The 2010 AHA Guidelines for CPR and ECC recommend a
change in the BLS sequence of steps from A-B-C (Airway,
Breathing, Chest compressions) to C-A-B (Chest compressions,
Airway, Breathing) for adults, children, and infants
Key issues and major changes for the 2010 AHA Guidelines for
CPR and ECC recommendations for lay rescuer adult CPR are
the following:
• The simplified universal adult BLS algorithm has been created (Figure 2).
• Refinements have been made to recommendations for immediate recognition and activation of the emergency
response system based on signs of unresponsiveness, as
well as initiation of CPR if the victim is unresponsive with no
breathing or no normal breathing (ie, victim is only gasping).
• “Look, listen, and feel for breathing” has been removed from
the algorithm.
• Continued emphasis has been placed on high-quality CPR
(with chest compressions of adequate rate and depth,
allowing complete chest recoil after each compression,
minimizing interruptions in compressions, and avoiding
excessive ventilation).
• There has been a change in the recommended sequence
for the lone rescuer to initiate chest compressions before
giving rescue breaths (C-A-B rather than A-B-C). The lone
rescuer should begin CPR with 30 compressions rather than
2 ventilations to reduce delay to first compression.
• Compression rate should be at least 100/min (rather than
“approximately” 100/min).
• Compression depth for adults has been changed from the
range of 1½ to 2 inches to at least 2 inches (5 cm).
These changes are designed to simplify lay rescuer training
and to continue to emphasize the need to provide early chest
compressions for the victim of a sudden cardiac arrest. |
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