AHA 2015 Guidelines: A Preview

On October 15, the new American Heart Association Guidelines for CPR and ECG will be published. Then we will get the answers to the big questions many of us have wondered about?

  1. Has epinephrine in cardiac arrest seen its last days?
  2. Should paramedics continue to intubate cardiac arrest patients?
  3. Will traditional CPR be abandoned for cardiocerebral Resuscitation (CCR)?

Wellens’ Syndrome STEMI

What is Wellens’ Syndrome?

  1. History of Angina
  2. ECG Changes (T-wave Inversions/Biphasic T-waves in leads V2 – V4)
  3. Normal to Minimally elevated Cardiac Enzymes
  4. No pathologic precordial q waves
  5. No loss of precordial R wave progression


 

Shocking!!

The use of hands-on defibrillation (HOD) has been shown to expose the rescuer to voltages ranging from 827 V to ∼200 V, depending on cadaver and anatomic location. The rescuer-received dose (RRD) under the test scenarios ranged from 1 to 8 J, which is in excess of accepted energy exposure levels.