Dec 14, 2015
The 2015 AHA Update brought several changes, including the introduction of three new ACLS, PALS, and BLS algorithms.
A few weeks back, we released an article titled “ Everything You Need To Know About The 2015 AHA Guidelines Update,” that illustrated the changes brought forth by the much-awaited release of the updated CPR and ECC guidelines. While that particular article was designed to discuss the update on a broad scale by listing the most significant changes, we felt it necessary to release a follow-up article that deals with a specified component of the guidelines – the algorithms.
Arguably the most significant change was the splitting of the Pediatric BLS (Basic Life Support) Algorithm. The previously single algorithm has now been separated into two algorithms to accommodate for single-rescuer, and multi-rescuer emergency scenarios. The third algorithm is a brand new algorithm designed to handle an opioid-associated emergency.
Single-rescuer and Multiple-Rescuer BLS Algorithm
“Algorithms for single-rescuer and multiple-rescuer BLS have been separated to better guide rescuers through the initial stages of resuscitation in an era in which handheld cellular telephones with speakers are common. These devices can enable a single rescuer to activate an emergency response while beginning CPR; the rescuer can continue conversation with a dispatcher during CPR. These algorithms can continue to emphasize the high priority for high-quality CPR and, in the case of sudden, witnessed collapse, for obtaining an AED quickly because such an event is likely to have a cardiac etiology.” – from the 2015 AHA Guidelines for CPR and ECC
Opioid-Associated Life-Threatening Emergency Algorithm
“Empiric administration of IM or IN naloxone to all unresponsive victims of possible opioid-associated life-threatening emergency may be reasonable as an adjunct to standard first aid and non-HCP BLS protocols. For patients with known or suspected opioid overdose who have a definite pulse but no normal breathing or only gasping (ie, a respiratory arrest), in addition to providing standard care, it is reasonable for appropriately trained rescuers to administer IM or IN naloxone to patients with an opioid-associated respiratory emergency. Responders should not delay access to more advanced medical services while awaiting the patient’s response to naloxone or other interventions.
Empiric administration of IM or IN naloxone to all unresponsive opioid-associated resuscitative emergency patients may be reasonable as an adjunct to standard first aid and non-HCP BLS protocols. Standard resuscitation procedures, including EMS activation, should not be delayed for naloxone administration.” – from the 2015 AHA Guidelines for CPR and ECC
For more information on the 2015 AHA Guidelines for CPR and ECC, see here.