Outline the important changes to Basic and Advanced Life Support guidelines for Adults in the latest revision issued by the Australian Resuscitation Council in 2006.
Basic Life Support
a) No signs of life equals: unresponsiveness, not breathi.ng, not moviri.g normally.
Pulse check not required to commence CPR.
b) The term" Rescue Breathing'' has replaced Expired Air resuscitation
c) Compression ventilation ratio 30:2 for children & adults. d) Same ratio regardless of number of rescuers
e) Identifying the lower halfof sternum by visualizing the centre of chest, no
. need to measure and remeasure .
f) 2 initial breaths, not 5.
g) Chest compressions at 100 Imin
Advanced Life Support
. a) Minimise interruptions to chest compressions
b) If unwitnessed arrest, VF or pulseless VT,.single shock instead of stacked shocks.
c) If witnessed arrest-up to 3 shocks may be given at the first attempt.
d) If monophasic defibrillator-energy level360 J
e) Ifbiphasic defibrillator-energy level200 J
f) If unsure of device, use 200
J. After each defibrillation, 2 min of CPR before checking.pulse.
Since the 2006 update (and this question), there has been another guideline update.
The below answer will be based on the most recent change, and thus is going to look different to the college answer from early 2007.
Changes to BLS:
Changes to ALS: