"23/0456473.8'9:30;.6,!<045=><%&' !"#$%& arterial oxyhemoglobin
saturation 4 90% !"#$%&'()*"+,-.#/'0121345&.6/6*7089:; ACS !"#$%& '()*+, 6 !"#$%&'()*+"&%,-.).(.

!
!

"#$%&!'()(*+),!-,*.)(/&0!

!"#$%&'()*'+,-./)01-'2'3,4'56/)70+89!: "#$%&'(%)$#%*+,,-*.+/012!(3$,4 !"#$%#!&'&()*+,*-,*&./,0123456%57)88'


!"#$%&!"#$%&".
Why (!"#$%&): !"#$%&'()*'+*,)*'-.+/01!2 "#$%&'(')*+,-./.!0$"1% +%23456)!789")$9(:);"($%<=-:>4?789.'1":@% ACS !"#
!"#$%&'(#()*+%,-./$0/$%/12)$&2345&,.67*819:!"#$%&'(!)*+",-. Uncomplicated ACS
!"#$%&'()*+,-").!"*/012"3"# !456+,-").7"8696#:;<0=/=<1568 !456+,!>)/01&+<!1)?>8<0= $%&/!&#"48%@1A)4'4>3/!&
!"!"#$%&'%()*(+,&-*%./'%01,!234564 Oxyhemoglobin saturation 3 94%, %('!"#$%&!"#$%&'"()*+#,!-.#,/-+0'!"#$%&'
unstable angina/ non-STEMI !"#$%&'()*+,-(./0,(.12.*2"34)2+%256(5(78/$19&:;<".

!
!

"#$%&'!

!"#$%&'(%)&'*+&, (STROKE)
STROKE
!"#$%&'()*+*,-.*/-0"1$*2345.$*6723!809,:
!"#$%&$'()*$+,-./+0*1$!"#$%&'(%)&'*+&, !"#!"#$%&'()*+)'!,-+.%/01%/23454%678$09' :&;!"#$%234<=>50?)"
!"#$%#&'()*+,-% ./0+123'(.45'!"#$"%&&'()*+,'-./0,1+2)*+!34&5$6+33'67+83, &9:(':,:5;< Ds of Stroke Care
!"#$%&'()*+,-.'/.012%13,4-5&* (!"#$%&'(&)*+,-., /01.(2#034",/5(6789(!!*9:(;8(<&) !"#$%#!&'()*!+ "#$%&'
!"#$%&'(")*("*(")+,'-".#/&)!012.1*, !"#3456!"##789":"+, !"#'&*%")+,'4;!#<6306=#689":!"#$%&'(!)*(
!"#$%&&'($)*+,-./'0.12, '($03$4,5*672($%&&'($89):;9<=>?, !"#$%&'(%)&'*+&, !"#$%&'(#)*+,',!"#$%&'()*+,-.+/012!"#$%&'(%)&'*+&,!"#$%&'( )*'+,-./0'11203' !"#$%&'(%)&'*+&,!"#$%%&'("
!"#$%&'()*+,"&-(./*0-1.

!"#$%&&'()*+,-.*/#0&1 !"#$!%&'%())*+,-./-0"$/12$0*34+5$6+7.6
!"#$%&'($!)(*+,-.%/012#$%&'!"#$%""&'()*+#*,!-.!-/0-#*1%$!.2#.34!5!)#*605
!"#$%&'()*+$%&,-.(/*$'-'01231# )#456789:3; stroke-prepared hospital
!"#$%&'(")* ()*!"#$%&'!&()!"#$%$&'()*+&,-.$!"#$%&'(%)&'*+&,
!"#$%!&!"#$%&'()!* "#$%$& !"#$%&'()*+,-"(./.0123'!"#$%&'()*+,,+',!-.,/
()*!"#$%&"'()"*"+,+$-,+.+!%/"*012+34'*5/"% !"#$%&'()*+*,-./*/.%0!.12*,3456
!"#$%&'()*
!"#$#%!"#&'"(!"#)*+,-./!0.%( 01#234&'"#$%&'!"#!"##$%!&'()!"#$%&'(%)&'
!"#$%&'"&#()!* "#$%#&'( !"#$%&'()*!"#$%&'(#)*+,-./"!"#$%&'()*+'*,#-.#/*0102
!"#$"%&'()*+,-'*./012.&'3*4.5627/8297/:$7;!"#!"#$%&'($)*(+,)!"#!$%&!'
!"#$%&'&()$*)+")$&",-./012345678.9%$.1.:;<=.'&(,>!0?>#7@$A !"#$%&'(%)&'*+&,
!"#$%&'()*+(,- .*+/%-0-*12"!"#3"4/5367-89$,::#;5 (!"#$%&'()*+,-). < 90 mmHg)
!"#$%&'(!"#$%&'()*$+,-./$(-0"1,&23*45"($1+678$9$,
!"#$%&'!"#$%&#'5&6!"#$%&'%()*+, -./,%0123-!"#$!() !"#$%$!&'() 1 !"!"#$%&'()*&*+,
01&5%&5&#7 !"#$%&'()*+,-. /012345678,9:;6<=>?(<;5!"@ABC(>=AD+20+EAF,9
!"#$%&'(%)&'*+&, !"#$%&'()*+,+%-$%.&%/0#'/1,023451,067!"879/:);
!"#$%&'(%)&'*+&,()*.89&$
!"#$%&%'(&%)*+,-.$*/0$1%'(234(5*6"7, 23413$! +89234:-%%9-'* ;!<=4>?@$%A$B13
recombination tissue plasminogen activator (rtPA) ()* American Stroke
Association/ AHA recommendations.
!"#$%&'(()&*!"#$%&'()'*$+%,-./012'3'4.*56(7!"#$%&'(%)&'*+&,-./'012$")&&3'04.542
!"#$ !"#$%&'() rtPA :&*+' 3 !"#$%&'()*+,"'-.*&/0.*.), *.)12-.)3.045.')06706
!"#$%!&' rtPA !"#$%&'(%)&''*"+,-./01234567-3#(3%" 3-4.5 !"#$%&'()"'*+,#&&-./0/+
!"#$%&'(&)*+,$-./0!!"#$%&'()'*+,- ./0120%34!#5/%6!"#$%&'()*(!+)*&!"#$"!%&'("!%%#")!
:&*+' 3 !"#$%&'()*.
!

!
!

!"##$%&'()*+,-.(-/-.0123-4()5/.&6(78.9,- (FDA) !"#$%&'"(')#*+',-. rtPA


!"#$%&'(%)&''*"+,-./01234 567-3#(3%" 3-4.5 !"#$%&'()"'*+,#&&-./0/+
!"#$%&'())(*+,)-(./'012$34#5$67(7$(789 !"#$%&'(&)*+,- stroke unit team
!"#$%!&%!%'()*+%',-./,"+$0% ward !"#$%& '()*"+,-.(/0123$4567%&7-48(1*&9.
!"#$%&#!'()*+,-./0123425#-6789/60 stroke unit !"#$%!"&'()*+,%-./0$123456+'.78*
rtPA !"#$%&'(%)&''*".
!"#$%&%'(&%)*+$%$*#$%,-./%'#0$12$!,'34/56+7-*839-&:2*!"#$%&'(%)&'*+&,.
!

"#$%&'!

Pediatrics Basic Life Support

!"#!$%&'()*+,(-+,.",/,012! (PBLS)
!"#$%&'()*+*,-.*/-0"1$*2345.$*6723!809,:
!"#$%!&'()*+,-#.-/)012(&3,243,5#,+,678-9")#$9":;-&<+,=/)+!>? .'@A:;!&'()*7&;B?*CD,13
!"#$#%&'CPR !"#$%&$"'()%*$ +,($%&-./#'%#01 (C-A-B !"#"$A% -B-C) :!"#$%&'"
!"#$%&'!'($!&!"#$%&'%()*+',-./#0'!12!3%34$1'567)3,28!9: 0'!02&*8';0<!9=>?!0 (&8.9=*1>
!"#$#%&'$()*+,)$"-./01)23,) CPR !"#$"%&'()!*)+, !"#$%&%'()&*"+,-./$0-1-/$)#"+,2#'(.2$!*3#4"+)5!$16!7-#$%#85-9$:# )&;-:,<$=-9:, 1/3
!"# AP diameter !"#$%&'"( )*+#,-.'(/01234'5 1 ! !"#$ (4 cm)!"#$%&'()&*+,"!-.+
!"#$%&'()* 2+,-. (5cm) !"#$%&'(
!"#$%&$ !"#$,%$&'(,)*+,-.,/.- !"#$%&''#()*&#+,-$.'$#&/CPR
!"#$%&'()&$*+,#-./0 1*21&343%5678539-02:$/&13;&01&3<8;.= :
!"#$%!&'()*+(),)-./+,0'/123/41/256378 9!.(/!/2:;2-<6+="6<29>$%7./42->?2@!"#$%&'(!"#$%& '()*+,-.%/0123$456#-'7#865#0)+0+96:&7 ;<9$45*)=>?
!"#$%&'"%"()*(+,-./0-,($123"456 10 +76"80 .9:;"#(8"<#"(=-84>:+(?(7@%5!2#"(CPR
!"#$%& '(#)*+,%-+(./0$1233+/4567/48 (AED ) !"#$%&'()& : *+(,)-.#$%&'()&
!"#$%&'()*+$!#&,'-./'!01")2344manual !"##$%" &'()*!"#$$!%&'()%&*
!"#$%&'&()*+,-*-$./-01$2(34566manual !"# $%&'()*+,)%-./01233).4567.48 (AED
)!"#$"%&'()*+'),-./,0012344516.7#%89:(,-6;<( %1=89:3;:69>2(,2

!"#$%&'()*+%&,-./*01*!"#CPR (C-A-B !"#"$A% -B-C )


2010 (!"#$) : !"#$%&'()*% CPR !"#$%&'()& *+,#$%!"#$%&'!()!$*+%(,!,-+!()./&'*('01 !()CPR
!"#$%&'()'*+,-",).('-/, 30 0"123 (45-."1678'9:*+!.;<=0(!)>+*?1$*@A) ."<=,).('-=, 15 0"123 (
!"#$%&'(#%)*+,-#%(./0123(45 42,678)*+,1$/9:-;<1=>?'@A/#(%-#B(#%.C-,D 2 A?) (*:?(#%)*+,$#,EF 2 A%&GB
!"#$%&'(#%)*+,-$./0-12(3!"#$"#%#&' ()*+,!-(-./0+1#!"2,34253&6/!"#$"#%#&'
2005 (!"#$) : !"#$%&$'()*+( CPR !"#$%&'()*+,-"!./*0-1!*#(2-+34 56789:+2-+34 2 ;"<=1 &9>*':+,-",*2('->,
!"#$%&: !"#$%&'()*+%&,&-"./0!"# CPR !"#$%&'%()$*&+%%,+$%&'-,./)&/01
!"#$!"#$%&'()*+%&,-'(*."/%012!"#345$!"#$%#&'$(')*+),-&(./012"#32'4)'5)/02"6178)
!"#$%&'()*(!+,-*./"0+1.2%&3(/4+5/0'+6-7!,8"0"!79):5)!);7'()3(/42(7%()(<+(60' :())/.(*(!+,-'()+5/0'!%&
!"#$%&'(")*+,)*-*./0'120345*$&67089:%;+<67087=:*%0&7 !"#708>?/@:0@91)20:8+,708 CPR !"#$%&
!"#$%&'()*"!+,)-.$/!0 "#$%&'()*+,-!+"$.- /0-/'*1234514'$+*564#547+829!/:8;9<3($=+($)&451>?
!"#$"%$&'()*!+,-./0)12./.3456'1/+.3+!7$8.9+:!;<=86>57-? 9.@@A2./.34BC&;B)&'-5!,+D!8 !"#$"%$+.35EF)1;$GEF#H"%$-9$5EI$
C-A-B !"#$%&'()*+#,)-./01*2"#3#456 78,$9&/9:#-;!#3#%0<=>?37+*#!@+/*#%CPR !"#$%&'()*+,
!"#$%&$'()*+,"-./-0123145678,$9%45:;%+<7=#5%#48<:%>&?@AB*#& 18 =C1%$*A$7%1-01 (A=>%$*D4<:E9%5+-.;%+;"51:%3; 30
!"#$%) &"'()*(+,-./)#$) (0)12*3.-+4&5'( 2 !))

Pediatrics Basic Life Support

!"#$%&'()'#*'+,)-#.'
2010 (!"#$): !"#$%#&'"($)#)*+$,-./%0123425$6 78(9+:*;'<=)>:%#&)!"#$%&'! 1/3 ('$ AP diameter !"#$%&'"(
!"#$"%&'(")(*+(,-.(/01*2%3/0 1! !"#$ ( 4 cm) !"#$%&'()&*+,"!-.+ /01#'+(&23 2"45, (5cm) !"#$%&'(
2005 (!"#$): !"#$%&'!"%()*+,-./0&!1'-./23-4&5#%#$%&'!)678,9+30&: ! !"#$ !%&'()%*+,-$( AP diameter
!"#$%&'"(
!"#$%&: !"#!"#$%&'$&()*$+&,&-./&0(#1234(516$7'89:$ 2'#;2'<'5/&$&($9!'=&"*$ ! !"# AP diameter
!"#$%&'"("')*+',-./'-'01*+',2&/+'304) "5.'#,0(46'- ('0(2$%&'"(*78-790:/;*<;='>*78?%:%+' @A"('0(2$%&'"(B$&?0#>"
,!"#$%&'()*+,-'&. 1! !"#$ ( 4 cm) !"#$%&'()& *+,-),.(/ 2"012 (5cm) !"#$%&'(

!"#$%"&'($)*$ !"#$,%$&'(,)*+,-.,/.- !!"#$%&"'()*+!*"&,CPR


2010 (!"#$): !"#$,%$&'(,)*+,-.,/.- !"#$%&''#()*+#,%-.$'.#+/)/0123.#+/4+56* 780#+/1)9&:+;1&3.4+56*
2005 (!"#$): !"#$,%$&'(,)*+,-.,/.- !"#$%&$'()*'+,'#-./.0123'#-.4-5$6 7801/9:;-<1:3$%"&'!
!"#$%&: !"#$%&'()'*"+,"!-./ 0%10&-"2%,0 345")'*"+,"610 0%17$% CPR !"#$%&'()*(+#',&-./#012(3$2
!"#$%&'()*+,-./0*$123$4*0$(5"("6*783 !"#$ ./0!59:; ( !"#$!59:;%<#$( ) =>6%"?-/*83&8@9(5"(&!385$((0$3 ( C-A-B )

!"#$#%&'()&# !"#$%&'(%#)*
2010 (!"#$ ): !"#$%&'(#)"*# !*+,&'(#-.)/0123.,%45,6.3,#"*#*7.895 :;7123!"<=> !*+,!"<=>&?+,##(."2
!"#$%&'(%)&%'*+(,-.%/01234$%5673&89 10 489%(: 09&%';'4/<%1:+/' (brachial !"#$%&'()& *+, carotid !"#
femoral !"#$%&'( ) )*+(,-./01234+5!" 10 -6"+78 9,:;/01<"1!.-1+08=82.,9,:!"#$ %&'()*+#,-./.)/0&1'.!/,21,3
2005 (!"#$ ): !"#$%&'()*+"#,-".#",/0-12 3!401"1"5*+6"7809, :;1374$<+"=5>$#?' 10 <?'"-8
!"#$%&: !"#$%&%"#'()!)*+,-.%*/0, ,1+2(34#%5%(65%7%89#67!2#3:;#)3#:$<;'=>,95#,#:?@:8AB1<A:.'9#:8/*:C8
!"#$%&'()&(*+,-.$+/0 $1&'($23456$7456!"#$%&'()*+,-./012*+,*3142+(*045+67186091&:3#;24
!"#$"%&'()'*+,-(./01%23*-)41.15.67+,1-.8+9+)'*(:;2'<'=>5-(?0 AHA guideline !" 2010
!"#$%&%'()*+,-*%+(.,*(,/0+12345*67.892$%2)!32(9:1:;!<*<7.892

!"#$%&!'(()" *+,!"#-$./0#12&3$%&!456-7*88&59:;<59= (AED ) !"#$%&!"#$


2010(!"#$): !"#$%&'()*+ +#%,-.(/%0123-*2+$&4,56'' manual
!"#$%&'()*'+,-!./01234561,7616-234!+-/'0(38019:,2;<==0:>?$5:>& 961@575* 16-234!+-/'0(38019:,2;<==0:>?$5:>& (AED
)!"#$"%&'()*+'),-./,0012344516.7#%89:(,-6;<( %1=89:3;:69>2(,2 ?@>A1(3$>B1$1)CA13;:!"#$%&$&'()$
!"#$%&'()*+!,%-!./01$#233!0456704890+1:;
2005(!"#$): !"#$%&'()*+,-" ./012&345&#67,8!9++&7:;<'7:= (AED ) !"#"$%&'()*(+,-"./0+*12, 304#5/$4!67861"9
!"#$%&'()* 1-8 !" #$%&'()*+,&-$.'-/01#-23(-%45/$'5# 6/789:;9;<&=>1=?1=;4@+*6&)*#&$A;1#$*B%& 1 !"

Pediatrics Basic Life Support

!"#$%&: !"#$"%&"'#"$()#*"+,-.+'/01234% 5'6'7"4."#"$+819:$;<=&8>=#,?4+!5@@=?AB'-?AC (AED )!"#$%!&'()


!"#$%&'#()*+),-./01234*-'4
!"#$%&'()%*+,()(,,%-./01+234")*5)(,6-7,*5)(,.8%)699:(!;#$%!)1-<=#$"699:(>*0?'@/$+7%&)(,)(,.8%) (shockable rhythm)
!"#$%&'#($)*#!"#$%&' #"(')*'+,-./&01)((,'2334,56(#7+89,2:92#&-);+,-<=>+$1!
!"#$%&'()*$+",%-.,(/$0&+#+$(1234560,76080($'9:;<='>3!%:)!=-,?94@77!,*A0+,*B (AED )!"#$%&'()&

Pediatrics Advance Life Support

!"#!$%&'()*+,-$./,012! (PALS)
!"#$%&'()*+*,-.*/-0"1$*2345.$*6723!809,:
!"##"$%&%'('$$)#$$* +,"-.+/'012+,/#3(#"$#415670/8(94:3(;<=#*6#"$>$/&>$?:@A"B(C(A"%6D*62-4E;<F*
!"##$%"!&'(")*+*(",-!% ./0!123&45674!587!.9:*!";("-<=>#"<?%$@?&$785AB#3"<#
!"#$%&'()*+,-./01#231-456786*1089:%;'):!)<'=0$.:% !"#/01#*108%3.("2:)>?!"#$%&
!"#$%&'(#)*(+,(-. capnography/capnometry !"#$#%&'&()*+,*-,./012!0&!"&3()%+&4#542+)!*6
!"#$%&'()*#+,-./*#012%34%*56%CPR!"#$%&'(!)*+ ,-(&'./&'01&'(2*34*56"7%186'89:+;6%8
!"#"$%&'()*+,-./012'+3.$+45.,67-89# :;'.($<-7=& >?&@;'4.9%*',ABC# @$C%#DC-E0F1-#9#&'!"#$%$&&'()*!+,
!"#$%&'() 2 "(*+,-).(#./%"0(-.*+123'45.#6.&"
!"#$$%&'($)%*+,(-.//0% 1*2345%) 2-4 !"#/$$.%&'(')!*+,- monophasic !"#$ biphasic
!"#$%&'()*+,-*%.+/0%1 2 234/...%+2&5(67(!5*1.81 (9/:;+<!=*+!7:;&1>?+@1A1?+B%)9C2005 )
!"#$%&'(#%)*+,,%&-./01!+. 234,!"#$%&'()*+,-+.-'/&0$1-'/ 4234/55. 64"$$01)77809:;<3$5=&0 4
!"#/$$.(%&'($)* 10 !"#/$$. +,-./,)&01%22304"546789:;<=%7=;*>"=;+?')
!"#$%&'(&!)*"+,-./0123425"6780.8!(59):%*;<9; =():>6"0<"/$%&?*";:@/AB!+%C!@D9E$#7FF biphasic
!"#$%&#'"()*+,-./01/2%3-*4!"##"5)*!+ "#$%&''()*+,-./0 1234-5-236789,:0!"#+;*<8+=*8+$><'0(3$?$%&$5"%&
!"#$%&'$&'(&)*))+,-%.(/0123' 456/7(/0/01$0+#8+97:$#;<9%"06(%9=)5%>?(>+@!"#$%&'()'*+,"-.)oxyhemoglobin!"# !94% !"#< 100%
!"#$%&'%()*+%*+,-./0.)).-123-*45.67%%)89!0+:+!;#%2<=(!)9+1&
!"#$%!&#%!"#$%&' ()*+",-.)/'01/203!$#4.)-567(89-42+&2:0.&;38<-!3=",%>0$?5!'-@.(#38 A8B5-'
!"#$%&'()&*+",)#,-$./0)123& 45&6$-%0785+%19""):5#&5;7,1<=+,>/0$%&'()&*+",)#,-$./0)123&
!"#$%&#'&%()*+,"-./0123+45)
!"#$%&%"#'(#)*)+#,-./0)1.23)#4/.#5-6(/0)%$6(, 5147689,.#5:';$!"#$%&'()%&*+,-./,01234#56/789:/;,<=%
!"#$%&'(%$)*$%&+,-etomidate !"#"$%&'()*(+,-./01#2,33,45678/9:1!"34.;<8=917
!"#$%&'()*+,-./0-,-.12#3456789.%-&,-:;<=>#,-..?,@- (Therapeutic hypothermia)!"##$%&'!()*+,&)#-./
!"#$%&'()*+),-!.,/0)*1'/'(2340)*56"47"1'8()0-31,(!"#$%&'()*+,-(!-( (sudden cardiac death)
!"#$%&'($)&(*+,-(./0(1
!"#$%&'()*+,-!./- 01*'.!#2%34542%67*+'8&9%()*:;<=>?;%@64A<=A<=A2%01* &BC4&%'67* amiodarone !"#$
procainamide !"#"$%&'()!*+,&"-./*(0')1 23453678$'9+)3:"+;<";6,. (hemodynamic stable)

!"#$%&%"#'()*+,(-.(#/0120#3/&2-.(4#5!#/6.7%8277(85269%:3;#+9<77(
2010 (!"#$): !"#$%&'(#)*)+,#-,+./012"1#3.&45,&&/52,3647891:6*&&/ (capnography/capnometry)
!"#$%!"#$%&'%('%")$*+*!,-."/$0!"#$#% &'()*+($+,$-./01$2342*1/+565$&78%4/9%09%&%#7 &78%4/9% 0":&78%;!"#$"%&'()*+,-./01232+!4%56&+%&'78 ((9:+ +-%;'.<=&>&? /*-.@4%(@A+ /-BC*DE1=1A%) /-BC*DE1= F?G/*-.B:&)0H)

Pediatrics Advance Life Support

!"#$#%&'()*($+,(-').+/$)01(2(" !"#$#%&'()/$)01(2(" ($34 3A !"#$ 13) %$&'()'$*capnography !"#capnometry


!"#$%&#!'()*!%+,$-.$/0, !$1234567"8(9:(56;<#$%=$5-.$ CPR !"#$%&''())*'+(
!"#$%&'()#*'+#,-+./(0,12,3'&4)+5'/5"678')5 (/9. 3A !"#$ 13)
2005 (!"#$): !"#$%&'()& *+,#$%&-. '/01/2/34) &()!25#6)7089.):4:;$),$;<&=(>6()?<8"@$88&@>$?!"+1A(B!488&
!"#$%&'()&*)+*,-./0*1231(0.)!4 *(5672%).8.9 !*672%).8.9 /9:7:0;1.25.7*-.<12=>#?@;)
!"#$%&: !"#$%&$"'#(&)*!+",-"#.*/01&//!1,&.203'4"526//!
(capnography/capnometry)!"#$%&'()*+,-./&0#/1#%123456178$7064#*9*1$48-":164#*9
!"#$%&'()*+$,-.,/012132($4%*-&5"63$.4"7898:!"#$!%"&'((")'('!*!"+*,#*'&!-#./0"'&$12&12344(5,$+363$784#$3894:+'(('
!"#$%&'()*+),-*./0) "12&3#0+3"45&)67(8+!"$%&'(9$:;<'6=>'9+)7?
!"#$%&$"'#(&)*!+",-"#.*/01&//!1,&.203'4"526//!$3/&783"'9-8"':;"-)<5%=>20:?"0!"#@.7AB009C
!"#$%!&"'()*+,-./012 304'(567'89:;<!"#$%&!#$'($)(*+,-(*./"#0/120345!"#0346(7 PETCO2 !"#$%&&'$(%)*+,-.+/cardiac
output !"#$%&'(&!)*&CPR !"#$% PETCO2!"# <10-15 mmhg !"#$%&#&''(#)&*$'+,-*$&./0+1#(!#&'#2,0-&"#+,-23456789:0
!"#$%&'!()*+,)-./)0),12-1*+/-3+(435(.6 !"#3-74859/:;<(&1)-'=>(=?!"!"#$%&'($)*$)+!,-. PETCO2 !"#$%&'()*+),-./.
!"#$%&'()(*+,*-%./!(*0123-45$!26/)((ROSC) !"#$%&'()*)+ ",&*,-*+%./0#1'.234&5.675)"5%8.9",:
PETCO2!"#$%&'()*&"+#,"-./0102"3342&02"32)506"!2-789!:3&#$;7#3<)6

!"#$%&'$(()*+,,-)./01231*4)!2567
2010 (!"#$ ): !"#$%&!"#$%&#'()*+,)--"./001" 2-4 !"#/$$.%&$'()*+,,(-./0($ 0123456+%78/2'912+$'(:+& $'(%78 2
!"#/$$.%&!'()*+),(-.$/. 01&23/4 VF !"#$%&'()'*+,,-*.+$/012334+ 5678*+,9:;0,!"#<=>?/@A-BB+82334+!"#9CBDE&8
!"#$$%&'(()%*+,-./-&0#1&234'567895:&4;3%$&/4; 4 <="/>>. ?"@A=$>!"#$%&$ '(")*"+,-$ 10./0/,,. 123450%66#$7/6789:;<=>?=$@/?=1A"
2005(!"#$ ): !"#$%&'()*+,-*&./#01233manual (monophasic !"#$ biphasic) !"#$%&''()*++,( 2
!"#/$$.%&'()*+$'),-.//)*012)$ 2#3 4!"#/$$.%&'()*+$'),-.//)*0145.678
!"#$%&: !"#$%&'()*+,-.)*,/0$123,$(2,*-! "#!$%&%'()*$+,-..$#/001$234567$8&7&9$6%-:!$%;<=>6-)"?"#5@<!>)%5(A#52*$/%
!"#$%&'"()*+,-*("./(%0!1("23'"##*+4556*7%0$%89:;<7=<>*3 ?':9:."23'"##*+;@#;A.7%0BCD4.DB+/.E(
!"#$%&'()*&+,-./*0#./123-1242$.567)5893-:,3//.2;'<1+/$=#.2#.>8?,*9@30 !,8&'?581A;BA@.:&.!!"#$
!"#$%&#'"()*+,*-./0!1"#&2)*+!34(&54(6(#"789%*+.(:9%; <1":(3(1"=$,0!>;89?(8@*.;#"797&589%*+.(8%A#(B-.
!"#$%&'()*+,*-,./011(%2334(!"#561789(:;<=2;, >%?@1AB;0C5615&;!"#D6,:-"#E8-(':-F#$89(E01G/$;H0E

!"#$%&''$()*!+,-.'/01,+23&%45$6)-7%8$#291:/;<=+>?+9@A
2010(!"#$) : !"#$%"&'()*+,!-&./',01"(%&'2)034 56%478('()59:5(");:01 oxyhemoglobin !"#$%&' (')*+,-.&/0,12345+6'7
!"#$%&$'()*+,& oxyhemoglobin !"#$%&'!()!94% !"#$"%"&'()*!"+,-#&./0123!%"4$%5*6 !7)8%1#"&5!7391:;#7)<=>;%"
!"#$%&'%()&' FiO2 !"#$%&'()*+,%-.+&'!"# oxyhemoglobin !"#$%&' !94% !"#$%&'()*+,-./0123+12.4(567&86#//39:+!;

Pediatrics Advance Life Support

!"#!$%&'(%)*+,-./001234'$5)14678960 4$:;09')1 oxyhemoglobin !"#100% $%&'%()*+%,-./%, PaO2 !"#$%& 80-500


mmhg !"#$%&'() *+,-)./012345'2$6&*78" FiO2 !" #$%&'()*+,-(./01#,",,23-4564&*+!"#100% $%&'()*&+,-./01%"#'94%
2005(!"#$): !"#$%%&'()*+,-.)&(+/0 12$&"3)&(4reperfusion injury !"#$%#&'$()*+,-.+/,' AHA guideline !" 2005
!"#$%&'(#()*+,!-.-+,/)0123,.14,.4&5-6,787%97.:%9;;6<=14-/)05>?
!"#$%&: !"#$%&'(#)*+,-"./0 1!02342'$)5/64 oxyhemoglobin !"#$%&'!()&*+,-./ 94%-99%
!"#$%&'()*+,-./0-.1.23"4"25&&#678!.*+,-(98#7.:; (<5=/0 PaO2 !"#$%&) !'()*+,-./ oxidative injury
!"#$%&'()'&*+!",-)./,"012+3,")4.$,5""67)89&2,"012 ,:;/7)8,'<2=&.!"#$'&*:;-.>?@/A0/:)B%&'=&-C!#-D%!.E2,FG/
!"#$%&'()*+,-#.%-/0 oxidative injury!"#$%$&'%( )%*+",-,./,0%./ FiO2!"#$%&'()*+,%-(. PaO2 (!"#$%&'%()#*+,%+#-*.%/0
oxyhemoglobin !"#$%&') (')!"*+,#'-)./0"12&34"5!6.578-&&/9:#6"87/#;-)3;& 67/*2&8<$/7=>?/@7!"A<2!BC5#8%D&#=E.F"-5G
!"#$%&'(&)*+,$-./0112/30456!78/980:0//01%&';;/<=(:*!"#$#%&'( )*+,#"-./01234&56&.789"#:"0;)+0<9)1=>$?@&

!"#$%&'$(&)*+,-"#!./0123!-(45(6&"57)28!*)9:;<=&+>.*%!?"1,)2
2010(!"#$ ):
!"#$%&%"#'()#&*+,')-./'0-/123%/#')4.56789:,;#<#=&>:=6?>@AB'08%6%'BC,D#9,$E&'BC,F0DG.!=#/H-BI,0-15J>:=6?KB8$,L
!"#$%&#'()*&+*,!-./&!"#$(single ventricle),Fontan or hemi-Fontan/bidirectional Glenn physiology
!"#$%&#'&%()*+,"-./0123+45)
2005(!"#$): !"#$%&'!()*+,-./).0%1233()*#1456+ AHA guideline !" 2005
!"#$%&: !"#$%&#'()*+',-./01'23'&45#56'788#9:;<#!=6>-./>.,)'>?*@:#5*A87B");0456#1'2<*!
!"#$%&'()*+,#-!&#!#.$/(#012,.13,)4 5#('+&#6+07897:;2010 -3+"#</=/"#'>?#=@"#%0AB(#012,.CDE/+F/13?$/<42G=@H#/(#0IJ
!"#$%&'()*+,-.$/&0-&(1234!056073+489:;<7 extracorporeal membrane oxygenation!"#$%!&'()*+!,!"#$%%&#'$()*+,-./0-1/2345$6%&748$")0$7$9:1+;1<&#0=$)!"#

!"##$!%"&"'()$'*+,-./,#0'1234!-2
2010(!"#$): !"#$%&'()&*+#,)-. QRS !"#$% &'$()*% +"$'!"#$%,-% QRS> 0.09 !"#$%&
2005 (!"#$): !"#$%&'()&*+#,)-. QRS !"#$% &'$()*% +"$'!"#$%,-% QRS > 0.08 !"#$%&
!"#$%&: !"#$%&'"()*+,-(.(/012&3(/4' 56*3( QRS !"#$%&'()*!"#$% &'( > 0.09 )%*+,-.*/!0#(+12$34+#)5+ 4 "6789 !0.1 !"#$%&
!"#$%&'()*+,-./(0 4-16 !" #$%&'()*+,- ./*0123$'4,&+ PALS guideline !"#$%&'()*+(*,-(.*#/0123,*4$,$5*3%67 QRS
!"#$%&'()*+,$-* ./0 >0.09 %*1'!" 023'(45$6-'789':5;<.%'78'7'5=>0(8'2-'71?@2A4738'7'5=B!"#$%&'("()%*+,- 0.01
!"#$%&'() (*+#*,#-.+/)0+123450+/3!-2645#'778$9*!:-%&5;$<$3=0>$#?6@(A20<B"!1/03C 1B4502D$#!E2!$<F!)$+G0+ QRS
!!"#$%&'()*+ millisecond

!"#$%"&'()&#*(!+,-./$ 01'%"&'2345

Pediatrics Advance Life Support

2010 (!"#$ ): !"#$%&%"#'()*+,(-.(#/012$!3'4)+567((38#,69:5#(;9<%(,8# guideline !"#"$%&'


!"#$%&'()(*+,-.,/.'01234#%,(5+6)-76,8-#9"2:.(;4<$%&%4-17=>+(?(7@?(9(6&+%45+6)'01234#%,(21AB":<*+ $".#+=19&% Calcium
channel blocker!"#$%$&' (&)*+,"$-!.-/,0123$!456' 7856(&)*9:+;0!.-/,0123$!456',&"<6$
!"#$%&'()*+,-.*/01/#234"$15"62%76!"#$%&'()*+,-,./012$3*4 56178"'/9*7:*(08$
Etomidate !"#$%&'&()*($#&+),-.#&+(/,0,12&.(3 ($456#0&+# 789456#:; :5.'<=8;,1#&+>284-<.$$*1.
!"#$%#!&'&()*+,*-,./0&/1'2()3()+14567,/89:.;<=>?@%?+A4=B)&3C34:D)9'-<EF2)==)1"G;.-HIE*&=1'!3.AHE;
2005 (!"#$): !"#$%&'() AHA guideline !"2005
!"#"$%&'()(#*+,-./0123405675#"!8(94':'&30;<=4.&(4>8(0#?!*7)(#-),9@A(&"+B&*!+3%C0D,7 -D'.8(&'( !"#$%&%'()*+),+
!"#$%&'()*+, AHA guideline !" 2010 #!$%&'()*+,-.#/%0(123(4567389:823(;(/0*;-%<=(>?.@
Etomidate !"#!$%&'(()#*+&,-./ AHA guideline !"2005
!"#$%&: !"#$%&'()*)%+*),)-%./0)!(&&12(3%.34()&(56-473$/8"9!6)5:#12(;#%160#9,./<4)
!"#$%&'()#*+,&,-."#/01)#*%2()+2(3-1)#*$%&452+6(-' -)+7&, $,)*8(!(3'(%29):#,;,9<;,=,7>#'(?#7@452+6(-'$,+2ABCD3"# EC&-# )2=>'
Calcium channel blocker!"#$%$&' (&)*+,"$-!.-/!"#$%&'()*+ ,-)*./012345"'678!"#$%&'()*+
!"#$%&'()*)%+*),)-.( !"/%)01(23(&&(1456 etomidate !"#$%!&'()*+,-./01231456+7.89:5//5;<=-,7>?8!"/;+)@,*>8!"#$%&'()"#*!+!"#,-./0102-342-.563#7/01 etomidate !"#$%&"'(
Etodmidate !"#$%&'()*(#+(*(#+!"#,#-./,01/2%23(40 56!"#$"#%&'()*+#,&-.& endogenous steroid
!"#$%&'()*#$)+,-./0(123&45678#98:,5;<=>-?,@@,AB*C%<DE>0(@A;F)%GD>C

!"#$%&'(")*'+,("-.*+-/0*)1$2345
2010 (!"#$ ): !"#$%&'()*+#,%(%-.)/0-12%1345.)/6758#$99 prospective randomized trial
!"#$%&'()&*++,&-*.$/&*+0$12345678 (therapeutic hypothermia) !"#$%&'()*+*&,+*-*.*/01.$2# 3,4#)')5%67-8$90:;%<
(32-34 !"#$%&'%&()*) !$+,(-./0)12342%56789).:;2 <(=)9">"?,;.@A*B7C98D$)E'9"7$.1;8)FGH2>I21(J +$7D$8/E984+E):5%CA2
!"#$%&'()*)+ ,-./01! VF !"#$%&'()*+',-./CPR!"#$%&'()*+, -.//0-1.!!"#$%&!'()*+,-.(32-34!"#$%&'%&()*)
!"#$%#"&'"()*(+,-./0"&/ 123,-./45-*67,)8+/9+ (+/&':0:;79<=<>?8&@*AB/596C"7D29</"&)867EFG+=H+):$
2005 (!"#$ ): !"##"$%"&#"$'(!"##"$)*#+",-./0,123 4567&8#9"$#4$#7#:&
!"#$%&'()*+,!-./,01213"45'(67/80+9:,;<01/:5=4+,>?@A2#A=B! "#$!%&'()'*+','(-./0)#123%-45#-6/32 -34 !"#$%&'%&()* %+,-%.'$
12-24 !"#$%&'
!"#$%&: !"#$%&'#($)*+,!)-+!./012.345
!"#$%&'&()*&+,-.,/012&3456$7089:&;<4!=<;<44%;><*-?$;<4@*:AB,CDEF+0GD-3H?$!"#$%&'&IEJ4D-)2;K%? C<$,@%&;<47J?$LMN0'O07"P
!"#$%&'()*"$+,-#./0123!"#$%%&'()*)&+,-)'&./#0+ VF !"#$ %&#'(")*+,-'.!/0$12324")25)06578096

!"#$#%&'()!"#&*+,-+.(/0"!12.301,45&/6)!#%72)12) (sudden cardiac death)

Pediatrics Advance Life Support

2010 (!"#$%&'!() ) : !"#$%&'(!)*+,*-./0'&12-301+45!/67&(8927127 :5+;"<)'"'(=%>.?'+)'!1/4;5637!5@&:/ 1(#%-2+174<")!"


!"#$%&'()*%+,-*./0123'4*5!6789+ '()*%+,:/.;,&!6-(73-(%* (<8#=&> '()*%+,0'?6@/"/8:+, ;%& 7A3%+,0"+AB9C</>:./.(D7E,3.5<8#
!"#$%& '()*+&(,-./0.123+(456#'6#78/9":-&"&(;*<2=&/98>?#*&/@#>*/+1:&50AB)
!"#$%$&'(")*'+,,-./0&12$3*4(567&2+&89:;'/'8.'3<
!"#$%&'()*+,!"#$%#&' ()*#+, -"./012"%3'$4564#!"(7428409,:!#-10;:-2%)(,<'#"=$1'-1' +)2>637!6!"?/@9A!27!(-,%>)<
!"#$%&'(%()* +,-()*-./#"-0-,12.'340-567"839/4-:;
!"#$#%&'($)#*)+,-.+,#/.%0(123+452678%59*":%;</%3='"48>'?@ABC/DE(12B1@"-1F@"!"#-G$%2
!"#$%!&#'%()*!+,-!.#'%/0!"#$%$&'(#)*+,-.)/01/234##5 '0678+)$9)5:($)5;&-<4"&%8!4)#=>)!)/?8!Channel !"#$%&'
(channelopathy)
!"#$%& : !"#$%&'()!(&*+,)-./012345(6)7(8.(29"0!"&(.-:"2;"4<=125(8&.>9%)#%)6)-?@&9(.& -?@&A=
!"#$%&'()*+,-$.-/+01$-+2304&$56.73%83-93"-&:%(;)<=-7:%(;)399+
!"#$%&!"#$%&'()*+,"-.+/01-(2!345/6(00-/01"2789!::;(/013<'=8 >?@12$68<--<A=ABC@0'%( channelopathy
!"#$%&#$'()*+,-.,/+01%2*3+4'56,(789:;&<135&=>*+$4?,@4$:,A/+9(6'%->B-8&5
!"#$%&!"#'()(*+,-.-/"012!3&.0."*456)!"#7/'-78'(39:"7(!;).<=)>$);#.?;#,'@8=-,0:878'(3.-2/

Neonatal Resuscitation

!"#!$%&'()*+,-!."#!
!"#$%&'()*"+,-&(+,./0&12*&3 2005
!"#$%&#'()'*$+,-.+!/-012345"6207$3-41-8.& 3&92/$&*$+, asphyxia !"#$"%$&'(!")*(+,-./*01,2.34/"#5#678$ A-B-C
!"#$%&'()*+,-('-".,/($- : -('0*+#.(#12345, 3:1
!"#$%&'&"()*+*,-.#/012345.$6/7$'8/!19#0%&#":98."!"#$%&'()*+,-.* /012345'1+657!"#685!2"-&'(4,2'(19:,$9,;
2010 !"#$%&'()*+",

!"#$%"&'()*+,'())-'.( positive pressure ventilation !"#$ %&"'!( oxygen


!"#$%&'()*+#$,-$+(.#/0(,1&+*+#234'5+*62%*+##4*7+ 8-9.#/0(,15+* 3 &9:+'-4'1); :
!"#$%&%$'#()*!+,"-./, !"#$%&%$!"#$%,&"'(')*+,-./0 12"3) oxygen !"#$%&'%(
(!"#$#%&'()*+,,+#-./&!#0123 pulse oximetry !"##$%"#"&'()*+,-#./0123"456#)
!"#$%&#'()*+,-,.&$%/0$)*+,#$12"3$#3+1 45&4'-+&$6#'(7893+1:,3%5;&$%&<3='>?9
!"#$%&'#(#)*$+,-+.-'$&'##/&0'123'4-31*,5614
!"##$!%"&'(!"#)*+ oxygen
!"#$%$&'()*+,*'"#-.$),./0
!"#$%#&'()*+,-',./ (01*!2345,$/'&26 2005)
!"#"$%&'()*+%,&-( exhale co2 !"#$%&%'()*"(+,-./012$34"567.685.95:;4$;!<
!"#$%&%$&'()*%!&#+!&%$,+-.(%./0
!"#$%&$'()'*+,-(.( thermoregulation)!"#$%&'%&(&)*#+,-./*&0/"&1$2"*(340(5.+,6"7$&58 2005)
!"##$!%"&'()!"#*(+*,-.,/012-3 therapeutic hypothermia !"#$%& post resuscitation care
!"#$%!&'()"*)+(,-)"&"#.#-/(0
!"##$%&'(#)*+,-.!"#/01+!23/41.-(5607894:+;<"!8= 2005)

!"#$%&#'()*+,-,.&$%/0$)*+,#$12"3$#3+145&4'-+&$6#'(789,3%5:&$%&;3<'=>?
2010(!"!") : !"#$%&'%&(&)* #+,(&)*-$&.$*$#+,/.0.+12--34(5+,46%7890$6&$%:3;6<%%=>
!"#$%&'(')*+,"-./01'$%&'!/2345/!5&2 (')*+,"6/778219$*/:7;5<=6>?@/8<.*4A4:/7'/!"#01B2$77CDA4E.*2 37-39
!"#$%&' ()*+% ,-.%!/0123-45!+/+-6+*7&%7589$94 :2+()*+%;0<*%;23-4.%=.%=6+*7&%758:!! mask ventilation
!"#$%&'()* +,-#.+!"/0120!341!"#56.789:";1<9!3&=>.&56.7
!"#$"%$&$'()*+,!-.#/0,#12340526*,789:7;<+=,5()'52612*:(1>(1()?5@( mask ventilation !"#$%&'()*'+
!"#$%&'()*+,-./&"&012/#3#-4#567&62$!8,

!"#$#%&'() *+,#"!"#&,-).*/0+123 ,*+,#"!"#0"423,#$% oxygenation


2010(!"#$) : !"#$%"&'()*+,'()-./0+(0*1230*-, positive pressure !"#$ %&"'!( oxygen
!"#$%&'(#)(*+,-./$01'&,2,3405(6"'&,,#'7& 89:-./$2,3405(%&' 3 "#'7;39#$-</=2(1):
!"#$%&%$'#()*!+,"-./,!"#$%&%$,%0./,1%-2 oxygenation !"#$%&'&()*+,-./)$&0123%4! pulse oximeter
!"##$%"#"&'()*#+,-./0"123#

Neonatal Resuscitation

2005(!"#$) : !"#$ 2005 !%&#'()*+",-./'0+10/*2/. 340'/./')0&"536%47!2,340'/./'%/8!2,


!"#$%&'()*+,-#
!"#$%&'()#*+(),- #-.)/01"22"3*34#56-+72894!(:",-/2-7;- <=;-27>2"3*34#56-</0?%@+4>&AA+
!"#$%"&'()*+",-,./)01$*23)4!"#$%&'() *+,-.$/)012+3&45--67%&89:19;7<=.$."(2 >.<, oxygenation
!"#"$%&'(&"#)$*+#',(-.(/0(123/ +4$56789:( pulse oximeter

!"##$!%"&'(!"#)*+ oxygen
2010(!"#$) : !"#$%&'()* pulse oximeter !"#$#%&'()*+ probe !"#$%&'()#*+)(,+
!"#$%&'()*+,$-.+/01#,234546')!"#$%&'"()*+,'-.$,'-/0)-12 oxygen
!"#$%&'(#%)*%)+),-(./012-0%')"#$3-04%+%,/5673)#%)879.4,6-74:)#%;972#)#<=)6,5#))4>#)#%;$7 oxygen 100%
!"#$%"&'()*+,-.!+ oxygen !"#$%&'()** +,-,./-01 234-5* ++-617$8 69:;/#14,<-,#&=(3,4,#>&'(70#?:+;"5@
pulse oximeter !"#$%&%'()*!"# $%&'(% probe !"#$%&'()&%*) +,-.*/ %(0120 3,20 45)120
2005(!"#$) : !"#$%&"'( cyanosis , bradycardia !"#$%&$'('")*+,(-*.'/('"!'012$#3456$/.'"(
!"#$%&'()*+,-./)0 oxygen 100% !"#!$
!"#$%& : !"##"$%&!'()*+,'#-"./'01!.%2" 3.4"$#5$#1#&04*67,807$9#:"+.05!"#$%&#'&()*+,-.
!"#$%"&'&&()*+,)- aterial oxyhemoglobin<60% !"#$%&'()*+,")-)((,.) 10 /)01 *#234 aterial
oxyhemoglobin !"#$% >90% &'%()#*+,-. hyperoxia !"#$%&'()*+,-.&/0*1234,5
!"#$%&'()*+',-+./012"-32*-4'5*"

!"#$%$&"#'($)*(+,
2010(!"#$) : "#$ suction
%&'$!"#$%&'(&)(*+,-./!0*123#4!50/6%/)"+*1237890:1(*05&);7<=(2'%7>(+?0,)&0/7%@(<051>$A%B'(>(&C01<3#C0D0
!"#$!%&'%()*+$, '&-$ )./+0-1$02!%&+&310)./!%&.#4('%()*566 positive pressure ventilation
!"#$%&%'()"*+,-*,./01"!2'345'!#562'31748)'3!-9:,;-7-:,<-*,.."*=,2,.*8>0?"@!0 "#$%&#!'()*+,!%'&-./.+0.123%
(%)suction !"#$%&'%&(&)*#+, (-." non vigorous !"#$"%&'( meconium stained
2005(!"#$) : !"#$%&'()*+,-./$01213,)(045-/67#/4 suction !"#$%&'()#*+,"+$-.*),'/01()
!"#$%&'()*+,-./+$01$12,&3$,"'()*+,-4$%"/"25,3,,365 !"'573'()089&07&.!"#$%&'()*+,-./0 suction
!"#$%&'(")*))'+&,"-. /0'123435+36&.7 meconium stain *+$ suction !"#$%&'() *+(,% -*./01)
!"#!$!$%&$'()*+,-,,./0 (intrapartum suction) !"#$!%&'()* thin ',- thick meconium
.#"/#+- meconium !"#!$%&'()$&*+,-./0(&$&1+&*(&2'3 ,-+&*4541601 muscle tone ,
!"#$%&%$'#()*!+,"-./ < 100 0$"1+/)%23 0-$#(!+24% direct laryngoscope !"#!$%&'()!*+,+-./. meconium
!"#$%&'((()*+,+) hypopharynx !"#$%&'()*)+,)-#.%#'/012 suction %!"#$%#&'()'*+
!"#$%& : !"#"$%&'()*+,-+,'+.'/01+2#*3+4*5(4$6789:75:1;!/<=5;>,.+?)#""#$23 airway suctioning
!"#$%&'(")*&$( meconium !"#$% &'()*+,-./$%0123450)6074!891:;<92.)
!"#$%&%'()"*+,-.'/01'!#12.'/345-"65-7-(892 :;<05=*,8>5&.&2?&@!(,!>3019/2.A,*,8 suction !"#$%&#'()'*$+,
meconium stain !"#$%&'&()*(+,-

Neonatal Resuscitation

!"#$%#&'()*+,-',./
2010(!"#!"#$%&'()*"+ 2005) : positive pressure ventilation !"#$%"&'("&!")*'+,-./01*)23* 45/672$%"&81(
!"#$%&%$'#()*!+,"-./012'3425*67) ,$8! 09%.,(0$-+!&*:%:#"-;1*67) <#=#(!+$>5";$>-"+
!"#$%&$'()*+,$-./0123456!'7089:%1;$</0=#$>=?<9<.8.*(01$#'123+@<.'?<0';$&0. <>?$68#'A!"#
!"#$%&'(%()*)+,-."/$/01&(2&(3/45672&(89:4;%(+'%!"# inflation time ,tidal volume, positive end expiratory
pressure !"#!$%&'()*+, functional residual capacity !"#$"%&'()!*)+,-(./!"#(01 !"#$%& positive airway
pressure !"#$%&#!'()*!%+,-#$./0123"4(5.$67(8$1!"#$%&'(!)'*!+,-*( !"#$%"&'()*+!,- LMA !"#!
!"#$%&'$(#)(*+,-./012(#34( face mask ventilation !"#$%&'()*'+,-%./0*&123!"#',",%45'#6#78#91:,15/!;<

!"#"$%&'()*+)%,-%./0+ exhaled co2


2010(!"#$) : !"#$%& exhale co2 !"#"$%&'(&)(*+,-./,"/0"1$%!'"2342.)25/'%/&652%./7!2 "#$%&$'#()%*'+
!"#$%&''%'()*+, -"./01"(2 cardiac output !"#$%&'(")*(+ ,-.+ +/0(12314534*$67
!"#$%&'()*+')+,#"&-.$-/0).
2005(!"#$) : !"#$%& exhale co2 !"#"$%&'()*+,-"./0'12'3&'()/")456*7
!"#$%&'(#)*(+,!"#$%&#'"()"(*+!&,-.*/"#"0*&112*,*+34(45647089,:(;<!"#$%&"'()*(+,-',#,&./0123456,)6076589,8:;08<6:=9!
!"#$%&'!($)

!"#$%&%$&'()*%!&#+!&%$,+-.(%./0
2010(!"#$) : !"#"$%&'()$%*%+*,'"(%-*./-*%+0/12'%2&3,(12-4.+% 3:1
!"#$"%!&'()*#"+%#,-!./01!2'-%&34%#,-1"#567!./018,-9#&,0!3%:,7;).&+"#"+#-!43")#&<)#"+=</2!"201%9>4 15:2
2005(!"#$) : !"#$#%$&'()#*$+,*$#%-,./'#/010(*2+%#3,.( 3:1 4&/!"#$#%$&'()#*$ 905%267 -,./'#/01 305%267
!"#$%&'()*(+,-./0%123-2*'4(3%25,678.9'39&: 120 ;-<=1/43>?
!"#$%&'()#*+(),- ./%0"1"012$-3".1%4.1"0546,$",78,/9:;4'0"<=4"'()#$;">!;?-45/2
!"#$%&#'()"!"#"!#$%&'"(#)*(#"!+*,-%"-./ 012 3:1
!"#"$%&'()*'+,-+."$/-0)1")23245"$.5(617031)89&,:4;9)#(!"&1,83".<"0= asphyxia
!"#$%&'#(')*'+'#+,-./'0+120+'#32"4-'45& )67 15:2(+#(6)67869:/)*'+'#32"436"%1 2 !.)
!"#$%&'()*+,-./0 1/2*345678%*2849:4;%#+<=#1><-?'@A(/,'-:4B%@!"#$%&'(%)*+,%'-./!012$

Post resuscitation hypothermia


2010(!"#$) : !"#"$%&'(&")%*+),-./0100+2%),-2,0%34.**562%++78%'*90:)8%+;< 36 =;>1%'6),-2,5%7# hypoxic
ischemic encephalopathy !"#$%&'()*+,$-./$01'20/134+.56+07.890*:5;1: )*$<&=$'(5+$$'5>+&=*?@+*%
hypothermia !"#$%&'#(&)*+,-$./0/12342'$5/&'##6&7'89#1:1:'"

Neonatal Resuscitation

2005(!"#$) : !"#$%&'#($)*+,-.,/012 32456127,8)9:;)<$ #$%.=$1>?7!@0@-A<12B$)6 hypothermia


!"#$%&#'()'*+,-$ asphyxia !"#$%&'()*+,)-&)+./0&1(2.3452672$8+9
!"#$%&'(#!)*)+,-./)+,'0-1/2)34#,2*(53,67839,-):)!;*!"#$%&'()*+,-./),.(
!"#$%& : !"#$"%&'!()*++ randomized controlled multicenter !"#$%&%'()%*+,-&./0%#1 hypothermia
(33.5c-34.5c)!"#$%&#'()'*$+,-%%./-0*1#'()$&&23$4%5*6#3$&78 36 97:1$4/ !"#$"%&'( hypoxic ischemic
encephalopathy !"#$%&'()*+,$-./$01'20/134+.5!"#$%&'#()*+,) -.(/"0/(1!234,5"*"5678108(),
!"#$%&#'())"$%)*+, -+./01%234+3%/5"67'%218%.( 189+:87

!"#$%!&'()"*)+(,-./012"34
2010(!"#$) : !"#$%&'()*()+,-%.!(&/01)2"345+6(&(789!"#$%&'%($)*+,-./&01*'2&13/*' 1 !"#$
!"#$%&'(")*+,-./012($3($#$%&14561789:0&;</9!"#$%&!"'()*+, -./0123456')!')!7289':47.8;3
!"#$%&'()(*+"%,-./01.&02&3*45065*$&3*47#8/%98/:/+;<0 =>268?
!"#$%!&'()"*)+(,-./012"3456."#!./072-4!"#!"#189*!%21/9:7

!"#$%&'$#()%&*+!"#,-.%!/0,1.+*
2010(!"#!$#%&'(#)#&'*'+,- 2005 ) : !"#$%&'%&(&)*#+,-./*//&0$'.1!"#$%&!$'#()'*+,-./0123!45
!"#$%&''&()!*'&(+,-./!"01'2*+3-4567 10 8&93 ':.#$6;,;3'&(/5*8<1$!#-)%93='"#>?08;&
!"#$%&'()*+(#,%#-&.,/0123456)7*8,2-&.9%$*-:;9)$2, 43-.<)6)75=,/0123454>;6?&-&.-:;9)$2,,%#@ABC;$%& 10
!"#$%&"!'()*+,-./"0123!-45 6"78/91:;<",=84,>?8!"#$%&' ()!"**+,-./0*1(# ,)234.+56&('
!"!#"$#%%&$'#()*+#,- hypothermia !"#$%&'()*+,-./01)*2-$(/034-&(5/'(6789/-&(:+;5<;%=8
!"#$%&'()*%*+,-../0 123*41567.6-8%9 /*(:&;6*.<52=7<)7.6!6;9 >?$="@A%6*BC16*..%9D@(;<"@1E%+"*6
!"#$"%$&$'()*$*%+,-./0#123'3('4/5*67.

Ethical Issues

ETHICAL ISSUES !"#$%&'()*+",-.""/


!"#$%&'()*!+)',- ./0 1)"2$/3456.$/78/,1
!"#$%&'()*+",-.""/(01$201-3456*2)"2)"275809/0:3)/;<=;56' $2,%4>?'@'AB)-CDE)'2)"FG ((<?*@' HB#'62I"*9-)=)B)
!"#$%&'()*+%,-./01234$5"675"849#',- (./01234$5"67$-6*7:;0+ <+=):->?"8%9@8:%8!"#$%&)
!"#$%&'()*+,-*./#0123.,43%3/%56789(-*+9:*+;3+ !"#(-*+<5. =>?"3%/,3.%3/!9,@A,>%?+ ?1/9&B3/C3B/&@D//E %F0E3@ !"#
!"##$%&'()$*+,--. &/012/0%)345(6+2'-6742'-89)%17:;5<=4!>)%&/0#?'1!@+A45(BC4-$D2'-2=48/E FG(H.4)9'
!"#$%&'()*+,-./012/)3#4567(-83!"#219:/3;<!"#$%&'(&!)*&(&!(+,-./ 01%(&!123456781,9'(!")*&:6#;2((&!)&'$5)<&=&41!>,
!"#$%&'()#*+'(,-&./"01*2'%3"456 478 173))#*5#()91$#0+'(4%:785&'(5;<

!"#$%&'$()!"#*+"+",!-./0*1'2-.1345 607,08"9:3;91<3+()=>.''?!@#A*+"B"C
2010 (!"#$): !"#$%&'()*+$,-./01/2#34$&3+5$6789:*;!"#$%&'()*)+ ,+-./0%1*#)%23')-#)%#4056'%-/1*'78!9)!
!"#$%&'()*"+,' !"!#$%&'(%)*!#$!+,-./01'(/2'(3#( (BLS termination resuscitation rule)
!"#$%&'()'*%+,*-".'(./012$34+,$5+,6',74+897:.:;,.'(3,*:8"0<#(=$#'>'? @A5B;*C'<D3;8E/0FG<#7(87'A30;.H'I,"
!"#$%&'()*+!"#!"#
-

!"#$%&'()&*+(,-./0123"45!6!"/+1%(21%3"47'88879:%7:%7;<3,=>-:/>92 (7?@ /+1%<2):A%2:B1C"<D)E2012

!"#"$%&'%()*"&+,-.)//&01$2(ROSC) !"#$%&'(!)'&*+,-!#,(%.&/01-'2)345
!"#$%&'()*&%#+,-%$)*&./01$&#2345+6'7-06285962( *&: 3 &0:

!"#"$%&'()#*+%',-.!//0&**%1&%23'4!5 "#$%&'()*+,-.

!"#$%&'!(#)*#%+,-./$)012*345.67&8)!39::*;<='&>=*#%5012?$@A:B34C$D0-./E.F#1G$&1CH$2IJ?>4)):*K%962#'#@ LJ4E.*#%H&J-"#
!"!#$%&'(%)*!#$!+,-./01'(%+2 (ALS termination resuscitation rule)
!"#$%&'()'*%+,*-".'(./012$34+,$5+,6',74+897:.:;,.'(3,*:8"0!"#$%"&'&( )*+,-./&!01-234567!"8#28&*15-9:&;<=
!"#$%&'()*+!"#$%&
-

!"#$%&'()&*+(,-./0123.,4!5!"67189/(:2

!"#"$%&'()*+&,-.*%/01$23*,+/0456(4578%&'9:

!"#"$%&'%()*"&+,-.)//&01$2(ROSC) !"#$%&'(!)'&*'+),-./#012+$32*4%2501 6 7-83'593!:;

!"#"$%&'%'()*+,-./01

!"#$%&'!"#$%&'#()!* +*,-.' #+/0*"#!+12%1)34567*078,9!'#!+:;9<=>,?@3A63#B!C"%7+0


!"#$%&#$'()*+,,,*-.$*.$*/0'1234.!3-&56*78#*9,.$*:;.<,*=
!"#$%&"'(")*+,$-+)*.#$/#0&)/12!-#%3-4-5"'(0*-(0*'&6-789:;<&%!"#$%&"'(811'=>?6-7")*"9:@#=
!"#$%!"&$#'"$$()#*+"'&,+-'".,&-/'&,0 12'! "#!$%&$'%(!)*+,-+./0102 3!45/67!89:-.2($;.
!"#$%&'()*+),-./++01.!"#$%2,03245 !6/ 37(185(1#9:;<1.*7 =501.>5?+>5,501.=@(0AB?C06D1*

Ethical Issues

2005 (!"#$): !"#"$%&'()*+,&-./%,&01*"&%#/101.&1$2


!"#$%& : !"!#$%&'(%)*!#$!+,-./01'(%+203241'25(678!+,-./01'(/9'(:#(;<=5(678!+!, "#$%&'()*
!"#$%&'($)*+$%&*),(-./$,01()23$4&&'($./5)678'97:3;*-<$495=>0$%?*9+$:'( .@3("( $A+BC-23)8D$<
!"#$%"!&'()!*+",-./01)"$2"3"#4*'5(6#"!"#7$2+)891.:,;29+<#)=;">"*?@A-3+3@B,"3C%"D.E$*)-'1 #15;*F 40 4G) 60
!"#$%&$'()*+,&-.(/0-12345671.859+3$:55 9;#9<1)*+=>+!"#$%&'()*+,-./0%&'12*+3.45!6!78(9:#;*!:,5#$+<
!"#$%!&'!()*+,-$.'/01(23+2'45$675$80167*-(9%:#$%#$%;<8(=>?#'>:7 ;!&
!"#$%&'()'$$($*+,-.*/01)23)42%1567*&8$'+'/9* :&';4:<3: /1=>'*)'$<?"@%1AB18C
!"#"$%&'()*+,&-,&.')/01234567*8%(+&'%9'%:;<* 7*8%7;8% .'=< 7*8%>?) !"#$"%&'()*'+,)-./01234563789:;9<-&=&> 03?#69,&4
!"#$%&"'()*+,(-).'/$01/2312!45
!"#$%&"'()*++'%,#$-'./'012"'(34567"89":;<#/=0>8&?@'&=+@%AB!C;006"D97/%8(84=03:;)E&%"4AF.0#G

!"#$%&#"'()*+,)(*-./*01234567#,89":;)#<8"#1=8,>'?!52@%AB'5*"C()**"(D)'5#,;)#<E>-8;4!"#$%&'($
2010 (!"#$): !"#$%!&'()*+,-./*012&345671.890:&40!;&<=.62%">3:?.%,4@79,,47A9.%0<890:-=B&8$C179<2+D9 C*ED9>":"D90(9
!"#"$%"&$'(()$'*"% #"$+$,-./0123445"*$6$',7%8"9!& (!"#$%&'#%()*+) (Electrophysiology)
!"#$%&'(')*+,!-"./&'0'.12 (Biomarker) !"#$%&'&()*%!"#!$% &'$()("*+",&-./01234%5 3 ,#367#!$8(,'6#,2&69:0;+13
!"#$%%&'(" )*(+,-".-/01.2-3-4567.89:;02!"+-65(<41"!%41="4&<+-6>2-2-?:;02+@A:8>2(/?8BAC%D-+(<
!"#$%&'()*+,-#./0123456,'789',*#:/6,'2$;<=-12$ 72 7,>'?3=@5,=
!"#$%&'%()*+(,$*-.#/01234)5#1!+6&%!!+&7%#1(-!"#$%&'(!)*+,"-./0"
!"#$%&'()*+,-./$0123,2123-4,5,6*+7896:;</=&9>:"*+?%27?+,=&(8*&/
!"#$%&'()*"!+,-$+.)*/")0(#$%1-,2#341567%89:;-&$;<,$;=7;$.);
2005 (!"#$):
!"#"$%&'%(&)*+,-./$0.-+%&'12&%'345'67*89:;<.2)=->?&.@)-.7A)2B+C,:*D$E!+:'-F%&''-%G&+:.2?&.@HB3)?9"I%&!"#$%
!"#$%&'()*+,-./0123425*%&'6#%%&67#5*-.8#-9:;<$8)3=6#.>1"# 6#%-=?@%#9$A:8=3#B(Meta-analysis) !"##"$%&#'" 33 ($)*+,
!"#$%&"'( )**'+,-./012&34567282"96/0.2://";<!8=>*3.2:!*?/: (anoxic-ischemic coma) !"#$%
!"##$%&'()*+,-.*/,--$012&'(3%* 4' 3 !"##$% 56/
-

'&()!"#$%&'()(*(+,-./*0"#,12,314516789,"

!"#$%&'()*+"!,)-.,/!',0#+&1$2)3.#4.567-+&

!"#$%&'()*+"!,)-.,/0,/1-2.3"4-+5&61768.59:/-,/02+/ $+**+"*"4!;2.5+/*"4<-%==>+(Somatosensoryevoked potentials) !"#$%&'(&)*+,-./$%012*3"45674 ./$"/*+,-89":+%;:+<)(%; 72 '=$,8"<


+!"#$%&'()*$+#,'-++./01234!),'-1!5+-

!"#$%&'$()!"#*+"+",-'!"#./0+!12.3*$","#4!#567"8)29+/":41!;29:6":<#%+=##,-'!#>3'3&
!"#$%& : !"#$%"&'"()*+,-.&'"/'*.'01#/23/4567'.-8
!"##$%&'()*+,-.*/,--$012&'(3%*4/+,56!78%9-$+:;8<9$8=#9%>?@.6A&'(B?6C$DE;CC$EF;?68%:;8</>G9:5!"#$%&'($ )*+,#-

Ethical Issues

!"#$#%&'()*+!"#$,+-.,/ N20 !"#!$% (N20 peak) !"#$%&$'()$ *)++),+,-./(0!)$+,-1%2334)(Somatosensoryevoked potentials) !"#$%&'&(($)&*+,-#.)&(/0 24 1/2$3'4 5%6 (&+7+$89'):0./;4<=>(>+>?&@-4(+68(7& 5%6+A')&"7&
!"#$%&'&(($)&*+,-#.)&(/0 3 $/" *%/!"#$%#&'()&*"(+,-./01 (2)$3#14#!$#5674+849:";#$)-61'1;#<9$&=# $#5/5&"
Glasgow Coma Scale !"#"$%&'(()*+,-./01+,-.)*+/2*+341 2 5.6*(7*#,89- :(;8<- 3
!"#$%"&'()*+,(!-$"!.')%"+/(012#03&(ROSC) !"#$%&'&()*+,%(#-.$/012345(Status epilepticus)
!"#!$%&#'()'*++,-./0123!"#$%&'()*+!,-.%/0+1,.+23,!4567(89:;<5(=.>?0==.?@05(+!/0+1$4A,/'BC?0!7;D0 289D08$%65:!+?.8
!"#!$%&'"()*+,"'#-./0!1%,(Consciousness) !"#$%&&'(&)*(Cognitive)!"#$%&'()*
!"#$%&'()*+,-,$.!&%/-01,234.56789&4:574/;5.<+=>,-?"@*+,A7)%&AA7%B&+,4.9&4:$<C591!D%&.>@E&
!"#!"#$%"%&'#()(!*+,'#()-,./-0 N20 !"#$%&$'()$ *+,&-+./012034$25678(&4
!"##"$#$%&'()*+(),$%+"-./*0/1)0(21#$%3+4556" (Somatosensory-evoked potentials)
!"#$%&'()*+,-./01$2/()',)3456#,76,8-(80+45(9219 :')-9()456#,76,*,$;)<4:-=>=#&($;?)'@-=5='AB (Biomarker)
!"#$!% "#$%&!'()$*+,-*.$/(0!%1$23)$04-4(23)5657189:6(;<=%1$>&$?)(0!@<23)56558#(A$B5C9

EDUCATION, IMPLEMENTATION, AND TEAMS


!"#$%!&'#( !"#)#*+,!-./01 23*45(
!"#$%!&'#( !"#)#*+,!-./01 23* 45( 6)789:;<1&/9(=/8 28;)>?':-?!"#8;@9:;/A$"+)&@!B105C )D 2010 <&E AHA !"# ECC
!"#$%&%'()%*+,-!".$/012)0%*345+6,)7,*+,-8"79:7;$<;7;$(=< !+;$9>+5'+,-?@+%'-/75+AB+,-+CDE;"
!"#$#%&'!()*+,-./012.340!"##45+6/7( (Chain of survival) !"#$%&'()*+,)-./0.-./1203$./45$+*-.6 !"#&#**$%&$789.: 3:&%#5;%
!"#$%&'()*&+,-$./&*01234+#5678#9,2.:;16<,$,=>*!"#$ %&'(&)*+,-# ./0%1'1/0$2*&3045467189:;16112<

!"#$%&'()*!+)',!"#$%&%"#'()*$(&+,-.%/%01"#2%')34/5%617-/$*8 :
-

!"#$%&'($&)*+,-#./,0./12/3"4-#./%&5 6+78+92:; 2 <=


!"#$#%&'()*"+&,#$#%-./0-$10#%+%2-&34+"&5(!",.#6*78%95&:%;0&,#&6*<3= #".>?@&,#A05(A0B0 C#D'
!"#$#%!"#$%&$'()!'*+,!-.,!/0,123( 24//56'(
!"#$%&%'()*(+),-.*/!/012)32/145'()*6'70,%)/8%9-()*:*/0%4-;1)%*<=>?+) ,*@A()*8-"B8-C-D=A%<2
!"#$%&'()&*+,*+,-.*/+'0)12

!"#$%&'()%&'*+,)&-./*012345$6!&53/78%'93:7':7'/)()%&')!;2)/&7%<&=>7;%./?$* @;/A%B
!"#$%!&'(!"#)*"!"#(+,-!"#$%&#'($)%*"+,-$'.#/0(1!2#/%#3

!"#$%&'(%)*+&,)-./01234,51,6"52&4,% 7%#/4!"#89!:1$;!6<=.>4?@/6/47%"/:$)*)$!"#1A#/ '#01!"#BCDA(ED!"#!=.-43


!"#$%&'()*+&,-./0,12/345 6&478%/4.,9:;&,%&<-//0,=>?>6/@0!=7'()'@0:;&"#A"B/0,?CDB/%&?(= (A?C5 ED09/"-D
!"#$!%&'()* +%,-./'!"#$%&'(&)*"+,-./012034-56(-786.9:;!"<8=>$?)

!"#$%&#$'()*+),-$./&.011-$.23'4567-!68&
!"#$%&%#'()*!+%$,-./012,314%.54#6,74897:-;<=">?@*4A-;>@=(B9)3CD%#E83#F)B,D"=% ?@*/G">&AH%"F),"(I)>CJ93*B KJ*LD=
!"#$%&'()*+,-'./0,'1-234+5(Gasping) !"#$%#&'()*+(,-(./012-3!"#$%&'()*+,-('()"./$"0(1'2(341/'50678

Ethical Issues

!"#$%$&'()#*+",-('./0#(12&(342'5678"9 74"#29"#:/;$&;%<#=39=1>><#=?@:'AB5<7BC9D#4$#.#=!32"
!"#$%&'()*+%,*-#'.-/0%1-2314&56789:;<-=&59;7>?3@,AB#/C2-=&DE73!9DF</%+B#/GHB5+/EB#/B;<6=1E#B75?
!"#$%&'()*+(#$%",-.*,!/0-1!2345!"#$%&!%'(&")$%*+),
-

!"#$%#&'#()*+,-"./0)/ 1&2&'34'+5/'()67)8&##&'7(9+7+!":/;1<=>#&'1>/
!"#$%&''()*+,-%#.,-/01(.102341!"#56*%718680$9'(1:;82,"6$

!"#$%&'!(&)*+,)-./),)-,-0123+45(*6'3(7899:)
!"#$%&'(#)*+,-./012&/*3-4/*5647"0#289(/:!;<9)=+">9(#?9'(9#@<?AB
!"#$%&!"#$%&"%!'(!&"%!)*+,-!./'0"!1$2+3456)7'5$83&5$9*:6;<5=3%-6%&>%&%!?)3>?%3"%!@A7B%C'0DC1;50,EF3
!"#$%&#'()(*+

!"#$%"&"'()*'$+, -./$0!1/23",()*'456'%" 23#,+!"#78!9:#,9;<"&=<9('>?9&$0@&A'B.0!C5=#!56D+EF0@'C5&


!"#$%&$'()*+,-./0'12/345$

!"#$%&'()*+,-.,(/01234!.5)$%67* !"#$ %&'()%*)%)+,-$.)+/*01.)+23)32415+(14. 6+74%&!*&31840


!"#"$%!$&"'()*+$ $,#%-'.,"#/0123456 738 !"#"$%*9/:/& ;"+#)<$82=(1>!?"4$0@A"$@9$B"A"$.,"#$9& C0AD8
!"# $%&'&( )*+%,-$./0102-34522-32678*9:;<0=6> !"#2-32678*9:;<0=6>10$?@2 ABC->D32@&-E
!"#$%&'()*+",-.*!"#$%&'$()*+,-.*/*0,1-2(3"(34,*+,-)54',*16"*78'+9",:)*198+;<3-=>+(?-!

!"#$%&"'()&*+,-,./.01002-'34(writing tests : !"#$%&' ()*+$ !),- -+.*+$) !"#$%&$'(%!)#$*


!"#$%&%'()*"+)%%,"'-./012(-2$34#.5%)!"678#+19%#12:;<-8="+1/ >8=/!"(?@#A7'!"012!6BC
!"#$#%&'()!"#*+,!"#$%#&'(Performance assessment)!"#$%&'#()'*+,-*./-!0-

!"#$#%&'()*++,'-.(/0-")1#234! .5#'6!"##5'7)189!:;4#!"#<=!3+#'4-3,$
!"#$%&'(!)*+,-./&+012)23!4-+5,14671!289:%;<=(!:(12>,4?@0%A24&+012A22BC,DEFC)236;5G:%;HBD06=E2
!"#$%#&'()*+,'-.,&%/01234"56-78%

!"#$%&'(!) "#$$%&!'()!*%+$,%-.+($/*012 34536(784$%&.9:;<=:


!"#$%&'()*+,-.,/"'01/!2'$345.65/"'+78*96:;!
!"#$%&'()*#+,-./0.1*2&3452%'67%28.7%0.6%*)9:;<1:6%*.238.7%$6=%,)$3647-(>0.?47)@2,&*:A

!"#$%!&"'()*"+,-.(/)0(Debriefing) !"#$%&'()$%*&+,-!.*'./+,-012!&,3$(learner-focused)
!"#$%&'()*+*,-./01%02.+*,32.24536+78$9&6:;<$20'2.32.245=>7!4*?$9&6+*.-@7
!"#$%!&"'()*"+,-.(/)012#'/!"##2'()3*456,%!738#!39:/;<%=573+
!"#$%&'()*+,!-./-01!12)314,56780901:*&,*3-01;<;(3(.=2-01*3-01>?.<@A.B1.C
!"#$%&'()*(#+,-./#(+012/(#+(3&45,6*& %7-891$&#,(-$%&

!"#$%&!"#'()"*+,-.#/00(Systems-based approaches) !"#$%"&'()*&+,-+).+/012" !13(


!"##$%&'(%)*+,-./,01)234560 &'" !"##72#87)2-/93!,$:!;,193<9!&=1->?@<:?50
!"#$%&'()*+,-.,/"'0123"$45/56"78!7/"''!1+%395#"/:"3(;<3.#;*=1>5?, .,4560(@?!7@%AB1?

Ethical Issues

2 !" #$#!"#$%& '$"()&)*!+#$,-".*"()"/0123456(


2010 (!"#$): !"#$%#&'#()*+, -.'/+#&'0'%1/23456&73'%8.9&: 2 0; <=:=&>?1=#@&''"A'=:
!"#$%&'()*+,+-$./012301415'$67'$89':;<1 =5>;?884321
!"#$%&%'()*(+),-.*/!/012)32/145'()*6'70,%)/8%9-()*:*/0%4-;1)%*<=>?+) ,*@A()*8-"B8-C-D=A%<"
!"#$%& : !"#$%&'()*%+,-*(.+/012!3%/456'()*%+,-*(.+/789%:;<=;>??@AB9%!@CD=*%+&@E=%;+2BFGHF$%&'()*%+*IJK5&
!"#$%&'() *+,-.*#/,&012+3&4'5,&6*+,72+*8%96:,;<;=5>+ 2 ?@
!"#$%!&'(")*+,-./012345674879:"8;("./01<1!"##=!>"#?@=)9ABC"DE+5!"#!FGH7D
!"#$%&'()*+,&-.'/0&11(02!"#$%&'()*!+,-./!"/0123+45-6789:;<9=9>?.,-.=@%/:0A",-.:4!&%9BC/-&"D=@!EF=;.
!"#$%&'()*+,-!"#./#0)1(&0)'()*23)4)-561&370 &0)!706&0)$%&'()*&"#89:40*5,1&;"4)/'< AHA !"# ECC !"#!
!"#$!%&'()*+,-.)!/0+$12$ )+.34)56.785( American Heart Association !"# ECC
!"#$%&!"#$!%!&'()*(+,-.&+/,012+,-345!,6789,3+,-+:;<=3*>#,(?#*@!A'*(
!"#$%&'()*+,-./()$0-123&0-14504*6)$'78$/7,9:++323&1&99
!"#$%&&'()*#)+,-.-/012/3456"7/8,"95)(345#:*#)*0.47/8"/7/8;'"6*3455)3<45=")(>'?@4ABC+3453D9E/A

!"#$#%&'#()$*+,-./"0$1%,&/1"2
2010 (!"#$): !"!"#$%&'()*""+#(,-.(/+0"1+2!0-"3/456 7897:-;<8"+#!=>&'?>#@A(B.CAD
!"#$%&'()*+,-.,/"'01/!2'$345.65/"'+78*96:;!
!"#$%&'()*'+',-./0.123456(7893:;.+<=>'?68@:A'6B2CD6@/0.?68'*=+'E60?F61%0=?GEHI@>'JGE%K*1L8M.
!"#$%!&'()*+,-./01!23+4!"#567896-:;<=0/)./!"#>6#?"!"#7!"#$%#&'( )*+,-./01(2(3.4056%$763.4(89:(&.'3)*+/;*<=;'($>(
!"#$!%&$'()*+,-./"'0"*1%23*1453#216!"#$6,78*6'9,-:89*;<=3*1>?@$<A"'AB=8C*(DE2%!EF@"G1E$
!"#$%& : !"#$%&'()*"#+,-."'!"#/-0,/1"2!3,1456-"46'7583/ 3 2'69)#+!2: ;01<!. 6-"4=583/!"#!0 6-"4>?!3/!"#!0
!"#$!"#$%&'()*+,-!".'!'-$/0.&12"31&-(recoil) !"#$%&'()**+,'(*%-).!/0!1)2-).310'3()4- 567381)*$()$)949:)2;<2
!"#$%&'()*+,#'-)./01+,#.2-)34256'-)78#%(9$5%:;$"5<3=5*8-$>?5" 8(*1(@1
!"#$%#&'()*+,-./0#*123#,4+)&,56#78&-9:5.5:)&,'())&,:836:#&*)*;<&1$6-&/9- 7=&>:/:=&5:!"#!$%&'()* 2010 +,AHA !"# EEC !"#$%#&'()*+(&,-.,/.(01+($%#),23$4'5(67#89.:/0) *()(0;1+(.(03'"%3#(:.!"#:<5(=;7.>#:=
!"#$%!&'()*")+,-".!"# !"#$%&'( &)* !"#$%+',- !"#$%&'()*+(!,)-#.,/"01234&0#5&" 6"7458142"!6,/"$82!*&"+*!8'*)-*%
!"#$%&'()!#*+,-./0!!"#.123.&"'!"#$%&'!()*+, -./-0'12.!#3%456785 3/9:;#1!#3"<!=:'9=)#&!=7>=
!"#$%&%'()*+,&-.%&'/01234%'!5!6%750

!"#$%&%'!(")$*+,-+("./012314!"#&564!70&,$
2010 (!"#$):
!"#$%!&'#()*#(+!"#,-./01!2"3,14+567189:7&)*"(!#;:<&#<&#=>?&18-=@#;6'AB:C)>3#!D>!"#@EF'G:F!"#>*.B>="&!$"H@&
!"#$!"#
!"#$%& : !"#$%&'"()*+,-./"012&3)+,-45"0
!"#"$%&'"()*+,+-.,*,*/01"$()*2/"#$3*41560/1782/"#4!560-&569&*:$;-&56<":41;,=>?@AB<C3*DB/04)+E< 9+FA7/C3*GH/04<-

Ethical Issues

!"#$%&'(")#*&+",-.(/$%&0#1-"-2345(603758'/9."2!"#:;!+<#)!"#!*&-7=>4?2=@?2A"2$%&B")"#C-.(/8%D@+9*&0!E "#$%$&'()*
!"##"$%&#'"()*+",-"./)012())+/34 !"#5678+*39:;</567=>*3!$?@4 .+"@#;A*B;C$67D&#:*A2EF:*
!"#$"%&'()*&+*,-&./*012*'.32456&+*"7.+&+*7%8&"9+2
!"#$%&!'#'%&(&)*(+&,'+&-./01/2)&34'3#55)&3!6-789:)*9;'$<3=.)&3(%&!')!7)!7# <;*$3&#,8 <;>.-./=.,"1)?&'<@&
!"#$%!"#$"%&'()*&+(,-./&0+1-234!567!+"0(,-81-95/:7,3;<!&0&+=*+4#>&*&+*1-9?'@A-<:5&6=1*B-<6

!"#$#%&'#()$#*+,-./!01!"#.2"-"'$34'.%56'!"#!()7%89/:';(-<=1!"#!()7%89/:';(-6'$>?!
2010 (!"#$): !"#$%!&'#(!"#!)*+,-./012)345#(,!"#$%!!"#67"3"189:16,(;*5<
!"#$%& : !"#$%#&'#()!"#$%&$"&'()*'+,'-./01234#(56$.&%7
!"#$%&'(&)*+,-*.-/,-*!0.123#4&5/6-7-*8.9-/-:;<=:(7%>?@#;0AB5"C,*#)D:,-*EFCED-/,-*:DC(:&-5,
!"#$%"&"'()*'$+, -./0"1/21",()*'345'%"$1+21",6%"2789:;"&<;9('=>9&
!"#$%&'()#*'+#,-+./01234567829/45+:29+./$";3<1(=5>.0?*

!"#"$%&'"()'*+,!"#$%&'(()*+,#%)!-.*/0$%(*1"2#!345+6$4"7!84"9
2010 (New): !"#"$%&'"()'*+,-./012344'567/*%5890145:.;/-<=&6(0=.>-"=.?
!"#$%&'&()*'+,-%$./012"3$&"4&"&(567'&(6-#8&7/3(92:8';<&"
!"#$%& : !"#$%&'#($)*+!,-./0"12$345 6780$
!"#$%#&'()'*'+,$%#-.+/01&2+345#(678$9174:(!"#$%&'()*+,-./#'(,0&)%!*#'(,1*+2/+345/!+/*(2
!"#$%&'#($)&*+(,-./'(012&3%45$6.417384197:;<=&>(0?@*%12+3A('!B-C8DC:&EF'.@(8'G8B>(07;)3H AI0.#6)D5;$%&<=&>J5;(.:)B591
!"#$%&'())(*+,)%-*.!/01&!23)"4%1)3567&894!93":;(6(.(*<!/=$.>:(.6(.(*<8")(*8?4&("!>*#$%&8"9@;"!"#$%&'()
!"#$%&'()*&+,-.+&/' .0/1'23)*+)*&45)36&'789):6;<9=&#+6.8>?$@!&)A9%B

!"#$%&'"()*+"$,-.#/00!1234$-56".76-8'9:-.
2010 (!"#$): !"##$%!$&'()*+,!-)!"##$%!.!"/-012343"*561%789%:;97/1<=7:
!"#$%& : !"#$%&'()*"+,-./( 0)12/$3,45)*"+6789:3;*<=#:%'7;!:>&(!"?$$%!"#$%&'()'*+,-!.-/01'12(&'34
!"#$%&'&(#)*+,-./0'1#-23456-50-"(#78$7-%/9:9;;'#:'<=73>$3!"#$?@#*+,-&=A)?@#%-'%/9"B*!:#9.C'#:D.=!"#$7("5*./6AE
!"#$%"&'$()*+,-./(0!12%.20"12345#"%*655%789/(0!14:0.(;!
!"#$%&'#"()*+,-./$+01!21!"345!"#6,75"21!"3#18.9$%:45);"+<6=>5?9@
!"##$%!$&'()*+,(-.(,/0"+,1!2*3%#%045!.)$%!6786%.9%5":;5+<:3-8=6', !"8;#>?2$%!(@53=:0A? /0"
!""#$%&'()*+,-./012"3( (0.+)1456,788 *+,$#96+:;<=+$(0.+)>.(163?(),/@AB)*+,4,71@C6!"D"7>(8E6()
!"#$%&'#()*+#,-.*/,-.!%.0"1#2"3 456!"#4+575
!"#$%&%&'()*+(),-.&)./01!2 "#$%&'()%*#%)+,%-.+/0(1.23+1+#0)43+#(0)45)356$/&!"7892%':; -.+"7'()%*<=7>3;4

First aid

!"#$%&'(")"*
2010 AHA Guidelines for CPR and ECC !"#$%&'($)%*+(,"- AHA !"#$%&'&(&)*+,-.'/0 (American Red Cross: ARC)
!"# 2010 AHA/ARC Guidelines for First Aid !"#$%&'(&!()(**(+,-,.&.++/*++! 0&12.345,"678(92:;<(=> ?@A5(B2A
International First Aid Advisory Board !"#$%&'()*+,-./0$12/345%67.8.9-./ 30 43:;+< ;=>.3?)%
!"#$%&$'()*$+$,)-./%0)1.),!&1 ILCOR International Consensus on CPR and ECC Science with Treatment
Recommendations !"#$%&$'()*+,-&.,/,012342 ILCOR
!"#$%&'(")"*+,-!"#$#./&012*.!"##3!4"567 89:;"&"#<8=">6?!"#$%&'()*+,-./,-0123456 (-478!"#$%&9:;#,8<)
!"#$%&'(&)*+$)%,-.&/)&%01.#- 2%3*45678915#/9:;)<8*# =>8.?&)&%$@41#&A&: B"80)C=>8.5DB"8%EA)&%FG)*A%4)&%$@41#&A&:
!"#$%&'(%)*+,-./!0.12 3#45!"#&67-8./!0.12 79:;3)!"#*<=6-">"'(%)*+,-2?:205@

!"#$$"%&'()!*+,-. /0%,1+2!"#$%&'("#)*#+,
!"#$%&'()*"+,- 2010 AHA/ARC Guidelines for First Aid !"#$%&
-

!"#$%&''!()*+,*-#). (supplementary oxygen administration)

Epinephrine (adrenaline) !"# anaphylaxis

!"#$%&'()*+#,-$-./&0123'-4-%-&"(! ($%54)

!"#$%&'()&"( (Tourniquets) !"#$%&'(%)*"+,!

Hemostatic agents

!"#$%

!"#$%&'(!)*+ (jellyfish stings)

!"#$%&'(%)*+"',#"-./0* (heat emergencies)

!"#$%&'()*(+, 2010 Guidelines !"#$%&'&()*+,-&(.+/-01023 '.4. 2005 5)6!7# 7891:6 inhalers !"#$%&'()*+!,-./01/, 23415,
!"#$%& $&'$%&(&)*, +,+-./ 012"3/)0&4*, spine stabilization, !"#$"%&'($)*+!,-".&/01*2,3!#3%4!, !"#$"%&'($)*+56/,
!"#$%&'(%)*+"',#"-(./* (Cold emergencies) !"# $%&#'()*'+,-%).+/ (poison emergencies)

!"#$%&''!()*+, (supplementary oxygen)


2010 (!"#$#%&'%()*&+, 2005) : !"#$%&%'()*+ )*+,,-./01%023/"045!"#$%&'()#*#+ ,!-./%01)23"$#)245'4"#$6#),789:
(shortness of breath) !"#$%&'&!&()$* (chest discomfort)
2010 (!"#$) : !"#$%&'#(')*+,,-.%/&0/1#%2 /34015"0*06789,8-'#3:2$;'<'= 0>-?@'0A@'BC72C decompression injury

First aid

!"#$%&: !"#$%&'()*$+ ,.-. 2005 ."#/010234"'5&*62!7 "#$%&$'()*+,-./0110(234551678/-8"(79 2-:;4'<=+>?@9?10(30+2/AB#


(shortness of breath) !"#$%&'&!&()$* (chest discomfort) !"#$%&'()*+,-%.!/01231456789,:;<1)+5=&><<)?@AB,A/5@$
!"#$%"&'($)'(*+,-+ decompression injury

Epinephrine (adrenaline) !"# anaphylaxis


2010 (!"#$) : !"#$"#"%&$' anaphylaxis !"#$#%&'!()*+"#,*- epinephrine !"#$
!"#$%&'&()*+,-&.&/01(2&01&+341-52/67$&8'&(9,$-:'47;$<=>?@2# epinephrine !"#$%&'()*%
2005 (!"#$) : !"#$%&'()*$+ ,.-. 2005, 2010 AHA/ARC Guidelines for First Aid
!"#"$%&'()*(+$%,%-./012%3%45!"#$!%&'()*+,+! -./*+,+!-01)2*) anaphylaxis !"#$%&'() epinephrine !""#$%%&'()*+,!"#$%&'()*+,-.(/0+,!1#2%34(567(
!"#$%&: Epinephrine !"#"$%&'()&*(+,-./01()2*3#* anaphylaxis !"# $%&'()*+, 18%-35% !"#$%&'()*+,-.,"/0/1
!"#$%&%'!()*+$* anaphylaxis !"#$%&"'() epinephrine !"#$%&'()*+,-.) /0&12$234'5 anaphylaxis !"#$%"&'()"*
!"#$%&'()*+,-.&*/(012345657896#06/$89:;0<=6% $>(06/?@& epinephrine !"#$#%&'(#)*+#,-./0$#%12"3+456#70-&'10 ($8,&
!"#$%&'"()*+,-./#012"3)&+-3456&7 .8+-)%93./#01):'*;931/7.#$) ."%0.'0*;<'=>#5?@A(9!"#$% anaphylaxis (!"#$
!"#!$%&#'()*+,-.'/$012"345.3645"7)!8) 579$7:$%&#+;<=<1'>?@*<A<38B92)1.1,*=C42)<?DE)*."364FG=.FH$ =E4$!"# epinephrine
!"#$%&'()*%

!"#$%&'()*+#,-$-./&0123'-4-%-&"(!
2010 (!"#$) : !"#$%&'&()*+,-&.&/01(23#4(5...(6'&('&(2,$-789':86;:+<=>!"#$%&'()*+,+-+%./0 1234567/78!).".9:.7;"
!"#$%&%'()*+,-+./"01!230"0($4567#8% (9%8:1;<: 6;=1!>?4@) A%(:A4B,-+)*C= 1 1;<: *#?4A%(:A4B1:<D 2 1;<:
!"#$%&'()*+,-,.'/0)12345&*"467+5/38 490+,-,.:")0;9<6=66#>8?"@;=386"!"/#-68!8&"8.A+,-8"8
!"#$%&: !"#$%&'()*+(,-./!0 "#$%&'()* +,-./0#12'3"45),)6)07-8978&$:6;-<=;>-<6?2@9 AB4C-787$5),)6)07-8)?D)
!"#$%&'()*+,&(-./#012343567689:/;9<=0#/>?&94/ 1"4#4/4-'/2?@4/%<1$@%-A#>B"
!"#$%&'()*+#,--./-*0123#45"$%&!"#'6&7#8999#,!"#!"#'+4:;<=!><,-?1"@&"*A

!"#$%&'()&"( (Tourniquets) +*,!"#!"#$%&'()


2010 (!"#$#%&'%()*&+, 2005) : !"#$%&'())(*+,"-.!"(.%('/0(123145!64(.74 6*#%!)829:+3(&!;<=&/<$%('!>?"%,"@*(=123
!"#$%# &'()#"#*+,-./*+0+12$#3"4#+"4!5+",#67.89:;/<=>?@A+?+1B0CDC;E1(/<=F+C)6G -1HI0+10C#$%#>?@A+?+1B-;JC4GHIC>C.
!"#$%&'()*)+,-./0)1)"23+45!"#!$%&'#()*#$)+$*,-#./0$1234567
!"#$%&: !"#$%"&'()*++%,-,./012345'3"5+26!(7", &08#59-43:*-7"6-.;6<3=>"3!"#?:@A"'B"5 '473 <3=3"&#C
!"#$%&'()*+,$-.*/&01&2341305&1/60 6)/&78219(- 85/5-:,65+"2672;<1&2:;0=#>0&#$-.$%&'()*+,$%&1&2?@5A)&<&"!B/6)/&7C(

First aid

!"#$%&'()*+,-.*!"#$%&'()*$+*,-%. '/0* 1%-2%3'45$36478"'*59$,%. (ischemia and gangrene) !"#$!%!&


!"#$%&'()*+',-./(0%1#23 4567589:(5;<#=">1?@.("*;1;*5A<'"B#C
!"#$%#&'()'*+,-./0+%(1+-23405674'8-./0+%-547#94+#!66:;+/< =8>(5?@A$!"B@
!"#"$%&'(&)(*+,-./0123**-!445%6789:;%#72-<=%-!"#"$%&'()*+,

Hemostatic agents
2010 (!"#$) !"#$%&%'()*+),+ hemostatic agents !"#$%&'()!*#%)+,-./012"'.3.*
!"#$%&: !"#$%&'(") hemostatic agents !"#$%&'()*+,-!$./0"12/3/-4"
!"#$%&'#!()(*+,-.,/.,($+012'34+5+67(89:;<+$'=>?+'-6+$-6+4@:;10)ABCDBE+3$+0-4FG768:G
"#!"#$%&'()*+',*-.&/(012.3245&+67% (892 (2:;.(+:-.<=>,?&#&+ 59@A>3B>&5(>C7 proembolic state
!"#$%&'()*$+,-.%/&%(01%2.3$,4*3 (thermal injury)

!"#$%
2010 (!"#$) !"#$%&#%'()*+,-./01&234 (pressure immobilization bandage) !"#$%&'()*"+,-./(0)1 40-70 !!."#$%
!"#$%&'(!" #$%&%'()*+ 55-70 !!."#$% &'()#*+,( -*./0$123(!4(3,$56,.)#7$,(%89:1.;*1
!"#$%&!'()*+*,%-./0"12-34/56-7!89:-/89:4;-$'*1!<.=!>?9$;-@.= (lymph flow) !"#$%&'()*(*+,)-.%/"01/2
2005 (!"#$) !"#$%$&'(.). 2005 "%*" +","-.!/0!10 2.34%"3%5+67!/089:;"<=> (pressure immobilization bandage) !"#$%&'(
!"#$%&'()*+,-./0123*&4*01251#6789:;%((,;%<$0 (neurotoxic venom) !"#$%&'(")(
!"#$%&: !"#$%%$&'$()*'+,-"."/0#1-2$##$%34(%4-5+,-4'#,6$789$':9( ;(+<9=>7&."/)<#'<31?@(1-AB/(C (;(A0!%1#$) #4--97&

!"#$%&'(!)*+ (jellyfish stings)


2010 (!"#$) !"#$%&'()*+,-%.!-/0"+12&345%.67869:%%6()*+,!"+$0-%."+1 ;<:&=9.>:+!<?)@$A70B7A67>20.63":C8'=<D8EF9A=0A9DGH
(!"#$%$"&'#()%*+,+' 4-6%) !"#$%&'()*+," -./.0123134#512304# 30 '631() 7.8291:38;39<2."41:1%-+=%043"0'#:1%9,5>
!"#$%"&'((")*+,-./0123+4$/"23/035!"#$%&'()"*%
!"#$%&: !"##$!%"&'%()*!+&#,- ./"012-345*)6 2 7'8*-69 :;4(!< !"#1=5*!$-:)<>?40@A)&'%55!BCD'E (F+!"#F;5"!"#(7G#45!"#$%&'()*+,-.$%/($0,12'3456)%7#8$ 9:;4<=;$1>?$.-!.$0,@A'-B('"&"6.C'+1#$%07<07>*428 .;=1)$#$%9.<%-)117>1
!"#$%&'()'*#%!+,-. /!012!345!"#$%&'!()*+,-.(/$()*(!0-& 1%23$4 20 !$().15!678)9$%()*-)()*+,-

!"#$%&'(%)*+"',#"-./0* (heat emergencies)

First aid

2010 (!"#$#%&'%()*&+, 2005) !"#$%&'(")"*+,-$./(0123$45678#9/:"!8/"&#-;5 (heat cramps) !"#$%&'!()*+$,"-.$,


!"#$%#&'#()*+,(-./&, 0/1)*+2345,6$347&2345,'/3!"#$-!"#$%&'()*#+ ),-. ./0"12'34, .3 5#67)!#6879*683):267;#-<=8>"9?"@+"3<479+2"*
!"#$%&'("$!()"*+,%-., /#0'1&)2$,-3"4567, 4(0181,2&1#9+2:;8</2&=0>?2$(&."!"#@&) ."!"#A.14&& (heat exhaustion)
!"##$%&'()*%'#+,-./-01"*232#'4+25678*92 :3)8;<=3.-'33%+,->'%567;?) !"#$%&#'$()*+,- ./01!-2-3(%&#!4567$89#:;$+"1%--<3(*+,!"#$%&'()*+!,'''!-%.!%.!(/01234%53-6 %.!57869$(:: (heat stroke) !"#$%&"'()*+'&,-./+*)011.+*'*+'-234560*7689
(EMS providers) !"#$%&'()*+,-()./0(1($+2345263440()78%4,89 :;,10('()<=%>9(?(2@%7A8)>9(9(%*+,:;,<B8!"#$%&'((()*&+,-#
!"#$%&: $%& 2010 AHA/ARC Guidelines for First Aid !"#$%&'()*$+,-.#/-012$#3+$!%451 (heat emergencies) !!"#$%&
3 !"#$%& '()*+()",-."/ 012.34 '#*"5+6(3*+()"27- (heat cramps), !"#$%% (heat exhaustion) !"#$%&'()!'*$%&+(,-./
!"#$%&'(( (heat stroke) !"#"$%&'()!(#"$*+,-./%'' +$0#!12+'345!"#"$)!(6!1%''
!"#$%&'()%)!*+,-.(-!/''0!/+)1+"#2%3)- (central nervous system)
!"#$%#&'()*+,-./#'0&112(3451(,$6*+,17&'!8*-!9#,)0:;4*+,<=(>+,#%?+@+4='31-'A311?+1()B

!"#$
!"#$%&''&()*+,-+. 2005 AHA Guidelines for CPR and ECC !"#$%%$&'$()*'+,-%$%+./"01-2+'345670&8,09:8&;.<-5(!$#2*=(
!"#$%&'()*+,-&./00#".1'23#-*14256!"#7486'"(9 +3'"(:.#;<4
!"#$%&'()*)+,-./*!0%123-4"56(478*!6,-7%*9:;3!+,-<5=>?)=>:@6(4AB=<%!#=C?6)-D!=08()"E) FCG)-D!=69)6*8(0%1H*4
!"#$%&'%()*+,$-&./) +)(0/.1+2!3 "#$%&'(&)#*+"),-./0123/4564 789:6;<=#2>"?*1@!"#$%%;14A@;*'BC/*@678D8'4C/*!3#2C6;!"#$%5E/F*GH
(post-cardiac arrest care) !"#$%&'()*+ ,(-.+/01234-5(.+67/(89-:$.+/.;(<$2(.+6=%)>$!%) ?@A"3A7($-4B012%C6$D*2!"#$%&'()*+
!"#$#%&'!"#()' #*+,-.!"#/0!/')&12(+34"$(+) !"#$%&'()$*+,"-./%+01/23%.415267859:5"0;-68<6=+>
!"#$%&'%(%)( 50 *+ ,-./0,1 Kouwenhoven, Jude, and Knickerbocker
!"#$%&'(&)*+,-#.&/.%01.2+,3+,*+,4&56)789-2+(3:+;,<=1.*+,>?26>%2'$"#26*+,*"@.#+A*=+*B+6.A*4 !"#$%&'&()*&+,-.!+
!"#$!"%"&'()*+,-./01+2(.*03456172!( "#$%&#$'()*+,-.$/0*)123&
!"#$%&'()*+,($-(./012-34/5167!"#-(.83!"9"%:-(./012-34/5167;<(=.>?@9485ABC'70DEF

You might also like