Part 5: Adult Basic Life Support 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care
Part 5: Adult Basic Life Support 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care
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DOI：
10.1161/circulationaha.110.970939
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发表时间：
2010-11-02
期刊：
影响因子：
37.8
通讯作者：
Swor, Robert A.
中科院分区：
文献类型：
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作者：
Berg, Robert A.;Hemphill, Robin;Swor, Robert A.
基本生命支持 (BLS) 是心脏骤停后挽救生命的基础。 BLS 的基本方面包括立即识别心脏骤停 (SCA) 并激活紧急响应系统、早期心肺复苏 (CPR) 以及使用自动体外除颤器 (AED) 进行快速除颤。对心脏病和中风的初步识别和反应也被视为 BLS 的一部分。本节介绍面向非专业救援人员和医疗保健提供者的 2010 年成人 BLS 指南。 2005 年 BLS 指南的主要变化和持续强调的要点包括： ● 根据评估无反应和不正常呼吸（即，受害者没有呼吸或仅喘气）来立即识别 SCA ● 从 BLS 算法中删除了“看、听、感觉” ● 鼓励未经训练的非专业救援人员仅用手（仅胸部按压）心肺复苏（即在胸部中部持续进行胸部按压） ● 顺序改为人工呼吸前的胸外按压（CAB 而不是 ABC）● 医护人员继续进行有效的胸外按压/心肺复苏，直至恢复自主循环 (ROSC) 或终止复苏努力● 更加关注确保进行高质量心肺复苏的方法（足够的频率和深度的按压，在两次按压之间允许胸部完全回弹，最大限度地减少胸外按压的中断并避免过度通气）
Basic life support (BLS) is the foundation for saving lives following cardiac arrest. Fundamental aspects of BLS include immediate recognition of sudden cardiac arrest (SCA) and activation of the emergency response system, early cardiopulmonary resuscitation (CPR), and rapid defibrillation with an automated external defibrillator (AED). Initial recognition and response to heart attack and stroke are also considered part of BLS. This section presents the 2010 adult BLS guidelines for lay rescuers and healthcare providers. Key changes and continued points of emphasis from the 2005 BLS Guidelines include the following:● Immediate recognition of SCA based on assessing unresponsiveness and absence of normal breathing (ie, the victim is not breathing or only gasping)●“Look, Listen, and Feel” removed from the BLS algorithm● Encouraging Hands-Only (chest compression only) CPR (ie, continuous chest compression over the middle of the chest) for the untrained lay-rescuer● Sequence change to chest compressions before rescue breaths (CAB rather than ABC)● Health care providers continue effective chest compressions/CPR until return of spontaneous circulation (ROSC) or termination of resuscitative efforts● Increased focus on methods to ensure that high-quality CPR (compressions of adequate rate and depth, allowing full chest recoil between compressions, minimizing interruptions in chest compressions and avoiding excessive ventilation) is performed