Thai Highlight CPR 2010

1 Major issues affecting all rescuers.doc

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!"#!$ Cricoid (Cricoid Pressure)

2010 (!"#$) : !"#!$%&'(')*+,%-)*.*/.$ Cricoid !"#$%&'()&*+(',-./#0*01,22345652/768$ 2005 (!"#$) : !"#!$ Cricoid !"#$%&'!($)*+&,-"./012344567 '89:9;&<=40*+&%(".>?8@<!)/01 3 !"#$%&$'()*+,-(+)./0&12,+234,5678',-(+78 9:;-<=()*+ !"#$%& : !"#!$ Cricoid !"#$!%&$'&()*(+(*,+-(./.$ cricoid !"#$%&'()*+',%),-./012)(1+',*2 !"#$%&"'%'(&()*&+!,-$.-$)#%/$0.,&".1-)23456' 7.81,983:;<'=>'1$.,?@A*&+"@3B+($)#3:(# !"#"$%&'()*'+$'(,-."/0&1!"#'(,)2("3'45#678/.(/9:$08/8+;< bag-mask ventilation !"#$%&'()*+',!"#$%$&'()$*+,!$&-./0+$0*10$!234567, %8!$&93!:$;<<#=.% 7 !$&93!:$(8>?</.$ !$&()$!7 cricoid !"#$%&'#()*+!,*%#-$.)#/#(0!"#1+&2&#34 %(5*!"#$%&!,*%#-$.$),-#' 6784-984!"#$%&/:;*'#)<'9+'#()"#3='/#'>7?@1+& !"#$%#!&'! ()*+#%,!+'-&./0%123-%#4536!7839:(-;<=>"/+?7:%!#%,"@,5!"#$%& '()*(+*,"-./",' cricoid !"#$%&'()*+,-.)/012345"6"7.89,:482&

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• !"#$%&'()*+,-./012/3'1045!6," %(''78(5,/0%()(9:;,(0<2) 19#%1(03'!=#%) (Agonal gasps) !"#$%&'()*&$+,&-(./(012*3./45*12*3&)67,892:;%<=* 9'*&20*&>?#@508A(.#!"#$%#!"#$&'%()*+",*-. (Dispatcher) !"#$%&!'()*&+,-.&/0-/12.3)4567.'89*:.2.&;<+-;.2=.-.&>?*@A%4 !"#$%&'()*+*,-.%/01(23*45(6728%853&9:*2;'<2&='8>1!?(9',#%0+3 • !"#$%&#$'()*+&,-./)01$2'$01$234',-561!57& (Dispatcher) !"#$%&'('#)*+,!-'./%/-'01234,56"78+9:;82:<;!"#$%&'()*$+,--.%/'01)2.3145(-6758$98:;+:498:<506=>?$-@$<&A !"#$%&%'()*%+%',-./,0.12345678569%6:;; Hands-Only CPR !"#$%!&'()*+,-./0123&42!5&67/,8%",9*6:;<4"=/% •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• !"#$#%& “!"#$ %$&'( )*+,-.,/.-” !"#$%&''#()#*+,-./0%$/#)12345264/$ • !"#"$%&'!()*+,-+,.'(/01$234"5)"/67+$0',869(:;<=><?'7 (.'(.@A"#'+.@#1$+BC('!(D1EF:51'8FG.=6*!76$!"# !"#$%&'()*+*,+"'!-%"(./0)*+123 !"##4!0,!"#!3*,+"'!)*+,+'(567123 8%9!"#*%6!:%67(;!"#<&0(*"()=567>"!:!?,@$) • !"#$%&%'()(*+'(),)*&,-)./ Cricoid !"#$%&'(%$)#&)*+,-./%,01 • !"#$%#&'()*+,-%./01+(-(234&5%6#'0&&*067839:)*+,%',$9 ($)# C-A-B !"# A-B-C) !"#$%&'()!""!#"$%&'!("")(& 30 *#+,- !"#"$%&'()*#+,-./012,13&+/4# 2 5-678 (9:%4;<50,=;/,.>,?48+,-(-@%=+<2#>,4+5-678!-+ • !"#$%&%$&'()*%!&+,-./0)1%& 100 2$"34#5!)%6. +,7) !05%4)*!0 100 2$"34#5!)%6. • !"#$%&'()*'#+',-./#)'0.12/0-34 56%789.:#'',%&' 1 1/2 - 2 !"#$ (4-5 !".) #$%& '()*+&,'( 2 &-./ (5 !".) • !"#"$%&'()*+',-.,/$/!0-'12#!2-3456%"7895:.1";<0* ,/$/!0-',/20<'*+',+.2"#'4+=,6%*5:.7#'$+6>+',;?4=@AAB' !"#$#%#&'"($#)'*(+)",+-./01223(4,54($&$6789:;4<);:(/4=)8*>,;>?)",+-./0 • !"#"$%&'()&$*+,-./&01)&.&"02%'/*"!34"15'067%2&!"#$%&'()*+,-.,%/0


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

2005 (!"#$) : !"#$%&'(")*+*(",-./01("!"# CPR !"#$%&'()&'*+,-.)#/01,23'4*'23'456*#/783$79))1:) !"#$%&'!()*)&+',$%-."/0123425#%67819:6)&)#*7;<!"#$%& '(#)*$+,&+-./-012&3&,4&+5678923 !"#$%&'()*+,-./01.230456(78+09&':;< (=&#'(=>#;?'@-A@-9:6891B@-9C<.4DEF+G&+CH=?64@-9IJ- CPR !"#$%&'()*+,-./

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uidelines for CPR and ECC !"#"$.%. 2553 (!.".2010) #$%&'()**+,-*)./+01'.$23)04)+&)(567898:;<51;1;!=>*+(1,?<);@A'B23)0>C898*+,,()*D<E.D'EF? !"##"$%&#'"()!*+,*-.*/01.2345.%.2005 637,.8,9" :-(2" !"#$%&'()$*+$,-./0!10,234,5/3*67(.'89$:(!-7!"#$$%&'()*+,-,. !"#$%&'()*+,-./01*2034556'789:;1<8=>?<)$@A3?BB./0C'-'<D<8)E'4"FG*"/"F9#)'<HIJ)4556' (shockable rhythm) !"#!$%&'()*+',-%./0123422"567()++"(8)9%:;<'!=>)?,% @/:?9A)BC>D!>!@#A)EF?;.)$*A);"G='?()+9A) CPR !"#$"%&'()!*)+,-./0,1!23!041!"567$,8/)#19:;!

!"#$%&'$()*+,-./012034)56!/78 (bystanders) !"#"$%&'(%)*+",-./,01.2345678947:/8:; 517".87":;<=>82?!/<*("$@ (Dispatcher) !"#$%&'()*+',-*./$*%$.01/2,"-*34516",0+-7'(&8'.7-'9*#9#%7:58;<-=#>'0+- !"#$%&''()*+',-.'"/*01.23/ 4567#+'()*+',-.'"/ 8+0*+',-9.)!"#!"#$%&'%!()*+,-./01 2345+%456789:%$;<&8=(5,> !"#$%&'(#)*+,#-.+-/0123456(!",789":06;24<=(>#%?*06@A (bystanders) !"#$%&%'(')*+,%-)"%.!/0123456# !"#$%&#'()*+,-./0123245467892:6/":.;/<8=)>0%?=0@3A%<B232'<C,$DE#%

!"#$%&#$'()*+&,-./)01$23 45267028971!.:;5<$ "#$!"#$%&'#(#%)*&+,*-'./01$2(34/1$#$%5%#061*7$,89',:29;<=(>?/@=? A=;-%<35B?,:/#%C"(&+//". !"#$%#&'()#*(+#,-.(/*(0+(12%+.3%!%456-2 &$-%7!-%*(08,!)9:;0<#%' = !"#$%&'()*+&,-.'#)+/01+-!"'(#230,.)4"5+-62378"9 :;%.'#<'9=$"*'7.)><#?+@(* !"#$%&'()*%+,(-.!/012/2345%67-!"#$%&'()*+,-./0123*-45*6,4+71.8'9 :;-.,'349'3"#$<&9+=>5$?/3!@


!"#$%&'(!)*+,%,)*&,-*#.)*-*#.)* CPR !""#$%&'()*%+,-.,/0 (Hand-only CPR) !"#$%&'()*#+,-./01234+56$478!7(9#(337!4982:&

!"#$%&#$'()*+&,-./)01$2'$01$234',-561!57& (DIspatcher) !"#$%&%#'()*!+%,-.-+%/%#0+% CPR !"# 2010 (!"#$) : !" AHA Guidelines for CPR and ECC !"#" $.%.2553 (&.%.2010) '()(&*+,-.+&#/012+3145367) !"#$%&#$'()*+&,-./)01$23 4526#70.$8$29:%#4;$<&=&;$<1>?+#@2=.A!%6B'()!@C&@2=D$D&'/)5E@<F=E8>!4,?>$&1$27A28 !"#$%&%'()*% Hands-Only CPR !"#$%&'()*+",-./!"#$%&'()*+(,'&(-./-/0'12+340$%&5.678 !"#$%&'("!()*+,-./%.0'-1/23 )'4536*6'"7&8&940:6;<30=5)!>5*+!)?24-36+(''("@(2$('(A !"#$%&%'()*+,'(-(./012345%67%/89$::;<=>

2005 (!"#$) : AHA Guidelines for CPR and ECC !"#" $.%. 2005 &'()*+,- !"#$%&%'"(")*(#+,-(.*/0123('"!"#$%&$'()*%+$,-./0+/#%0,'./1+%22345%6'* 7%$$1#%

!"#$%& : !"#$%&'$()!*&+,)+!"#$-+().+/'.!01'-234()5)6*7/8/9:;4 !"#$%&'()*+,-./0-12/34*'5#667(89:;3,<,=>?-61/@?AB?A*#90<(,9$C, CPR !"#$%&'()*+,-./ !"#$%&#'(!"#)*+,-./012%,$%&#'(!"#34" CPR !""#$%&'()#)*+(,-$.*/!"#$%&'(#)*+,*-. +/0& Hands-Only (compression-only) CPR !"#$%&'()*+,-./ 0)1234-&!563*(5",789:;<=>,'?>5#@3A:36,:B95,1C#+6D+E:@E"&123 !"#$%&'#($)*+,-./01$ 2,34567089:02;98<=>?5,@"+A=5%:/#$%@B$ Hands-Only CPR !"#$%&'()*+,-./012,'34+/55607289':1;7.(<=<((;">18?.!"#$%&'($%)*+,(-.#%&/!"#0,(+*01)2'34567861&9:(($";<%&$"&'2

!"#$%&'!"#$%&'() '*+ ,-./0&123&4053&$%&61(7,89&6/9&!"#:;/4<$(#20&1=!"#8>?69'%&@/>/%&0&1!%& Hands-Only CPR !"#$%&'()*+,-./012,'34+/55607289'0129:#9;&$#<4"<(=+(::<"#=4,:>2=,01?+"7+"<(@-&5A<!4)4A<@4"<(B#8?CDE!"#!$%&'(!"#$% #&'(&)(*(+,-'.-/01+203+$45!&!67%1(3) 89'%:1'67;<+-%=>-<&?*@A"(;(!,!-,.-/67;"8;-7(;-,3BCD(2E=&B'.-/F !"#$%&'()(%&*&+,%& Hands-Only CPR !"#$%&' !"#$%&#'()*"+,-./%01$!+)!&23&456%#"768)$*92$:;9!<6#=%&>-?@);#"76;)"")+A)6@)")B (#C4& ;D&3E))

!"#!$ Cricoid (Cricoid Pressure)

2010 (!"#$) : !"#!$%&'(')*+,%-)*.*/.$ Cricoid !"#$%&'()&*+(',-./#0*01,22345652/768$ 2005 (!"#$) : !"#!$ Cricoid !"#$%&'!($)*+&,-"./012344567 '89:9;&<=40*+&%(".>?8@<!)/01 3 !"#$%&$'()*+,-(+)./0&12,+234,5678',-(+78 9:;-<=()*+ !"#$%& : !"#!$ Cricoid !"#$!%&$'&()*(+(*,+-(./.$ cricoid !"#$%&'()*+',%),-./012)(1+',*2 !"#$%&"'%'(&()*&+!,-$.-$)#%/$0.,&".1-)23456' 7.81,983:;<'=>'1$.,?@A*&+"@3B+($)#3:(# !"#"$%&'()*'+$'(,-."/0&1!"#'(,)2("3'45#678/.(/9:$08/8+;< bag-mask ventilation !"#$%&'()*+',!"#$%$&'()$*+,!$&-./0+$0*10$!234567, %8!$&93!:$;<<#=.% 7 !$&93!:$(8>?</.$ !$&()$!7 cricoid !"#$%&'#()*+!,*%#-$.)#/#(0!"#1+&2&#34 %(5*!"#$%&!,*%#-$.$),-#' 6784-984!"#$%&/:;*'#)<'9+'#()"#3='/#'>7?@1+& !"#$%#!&'! ()*+#%,!+'-&./0%123-%#4536!7839:(-;<=>"/+?7:%!#%,"@,5!"#$%& '()*(+*,"-./",' cricoid !"#$%&'()*+,-.)/012345"6"7.89,:482&


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2010 (!"#$) : !"#!$%&'"(!)*+&,-.&/(&0123$'#-4!"#)&'&56"789:;%'<=">?6"<-@(5A"B>"! !"#$%&'()*+,-./012!34'56&78,9:5'56&;6+<.+::6;5<& !"#$%&'&()*+,$-./012345607849+$:/!"#$%#&!"#'()*+,-./0.'12&"!($. !3/)#45'()*+,-./0.'126%% Hands-Only (compression-only) CPR !"#$%&'()#$%!*+,-./*0(!1*)2345%"46.)7890":3% ;3)<2,=4"%"-./>?@>3*"%?A> “!"#$%#&'($)*” !"#$%#&$'(&)*+(,$ )-.,/0123414(567(8*9*7(:,&;<+()*+(!"#=>*?@A3#&$(-B 8'96C-<9!7( CPR !"#$%&'()*+,-./#0$%&'123',!445/ AED !"#$%&'()"*+,-#./,'$0 1+2-!0345$+%*6$7$)893:8;0!"#$<=()>=,?@46A5- !"#$%&'(%)&%'*+(,-("&#. #/'012'3!&%'4!'5&%'67/,89:.#;.6<+=3>.+;>.?%[email protected],7%)1< !"#$%&"'()*'+(')!,*-. */0+123245-$)6(')(')!,*-.7%(8762 !"#$%&'()*+,-./!"#$%&'()*+,-.+/#0102%/34#,#"5)607"-$$89' !:%.;</=#>#%?&@# CPR !""#$%&'()*+),-.'(/01() !"#$%&'()*+,-./0-12/.34!5*674*

2005 (!"#$) : !"#$%&'()*+,) AHA Guidelines for CPR and ECC !"#" $.%. 2005 &'()*+,-./0123, CPR !"#!$%&'()*+,-./"0121#/,34,2/&56/ CPR !"#$%&'!"#$%&'(&!)*+,-./01%&2)*345+/67 !"#$%&'&()*(+,-+%*(+.&/0123)45).67%(*&,) !"#$%&$'()#*+,-(-./01234561%!787&149-81)9:(501!-#-01,;<=>?@A*B7A71%)#:6&148)CDED=FG(?)#H*,:7+,?I-?)#J1J-EB=!"# $%&'()*+,-.#/01&'234'#56&4789$/:9;$9/<=:>? healthcare providers !"#!$%$&'()* !"#$%&#$'()*+&,-./)01$2 3 !"#$%&'()(%&*&+,%& CPR !"" Hand-only !"#$%&'()*#+,-./01 234+56$478!7(9#(3:/8 89!;7!8"<8 =8 AHA Guidelines for CPR and ECC !"#" $.%.2005 &#'()"*+,- ./'012+,-3425()6"789* :);1,92<'=-( !"#$%&'()&)"*+',-!)-./%01 $-')231$-456,"78)4)"40!!"#$%&'%($! )(*!+,#-!.!,#/012$3 AHA Hands-Only CPR !"#$%&'()*+,-./+01"#2"3!24$567 2008

!"#$%& : !"#$%&'()*+,-./0123(0#45#%6'%/5#%70839:;42<47,= 5#%+"# Hands-Only (compression-only) CPR !"#"$%&'"()*+,"-./," 01234*"56*"&789:6-;!<8+."$=!"#"$%>5*?'"0626'"&"+@&$9<A&;!"#$%&'()*+,-./0&' $%&'(!1/23') !"#$%&'()*+,-()./(&)(.01/23,4.'567%&897.:*)(.%*.;)(.<=42>?@",#"<A1;(*7(&0-74 !"#$%#&#'()(*+,-./*+/%0#1+213-(.+41'5)1+2678$-+$,! !"#$%&'&()*+,&(-.&/(&-!0.12345367#8&7&-$9#:1'&1;<6=% !"#$%&'()#$*+,-$./012)&*!03-$.4%5!*%!*%678.9!"#$!%& '()*+,#,-#./&0,1#-)/23,4-1

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2010 (!"#$) : !"#$%&'(%)&%'*+(,- !"#$%&#"$'()*#&+,-.+/&0+)*#)#%&12.3.45%678&#"$'("0*9(2:;"<<=/>*<3$>#?+>*<3$@:A.:)&B>#?+CD0 !"#$%&'#()(*+%,-./012%+3+/,456-%#7*%4'7+89:;05<0!"#$%!&'()*$+,-%.!+/0 .123.!+/045236

2005 (!"#$) : !"#$%&'(%)&%'*+(,- #.'/012#.%345.,67$82/%&'0!!!'9&%'&%'*+(,-:"&6:9; !"#$%&'()*+,-.&/0123-4!56789 :5.8;,7<;$8.;'&='=>8?1< %&'<#@<%A$'"#,5&()*8#-/0123-4B+C*;B2D6(&$B69<!&4E%


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CPR !"#$%&'()*+%,-./0)1&2 defibrillator !"#$%&: !"#$%!&'( VF !"#$!%&'('!!"#$ 2-3 !"#$ %&'"()!*+,-./0112)345(6"7,,%84)1! 9&2:&.;;"! !"#!$%&'"(!)*+,-./%'01234($53*63788"&9:231;.8!3'"02&4;(%7-/) <=>82:?&!"#26@>0A(!"B#7!C" VF !"##"$%&" defibrillation !"#$%&&%'()* ROSC !"#$%$&'($)*'+!', CPR 2005 !" 2 #$%&'#($ )"*+,-+.#/,$#$%)0$ CPR 1 . – 3 !"#$%&'!%"()*'+ ,!(-./&"0#$1 EMS !"#$%&'('()%*' 4-5 !"#$!%&!'()*+,-."/."00-12$3)45-6789:;3<=%3>?=<@1'49! -<A"6B0.C4"+ >!-$. 2 ."0DE.F"GHH randomized controlled trial !"#$%&'("%)%* CPR !"#$ defibrillation !"#$%&'()&'*+,-.&/+0)12)34561401)78-19:1;<'-!""#$%&'()*+,##-.!-/",01!2!3 4#-.!-4&516,7&-!"8+-9!:22 retrospective !"# 1 #$%&'#($)"*+,-.$/0123-4 VF !"#$%&'()*++,%-./012324 !"#5'6.73%2.!82 CPR !"#!$ !"#$%&'()*+,-./-./%0112%03$44"56"#,7$#$%48$ defibrillation !"#!$ !"#$%&' 1 '#()* +,-./!(/!"#$%&' 3 '#()*!"#$%& !" #$%&'( 2010 )* 2 +,-./+0,1*23'-*4531*45+,-#678 1 8-9:&+95+,-#678 3 !"#$%&'()#*+*),""#)-,.,/01#/+2134(5&6*2,) VF !"#$%&#'"()*+,&-+ 2 #"./0#1"2345" #".67*8 !"#$%&'()*+,-&$./0123455674 8#$9,4:4554&0;<%%&'()8&5*37-&$=>%643=?4@&;A !"#$%&'(#$)*+",,)-./!"#$%&'()*+,-&./0.12.3#4 5*,6)* CPR !"#$%&$'()%*+,- defibrillation !"#$%&'()*%+,-!./#001"# 2/345!6#/#78$#*9#*"1/0:;0#*<'=5>?!@:A1.20B4,10:;C=2@B,$#00#*D,E'0'D!(#50 !"#$%&%'()*+,'(-(./012,34&2.56# $4&7819+:;-(.,'( CPR !"#!$ !"#$% (waveform) !"#$#%&'("&))*+ 2010(!"# $%&'()*+%&,-./ 2005): !"#$%&'())(*+,)-(./01234&53#)6*178(9(&9:1;<0=:( )(*;>#?@"=8 biphasic waveform !"#$"%&&'()*+,)*-.,)/' 01234+5'67/'6'1893:;<7- 200 J monophasic waveform !"#!$%&'()*++"),* VF !"#"$%&'()*+ ,-./"$)0'( /1'(2!-)34(5 1*2!5'5$6#/7-897:(,-*;-!"#$%&#''()*+,-./(!0/01(.2#$3(24567"89: biphasic waveform !"#$%&"' &()*#%+,-./0-1 waveform !"#$%$ &'()'*+,-. ROSC !"# !"##$%&'()*$$!+"!,#-./"0"1 213-+"!42*5!"#6723(8+2/5%4*9: !" #$%&'&()*+*& biphasic defibrillator !"#$#%&'&()*+, monophasic defibrillator !"# waveform !"#$%&'("# biphasic defibrillator !"#!$%&'(&)'*!+,-'.-'/&"!012!3.-45678649. !"#$%&'(#()*+,-.,)$/-0)$/.,1230435+678(89:$; <%&8%=8>?&@A,7BC,1<%/6D%&&+8"+(0)EFGCFD3"!818H+ (120 I,JK 200 J) !"#$%&'(#)(*+,)-.,//#0'1234"3.5670*08# 9:"9;"(*+,)-.,//#0<4/<=+!"+($,- defibrillation !"#$%" def ibr i l la t ion !"#$ 2010(!"#$%&'("#) *+,-.+('/'.+!012): !"#$%&'()*+,-"./" 01+.234.556"789*:;61<;"./").5=;>;8?%@<0A& !"#$"%&'()!*+#,"-%.,/0123/0$+/&&456-74893 :+28*&893874;1/0,41<74 defibrillation !"#$%&'()* +,-./01&22/)345/- !"#$%!"!#$%&'()'*+,-.//0( 2-4 J/kg !"#$%&'()*+,-*%.+/01+ 02)&'("30+/4+!/3$5-(67(8, 2 J/kg !"#$%&'()*+,-)./0 4 J/kg !"#$%&'())%*+,-.(/$ ($0120$%3$!&415*,,$"67,#8.$"9+:;4 <-.:/.=#2" 10 J/kg !"#$"%&'()*'++,-./+.0&1234564-7/64!89 2005(!"#$): !"#$%&'$(()*+!,-./0*12)3!"#$%!&'% defibrillation !"#$%&'(#%) *+,-./)01232#4,-567 monophasic !"#$ biphasic !"# 2 J/kg !"#$%&'($)*+ 4 J/kg !"#$%&'()*+,


!"#$%&: !"##$%&'(&)*+,+-./0+1234-()405'6783!2-9(':!2);<7:'='<736-9(>6&%8=?&% 42&))7'5'678@<7 defibrillation !"#$%&'()*+ ,-.%/)&'01&22#3 2 J/kg !"# monophasic waveform !"#"$%&'() VF !"# 18%-50% !"#$%&%'(")*+,-./0'12.3'12*)20#4)25")66,-3'7896*:&,-'; %'*,00,16,-<:,%8=,.0>?@-*,03=, defibrillation !"#$%&'()**+, 9 J/kg !"#$%&%'()*+,-./'#- 012-#3-4+5-6,76,78169,.:;2%.4;%<=5=,/4 !"#$% &'()#*+,-./0!"#$$%& 2010(!"# $%&'()*+%&,-./ 2005): !"#$%&%'()*+,-.+/01,"2,34"256"##078'9:1%03+%;7<0,=>*??,"@#A,< !"#$%&'()*+ , -. /01234 biphasic waveform !"#$"%$!&'()*"+,-$./01/2(345$67889:"$ !"#$%&'$(()*+,-./0.*1)!/2344!$5(67389:;(4<!=+,>%=+7) ?!@3AB(1<7)1)!/234.*4!$5%/$+ !"#$%&'( E lect rode 2010(!"#$%&'("#) *+,!-./): !"#$%&'()*+,-*%.+/-01 234.+/&'(56+7/8( -9+2':*) anteroposterior !"#$%&'()*+,'-#.*(/0*' 1-2'()*+,'-#345' 6 (anteroposrerior, anterior-left infrascapular !"# anterior-right infrascapular) !"#!$%&'()&"$*+#",-!"!#$%!#&'#!()#*+,-./01%2 345,)!#!67 defibrillation !"#$%&' 4 !"#$%&'( 2005(!"#$): %&'()*+!,-./0*12#"3%)4 AED electrode !"#"$%&'(&)*+$,-./0"12%3#"4) sternal-apical !"#$%!& (anterior-lateral) !"#$%&'"()'*+) (sternal) !"#$%&'()"*#+,-&#+*./+ !*$0+1"*23 superior-anterior (infraclavicular) !"#!$%& apical electrode !"#$%&'()*+,&)*(-)*. /')+.01!"#$2*3'(14 inferior-lateral !"#$%&'("#)$*+,-./* 0 12/!#3#%4(567689:;.- (5612/68#*<8#,$*8#-91&=, 2 <8#, (biaxillary) !"#$%&'(!)*+ apical !"#$%&'()&*+)&, "-./0"123*4*56'%0647-'()&*.!"#$% &'()*+$,-./# !"#$%&: !"#$%&'($)*+,-'(".(/01)2 342*(0)- electrode !"#$ 4 %&'()*+$ ,-./012!324'56!+'6!-7,8"*9*8'//"8:'!"#$ atrial !"# ventricular arrhythmia !"#$%&'()*+,-*%.+/0%1 23)45*56.+/!786$,19:+;1<1:+2+.7= 2005 2+.!>?5 !"#$%&%'()*+,(-).'/0*#1%234"56!"#$%&'(!)*!%+(' electrode !"#$%&'()&*+,-.#/0&+1)& defibrillation !"#$%&&'()*+,- !"#$%" defibrillation !"#$%&'()*+,-+ implantable cardioverter-defibrillator 2010(!"#$): !"#$%&'( anterior-posterior !"# anterior-lateral !"#$%&'()$*+,-./'0'12,&'3456$785"9:;,-.0- implantable cardioconverter-defibrillator !"#$ pacemaker !"#$%&'()* electrode !"#$%&"'&( paddle !"#$%&'()*+,-)&'() defibrillation !"#$% &$'()*)#%+,#&-./%01% electrode !"#$%&'#()*+,-./(01(12345678&'9:(1#;/<.)=>?;@3A># 2005(!"#$): !"#$%&'()*($+'& electrode !"#$%&'!"#$%#&'()&*+,-./01$'23"4567893:);82'2"#$5:'2 1 5<=8 (2.5 !"#$%!&$') !"#$%&: !"#$%&%"#'()*)+!,#)-./(-0*%)#1234%1,*#5/6) !"#$%&'(")*$&"+,)-./0)-'(+123*$&"+,).4&.1567891:;<0)-=>/7.?%@AB5$C?#9D$. 0)- +123'&11&:0E& defibrillation !"#$%&'"()*+,!-./-01234-567 8+-%!"#$%&'$()*+$,-$&!./& cardioversion !"#$%&'"()*+,'(%)-%./01.234*+,56)!"#789:;1<8= 8 >?"#@>A#2BA(C()9D#(/.%2*$%)%"E/)/01.234"7F" G C7HH%3 (spike) !"# pacemaker !"#$%&'()) unipolar pacing !"#$%&'(&"$)*"+"(,!+ AED !"#$%&'()*#(#+,-+./01


!"#$%&'VF !"#$%&'()*+,#$( -./!!"#$%"&'($%")#'*+,-./012)345 &45 !"#6789+/: electrode !"#$%&' paddle !"#$%&'"()*+,-'.%/0.1234561789*+,:;)!"#2<=>?6@<A BCAD.(*$%!'?1%7 defibrillation !"#$% +($,- Synchron ized card iovers ion Supraventricular tachycardia 2010(!"#$): !"#$%&'$(()* biphasic !"#$!"#$%"&'(#)*+# cardioversion !"#$%&'()*+,-. atrial fibrillation !"#$%&'($) #*+ 120-200 J !"# 200 J !"#$%" monophasic !"#$%&'(#)* atrial flutter !"# supraventricular tachycardia !"#$ % !&'()*+,-..&$$*!/012& 34/5$6$7&()*89:#;<*$=># 50-100 J !"#$ monophasic /*0 biphasic !"#$%# cardioversion !"#$%&"'()*(+,-. /0,1234)2.#%%5678$961:;6.<5+#= 2005(!"#$): !"#$$%&'()*&+&,%-&.%/',% cardioversion !"#$%&'()*+*,- atrial fibrillation !"# 100-200 J !"#$%&' biphasic cardioversion !"#$%%&'()*)+, -./01,2%/%&3)45"678&$-9/(1:'9!";$4,"!"#$%&#''() !"##"$%&'()*&+,()-.+/01-#"$23" elective cardioversion !" atrial fibrillation !"#$%& rectilinear !"# truncated exponential waveform !"#"$%&'(&)(*+,--%"./0123("451 100-120 J !"#$%&'%#(&')"&**+,-./,0+123+145+6$7, 8.9*1:;<=+>$%#>'23+1>5+6%?4 80-85% !"#!"#$#%&'(#$#)%*+,-./012-34-#%5(# biphasic cardioversion !"#$%&' tachyarrhythmia !"#$%&'" ( !"#$%&: !"#$%&'()*+( biphasic cardioversion !"#$%!&'( 2005 )*+,-./01+23'40567%'4$34817.96 !"#$%&'$()*#"+")*&"*,&'$-./$$*"012!34!"5*60)* cardioversion !"#$%&'#($)%*+,-.,/$01!" waveform !""#$%& ' ()%*+,*-.%/()% biphasic cardioversion !"#$%&' atrial fibrillation !"#"$%&'())$"!"*+,) 120-200 J !"#$%&'()*+ waveform !"#$%&'() Ventricular tachycardia 2010(!"#$): stable monomorphic VT !"#$%!&'()*+,"*-./)(* monophasic !"#$ biphasic waveform synchronized cardioversion !"#$%&''()*+,#-./) 100 J !"#$%&$'"()*+,#-./011-2345-, !"#$%&'()*+,-./0)12*+-3*##45 60%078394):"9;4<=4>)*+94))*9;48?@(AB'C593D%057E !"#$%&%"#'()*#'#+*,-./)0123.45%!"#$%&%"# !"#$%&%'()*+),+ synchronized cardioversion !"#$%&'()* VF !"#$%&'()%*+),-./012(0(,34,5'67 QRS wave !"#$%&'()*+,-./0).)123456-7, VT !"#$%&%"'"()* +,- polymorphic VT (polymorphic VT) !"#$%&'()*+,-./01&*234+5( synchronized cardioversion !"#$%&$'&()*'+,-!.. unsynchronized !"#$%&'(()*+*)!,-( (./0 defibrillation dose) 2005(!"#$): !"#"$%&'()*+,-$./-0,-1203+4+5*6+*7-&'//*+60/ biphasic cardioversion !"#$%&' monomorphic VT !"#$%"&'( polymorphic VT !"#$%& stable !"#$%&%"#'%() 2005 $%&%"#'*+',+-#.,/0! $11 unsynchronized !"#$%&: !"#"$%&'(&) CPR 2010 !"#$%&'()!*+$,-.-+$/-$0'1233$-/43 biphasic cardioversion !"#$%&' monomorphic VT !"#$%"&'($)*+,&,-./)01(23)45/)+67,8,$)**9$:) polymorphic VT !"#$!%&'()*+,-./0('1*(231'4%!5.$ 678,-./0('9&:;<# stable


F ibr i l la t ion waveform analys i s to pred ic t outcome 2010(!"#$%&'()*+%&,-./ 2005): !"#$%&'#"()* waveform !"# VF !"#$%&'()*+,-./0 defibrillation !"#!$"%&'(')*+,'-"./0! Pac ing 2010(!"# $%&'()*+%&,-./ 2005): !"#$%& pacing !"#$%&%'()*+,'()%-.//0123*42)5*3.678+%$99 asystole !"#$%&'() symptomatic bradycardia !"#$"%"&'( )*+%,-./0123'456-(/7(".$789 transcutaneous pacing !"#$%&'()*+,-./0123"140/1)5 657!3/ pacing !"#$%&'(%)&''*" (transvenous pacing) !"#$%&'()*#+(,- !"#$%&'!()*+%, -'"."/01" transcutaneous pacing !"#!$%&'

CPR Techniques and Devices

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precordial thump) !"#$%&'()*+(!,*)-./0%""123456)7879:;<=>?>;#$%68/*@" !"#$%&'#(')*+),#'-./0123,45+26"- unstable VT !"# VT !"#$%&%"'"()* !"#%"+,*-./-,%0122,3'"(456& !"#$%&'()*+,-. !/0!"#"$ defibrillator !"#!$#%&'()#*+'*, -./(0/123*4&!"#5&3 CPR !"#$%&'()*+,)-',%))$./ 2005(!"#$): !"#"$%&'()*)&'+#,)-).')$/ !"#$%&: !"#$%%$&'$()*$#$%+,-.(/$0#1$!$%2345"6&( VT !"#$%&'()'*+,)-' ./0$%)'*+,)-'1%'"$230)40'56) 2 !"#$%!&" !"#'()*+,"-!./012/32+45!2)!!"#$%&'!'(#!")*$+,(-.+$/01)12+034.56278,- VF !"#$%&'((')*'+,'-#!.(&/01+2'&&'(.345+0'1& 678+ &(#9:&5+0'1&5;&, &(#9:&<=967>?1, stroke !"#$%&'()*+,-(./'0*1)23,-4+1,562!57$.87'2*-9+!"#3:)'(;< 2=+0&+2>8 +&5$6?(2)&=+0@7AB<C/5$%&'()+&5 CPR !"#$%&'()*+,)-',%))$./ !"!"#$% CPR !" #$%&'()&*+,-./0,1-2,+34%,)5678,.9:;+3#$%4;<- CPR !!"#$%&$'(')'*+, -'./(,012+#34'5!,"$1-.4!67"1890):/$';< (!"#$%&$'() *+,-'&$."*/01)23)345!#67) 3"-8."9/:!"# CPR !"#$%"&'$ ()*#(+,-%.$/0 !"#$"%$&'()*+,-./0123#4+56!(5"7895:;8<(1=895>)(1?@85AB$"%$=98*!" #$%&!'()*+,-(.-/012,!/)*+)(0"3*!) !"#$%&'()*+,,-% !"# $%& impedance threshold device !"#$%&'(&)*+%'%,&'(-.)!/,01!)234-45!36 !"#$%&&'()*+,-./&#0#123/./456.789:*;72+.<70=(>-6//'$?&@A0%B%" !-9CD9>A,;D$%&&'()*+,-./&#0#0%+ !"#$%&'#($)"*+,-. multicenter, prospective, randomized controlled trial !"#$%&!'$%& load-distributing band CPR (Autopulse) !"#!$%&'$ CPR !"#$%&'()*+",-#$./#(0.$1!23"))'45678$9:9;8:#<9 496(="'1,46>?)@A !"#"$%&'()*+",-./,01023'&%&''045$6*37/ 4 52+68"1 9:;"$%&'<=>/326,01';??@';A&BB$+9C#%6#& !"#!$%&'#()*+,-"*.+/012(/%1(%3'45/*)267*895:!!86/*)267*890;<=>)2 ?@$5,$A9*+,BCD=*+,%1E%8<#'F5*,BC

CPR Techniques and Devices

!"#$%&'(")*+,-./0.1#23+4)5$" 6789,7%:;<=>?=5$"$%3'?@A#7B2%>=2)/%C;,-7?D-7E7@#+6FG=#7)E*@+9H7%:67&IG !"#$%&'()$ !"#$%%$&'$()*+",-*$#-*$&./'#$%012/34#%56178& CPR !"#$%&'( !"#$"%$&'#()*+,&-*.-/01/$23-$4-*.56789-4:;<4-* CPR !"#$#%&'()*% (+,-. /.012#-34)30*0#5#%.%567$809) !"#$% &'()!'($*+),-!.(*!/', 0'12&3!)456-1.47849,".:+.;5 <=+>/-?(),-@A)B3%? C45C,? !"#$%$&'()*+,-./0+1-.(2'3+4256(78349: CPR !"#$%&'(

5 ACLS.doc

ADVANCED CARDIOVASCULAR LIFE SUPPORT !"#$%&'$(&)*+,-./012.304256% !"#$%&'()*!+)',- ./0 1)"2$/3456.$/78/,1 !"#$%&'()*+%&,-'(./"0123*+*4-",!"#564)5'47891:*.;,3*<;=3>26 %? 0.@. 2010 %#A!BCD%E=4) • !"#"$%&'()*+%,&-( Quantitative waveform capnography !"#$%&'"&("!"#$%&'()'*%#+,- $./ !"#$%&'(&)*(+,-./)"0%12)345) CPR

• !"#$%&'()*+,-.+/-'0123*45()*6*456*789:&,9:3;<3)9=8,).(-,);2'& !"#$%&'()*+',,*!))-.&/0&0123+456*+'-.&78+9:3+7(;<,6*+'=>81=?8@A,1>+69?B'#:@CD@E+F

• !"#$%&'()&$*+,*-,&./01/&'(2&%34&5(.6.%047&'&,70859:;< !"#$%&'!"#$%&'()*+,-./01+2'324-567,8.98:*%&'(%;'.<=;#-;)*+>.=?.@:! !"#$%#!&'()*+,-./01",23(+!#%435!5$6)(32%78-9:3(#;)<=%=&#%4>?;.3&(!@"*.;0"A>A-."*B;-3?40">=2

• !"#$%&%'()*+),+ Atropine !"#$%%&#'$ PEA !"# Asystole !"#$%!&' • !"#$%&'(#%%&()#*+,-./0 Bradycardia !"#$"%&'!"#$%&'((!)*+,-./012. #3%34!5.6+7*89! chronotropic drug !"#$#"%&'$()"*(+)" *,-.)/0&%&'*(+)0$.12'3.0&44506& .)0*$.+)7&00&4389 pacing

• Adenosine !"#"$%&'()*(+,-"./0+*12,304#5/$4!67861"9 72:.&;<"$&'(=9>?+'-@,@6;6AB2, 304<"$$2<C" undifferentiated regular monomorphic wide-complex tachycardia

• !"#$%&'()*+,-#&./01#%,2-3.)45"67+8,0%9*-*+,-#:(0;"+6<;0=>&:&);>? >6@-?;4AB#199 /01C@?D@>,-##%,2-:46%?(>3.)45"6>-,-#(<%, !"#$%&'()*%+#,*-./-0121-3-)3(-45,$647)$891:-,7;-< physiology !"# neurology !"#$%&'()* +,-#./- !"#$%&'!"#$!%!""&%'!()*+%!",*-,./0.1234/5 (Therapeutic hypothermia) !"#$

!"#$%&%"#'"#()*+,#)-./ Capnography 2010 (!"#$) : !"#"$%&'(&)(*+,-./0 Capnography !"#$ Quantitative waveform !"#$%&#!'()*!%+(,-./01"23*+4#2#!5$"+6&7!89#1%'17$23*:8.;<=>$;9#1"931?& @8">;A3,-./0!"#$%&'()*+,- .&/&01*+)*2)#3456 (1) !"#!$#%&'()#*+,*-)'!./ (2) .01234'%56%'7(89:;9275#<=>?'@A'; CPR !"#$%&#!'()*!% (3) !"#$$%&#'()*+,-#./0%&1(12/("3405#2.65078939+58:;0+#4"7831' <9.=%>:41962> ?@+/("9*A'( end tidal carbon dioxide (PETCO2)

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5 ACLS.doc 2005 (!"#$) : !"#"$%&'(&)(*+,-./01,2334567%8 CO2 !"#$%&"'(!))#&*+)(,-)./#*012*3!!45#"*(6787)&"'(!9:-"&$);)"&"* (esophageal detector device) !"#$%&'(&)(*+,-.(/01/%.,&23 3,4 AHA guideline !" #.$. 2005 %&'()*+,-%./0.-1#2- PETCO2 !"#$%&'()*+,-.,/#'.+01&2,34!!"#$%&!'(& noninvasive !"#$%&' cardiac output !"#$%&'()*+,-./ CPR !"# !"#$%& : !"#$%& waveform capnography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capnographic waveform !"#$%&$'()*+!*&,'-+.&),* !"##"$%&'()*+,-.)(/&012345+,(6*'+7)#(5)&'01#8"9 carbon dioxide !"#$$%&'(')"&*'+,- (.',*/0'&'12,3/ capnography !"#$%&'(!)*+,-(!./01*210)3405(6073'8'5*690:%7;<=&>59?2=2=59 @-A05B#% 30)0'C2<&'(3*6D*40":%7@0'@2E+=0%@ !"#$%&'()*+,-./01.234563-6"78439:"'.5;<'")+090&'+= (ROSC) !"#$%&'()*+ ,-&,.%/#-(,0123&4560768-9)*+:91;<9( (!"#$#%&'()*+&%),-&&./+0%12.)34'567890,:$!"#$ %&'#()*+,&&-./0#$123456!"%7'#) (/89:5) PETCO2 !"#$ %$&'(" cardiac output !"#$%&'()*+,+# -./" $%&'()*0123145.4+67358-+9)1*:9+/",8,&9"#;+&)4+678'-6)<=-*>,9?&:@AB5 C535.D0B5<-&EF5 PETCO2 !"#$%&'()*+,-+ !"#$%&'%()"*+$, -./0$1,234,5($'(6).,$7861/59"1624!"!#$%& (ROSC) !"#$%&'(&' PETCO2 !"#$%&'()*+#,-./0' !"#$%&'()&*+,-./0-1/&)2.$,('$,345678,10'4.+09:;# !<= !"#>?@&[email protected]&B@8)&@ 2010 (!"#$) : !"#$%&'()&*+,-./0-1/&)2(3#45675*$,('$,869+*:;&< =>?4+<+,7:2?+9@;?6.+02A3# !BC:D&E<*+,=>?F/+<4G+F(H2I6*+,JG+ CPR !"#!"#$%&'()*+),!- ./0"%&'1234567 1!&14895!21*$0:;1<52" , =41!&&31691!&14895!21>859527*$0(?4 @=' !"#$%"#&'($)*+,-'!)'./0#&1)$%$2345 36$/)$3#7 $)*+,-'+#-289:73;<(':(%5=3$)**:$>)0#&?-*4@A*:B$)*B*2!)*$)*0C)()36',)(%5=3*DBB !"#$%&%'()*+,-.*/(012.,$%&34)567131(0&!"#$%&%'&()*!+,-.%#(/01234.5)6784 89:;21<3/0 %3. 4 (!"#$%&' 4)

5 ACLS.doc 2005 (!"#$) : !"#$%&'()&*+,-./0-1/&)23&4567$8 9.:. 2005 !"#$%&'()*+,-./01234#567894:319//:1;9<:4=9)>59?89>:@!&19/"A56",5*= !"#$%& : !"#$%%&#'$($)*+&)!,+-./"&0" #$%12)-13)456&0"789:3;/3,*<3%!"#!$%!&!""!'()*+(,*-./01$231$#!$40$5'6"4789*+"!':;! CPR !"#$%&'()*+,-.,/$0 1023!10,3&4!5$+5$)5678&$&'5$)9:61;'"<162!=9=>1!% (ROSC) !"#$%& '.(. 2005 !)*+#$!)*,"-.,/-01234$+567$289$34$:5!;,<=#-")>?@AB)!)* CPR !"#$%&'()*+,-./01/2'3"*43*%(3$56#7 !"#$%&'()*+,!"#$%&'%('#))%'*#+,-./+0-/1234#2'#)567'899:# (defibrillation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oxygen !!"#$%&'!$&( )*+,'-./01#,,213#405!1#,67(1899:#%;<=(;'>0(-"$6'? )*+.@>A+%4'!512@ !"#$%&'(%)&%'*+(,-(./012&%''3&4%#5'(6%&%'7'89:;< #2<1% *$8 '3&4%=;/)(./>%?97@<=%91A"&%'9=.,B.5;AC7+'2>:D&3<E25, !"#$%"&'()*+,-,&./)012"32*4/5"50,2067&(*789-202::&;<8=3-8.2(!> !"#$%&"'()*&%+)(,-./01(2-*34.56$7/"&%&""$8(,-./09:;<-79$$%0&%="<4*&>&?=8*@,56,%&"@A&<&9B$<"1>>C"1D&@@,5C%/.E8)

!"#$%&'(%#)*+,-.#/01,-&0, / ,234/56 , 7% 8!94%//)4:%;<1=&>?(%.3@A,01AB !"#$%&'()&*+,-./0-1/&)2(3#45675*$,('8$91:0#;<=82=+;>6.+0*/.+8?&@ 8#=#8AB+!"#$$%"&#'()*!+,-.//%012'()3(456789#:%; <=)>:?@"#$'9# CPR !"#$%&'()*+,-.,/$0 12* 3456$))768$9:"6$);<!6=>>?$3@AB5(CD" VF , pulseless VT !"#$%&''(%)&*+,$-*($./01%" !"#$%&'"(")%*+,-*.+, /*0!"#1+,(2+%"'$34564'5)/4047"$%&89:;5<:+'=2 !"#"$%&'(#)*+,-./0&+1)+!"#$%&'()*'%++,'-%!$./'%+01&'2334%

!"#$%&'()*+,-"./01- 2010 (!"#$) : !"#$%&%'()*+),+ Atropine !"#$%&'(#%%&()# PEA / Asystole !"#$%!&' ()*&+,-!+./ Atropine !!"#$"%&'()*+,-*"$./012/31*-4,5'678%9:1;/0'",' "$..,"<$ PEA / Asystole !"#"$%&'()*+",*!"-.%/0%1!2"!"#$%&#'()*+,-*.,#&/%012345$$6+(278 !"#$%&'()*+#%%&+,# Tachycardia !"#$"%"&'()*+,-./(01/(2345+36789:;< $".7(=<><?745+4%+ Adenosine !"#$%&'()(*+*,-.)/012.3456789:() tachycardia !"#$"%&''()*"+,-./012 31456778(9,:50;; regular monomorphic wide-complex tachycardia !"# ($%&'()*+),-./012/314567-8.%9+:#(8;0*<=>"?,) @#AB1..=1%'67-B%;BCA !D0B1.(/# Adenosine !"#$%&'()*+ irregular wide complex tachycardia !"#$%&$'()$*+,-./01-0%!234 VF !"# !"#$%&'()*+#%%&+,# Bradycardia !"#$%!&'()*+,*-./.012345./6*7506%.1892:''.;6*7#<3=/>< !"#$%&%'()*#)+#,(-./01 Chronotropic drug !"#$%&'(')!*+#$*,+#-#& .,+$/012'33425'(')$*,+2+62(')1+2$!1,+7'22'3 pacing. 2005 (!"#$) : !"#"$%&'(&)( Atropine !"#$"%&'()*'+,-./01.20'*3)4"567!"$68%901 Asystole !"#$ slow PEA !"# $%&'(')*' Tachycardia !"#!$!%!&'!"#!$# Adenosine !"#$%&' tachycardia !"#$% regular naroow-complex reentry supraventricular

5 ACLS.doc tachycardia !"#$%&'% ()$*+&,-.% Bradycardia !"#$%&'"!()*+ Chronotropic drug !"#$%&!'(#)'*(##+% !"#"$%&'(&)('*+,-%./0123(456789(7% Atropine !"#$%&'()*+,- ./0123041!"#$%&'(#)*+, pacing !"#$%"&'(& !"#$%& : !"#$%&'()*+,-*.!/0,12$3/04"0*252)*46$-*..7-8*9:'/;(2 arrhythmias !"#$%&#'"()"*+%,(,#-(./!!01&( 2134"#"5-67 Atropine !" Asystole / PEA !"#$%&'()*+%,%-./012314453617!8 !9:;#$<=(->)?20@17$9A'! Atropine !!"#$"%$&"!"#!$%&'%()*+,-*.!"/01#/21*- !"#$%#!&'()*+&,-)#.%!/,+01&230*40% Adenosine !"#"$%&'(&)*"$+$,-#.) /.0).1234 56, $3*7" Tachycardia !"#$"%&''()*"+,-./ !"# $"%&'(()*+,-&!.. regular monomorphic wide-complex !"#$%&'()*$"+,%-*.!"#/*"0 -1&1#$(2)345*674!889'-:: regular !"#$%&'% ()$*+&,-.% Bradycardia !"#$%&'" Chronotropic drug !"#$%&'()*(+,-)."/)0123.43,%56# external transcutaneous pacing)

!"#$%&'(')*!"#+,-.+/-01 2010 (!"#$) : !"#$%&'(')*!"#+,-.+/-01 2%!&.!33!4"5678()-5#9:3*;(4,;<&<-6=0>)10!"#+,-.+/-01 AHA '.(.2010 !"#$%&'()*+,-./01234562375$6'(,898,,6":%&7(;6/<=>+?&# @A'/B899A'C$8$%98,D@A2&%#E2A46"D">26/ !"#$%&'()$*&'(+,-./0123'456-)-" 3%67*'8(%19&:;+-'%<!"9"(4+-'=/*6=;*>.?;@:;+-'?A-4-2BCD2'#))06/-47'0)7"E: , !"#$%&$'()%'*%+$'#$%,-$'$./01234567%8#9$:5+;<&=6>>>5!"#$#!%&'()(#*#+,-#-./ !"#$%&'()!*+$&,*-./0#123+&41%&506789:&,9;<,9=* (>":8,?)83+&4 3 )

(!"#$%&'$()*+ 3) !"##$!%"&'#(#)!*+,(-.'/!"#-0123$45#)++ cardiopulmonary !"# neurology !"##$!%"&'()!"#*(+*,-.,/012-3 (Therapeutic hypothermia) !"#$%&'()*"+,-".+,*/!"# (percutaneous coronary interventions, PCIs) !"#! !"#$%&'()*+(,-.+/012,3 (+0&4'56*('76(84/$ Acute coronary syndrome) !"#$%#!&' #%()*#+*,-./01.2"+3!451678+9183$9+:0;<1! !"#$%&'()&*+,-&.&%!$/012'334-567# (EEG) !"#$%&'()(*+*,-.)/0123(,45678'%)9 !"#$%&'()*+,!"#$%&%'!&()*"+,'-.+"/01)12+034"2,456-#373)%6(829:!5#, 2005 (!"#$) : !"#$%&'(')*+"!!"#,-./,0.123$145%!#.46/%-789:!"#,-./,0.12;)<8=%*=>"(#)9?%@7(A-2"4&8.BC19)21!"#,-./,0.12BD E.F. 2005 !"##$!%"&'()!"#*(+*,-.,/012-3 (Therapeutic hypothermia) !"#$%&'()(*+,-#!"#!$%&#'()*+,-.)!/-*01/23$435678*292:;99<+,=+%&#>-?$>-@0326AB;:CD:E,$FGGH2-.)!/;63>'I$;99 VF !"#$%&'% !"#$%#!&' ()*+!,!-%./0 (1) 123(#%45-%*%!6"*4,77 hemodynamic , respiratory , !"# neurology (2) !"#$%&'()*+,%-%.$/0123$*456$7089:;6(-%<%)=)*+,%>8" (3) /?!"#$!%&'()*%$+,#-.&/0%1234-5678)1,#99:,;# &-<#/=9,>"#$ !"#$%&'()*+'#,+'-'.'/01'#2'3#456789)349:

!"#$!"#$%&'( 3 !"#$%&'()*+,)-.+"/01*2.'345676"*2.'89!:8;!<# 1. !"#$%&'()*+,-./01.2.34%2%(5)(671.859:;-./<+=!(;)3!=#%><>,%)'.2!+:.67:?.)[email protected],CD()-=5E:.:;-./<+=!(;)3!=#%>>,()F3!%2 2. !"#$%&'()*(+,$&-./0.&12)345(63(7/+&&89:*#12)345(59;<0 +,$& =,/>(*:*#?@%A@B7;(8*>!"#$#%%&'()$*+!","-.()$/012/3145 3. !"#$%&'()'*%+,-./) Acute coronary syndrome !"#$%&'!()*&"'%+,-+./($#012+0$&3"4*5&678 4. !"#!$%&$'()*%+,(-.(%/01%.234&5678/7/59:/;/<=&;50##>501/9,(-1/%/5?@AB<C6"DE- 5. !"#$%&'()*+*,&$-./0123%45 multiple organ dysfunction !"#$%&'("!"#$$%&'!()*+,-."/0 excessive ventilation )*+ hyperoxia

5 ACLS.doc !"#$%& : !"#$%&'( ).*. 2005 +,&%-*.&/%0##1+2342+5"6782%9 2 9%!6:$"8;,<='>!0## concurrent control !"# !"#$%&'(&)*+,-'."/012)344 historical control !"#$%&#'$(!"#$%&'(#) *)+,-) therapeutic hypothermia !"#$%&'()*+,-.+)/+(01!"2345)6768 (in-hospital cardiac arrest) !"# $%&'()*+(,-(./01234536789,2:2" (out-of-hospital cardiac arrest) !"#$%&#'())*+,-./0123456' PEA / Asystole !"#! $%&'()*+,-./!0()1.2/3!4"! !"#$%&!"##'(!"#$%&'()#*+(,-"#$./0*.1023'!!!&$4#"#$5%*6+6#7#02.#.18 98:;<./0*6=,!6=>="#$?@#-#=7<-$A!! hemodynamic , neurology !"# $%&'()'*+,+-%.)"/0+1 (&(+234$%&'()'*+5*6789+/ therapeutic hypothermia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therapeutic hypothermia !"#$%$&'%()*'+%,&-./0"%1234506!"#$%&'() therapeutic hypothermia !"#$%&'()*+,"--.,/"0)1(23",,"-4-56(7'02&8&79)(":-;"'1!!607( <=>,"-4-56(7'02&8 neuroelectrophysiology !"#$%&'&()&*%+$%,-%+&#../&#0%-12(32-45 3 2362)#.*+746(*%89:/;(,<=*=4$%&'>.02>+!"#=4?,%$&@AB&C-45<=*D4$E'%= !"#$%&#'"()&*!"#$%&'$()*+,%#$!$-.-/01230+456+7$!-89:"";+<9&$=-/,,.-/>$&?$1%2<@0A21 !"#$%&'"%"()*+"%",-./0"1(234(5,*67.89:0;<=$>.(?@1"((?1A">.:0 therapeutic hypothermia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!"#$%&'(')*+$,-./'.,01)#%123)4!"5/"/6.5/73.%,.898$:*8;2,.8*#(.0<8;42%=(7#*.#>!&?@ 5A(!.,,.8BC,D.+(.EF?5 !"#$%!&'()*+',-"./012034 Hyperoxia !"#$%%&#'$()*+,-./0#1&2/$/0#$%3415-0."51678579 :8.5/6;7-&8<=$7>;/?&-@79#A$B oxygen !"# 100% !"#$%"&'()*+" PaO2 !"#$%&' 80 ()' 500 **.+!,-./0 1)'*2*3456&78"86&1&9:;0<=2>?$=&@-AB' ACLS !"# PALS !"#$#%&'()*%+,-./01#/23#4#5/67/ 8!+9:#%#+;<=;#&8"#8!#&(<>&;6!?(@ oxyhemoglobin !"#$%&'$%()*+ oxygen !"#$%&$'()**+(,) -./$0&12)13)456#47+35/82!"# 94% 9:;!"#$%&"'&()* 100%

5 ACLS.doc

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• !"#$%&%'(&%)*+,-.$*/0$1%'(234(5*6"7, 23413$! +89234:-%%9-'* ;!<=4>?@$%A$B13 recombination tissue plasminogen activator (rtPA) ()* American Stroke Association/ AHA recommendations.

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Pediatrics Advance Life Support

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2005(!"#$): !"#$%%&'()*+,-.)&(+/0 12$&"3)&(4reperfusion injury !"#$%#&'$()*+,-.+/,' AHA guideline !" 2005 !"#$%&'(#()*+,!-.-+,/)0123,.14,.4&5-6,787%97.:%9;;6<=14-/)05>? !"#$%&: !"#$%&'(#)*+,-"./0 1!02342'$)5/64 oxyhemoglobin !"#$%&'!()&*+,-./ 94%-99% !"#$%&'()*+,-./0-.1.23"4"25&&#678!.*+,-(98#7.:; (<5=/0 PaO2 !"#$%&) !'()*+,-./ oxidative injury !"#$%&'()'&*+!",-)./,"012+3,")4.$,5""67)89&2,"012 ,:;/7)8,'<2=&.!"#$'&*:;-.>?@/A0/:)B%&'=&-C!#-D%!.E2,FG/ !"#$%&'()*+,-#.%-/0 oxidative injury!"#$%$&'%( )%*+",-,./,0%./ FiO2!"#$%&'()*+,%-(. PaO2 (!"#$%&'%()#*+,%+#-*.%/0 oxyhemoglobin !"#$%&') (')!"*+,#'-)./0"12&34"5!6.578-&&/9:#6"87/#;-)3;& 67/*2&8<$/7=>?/@7!"A<2!BC5#8%D&#=E.F"-G5 !"#$%&'(&)*+,$-./0112/30456!78/980:0//01%&';;/<=(:*!"#$#%&'( )*+,#"-./01234&56&.789"#:"0;)+0<9)1=>$?@&

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2005(!"#$): !"#$%&'!()*+,-./).0%1233()*#1456+ AHA guideline !" 2005 !"#$%&: !"#$%&#'()*+',-./01'23'&45#56'788#9:;<#!=6>-./>.,)'>?*@:#5*A87B");0456#1'2<*! !"#$%&'()*+,#-!&#!#.$/(#012,.13,)4 5#('+&#6+07897:;2010 -3+"#</=/"#'>?#=@"#%0AB(#012,.CDE/+F/13?$/<42G=@H#/(#0IJ !"#$%&'()*+,-.$/&0-&(1234!056073+489:;<7 extracorporeal membrane oxygenation!"#$%!&'()*+!,- !"#$%%&#'$()*+,-./0-1/2345$6%&748$")0$7$9:1+;1<&#0=$)!"#

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2010 (!"#$ ): !"#$%&%"#'()*+,(-.(#/012$!3'4)+567((38#,69:5#(;9<%(,8# guideline !"#"$%&' !"#$%&'()(*+,-.,/.'01234#%,(5+6)-76,8-#9"2:.(;4<$%&%4-17=>+(?(7@?(9(6&+%45+6)'01234#%,(21AB":<*+ $".#+=19&% Calcium channel blocker!"#$%$&' (&)*+,"$-!.-/,0123$!456' 7856(&)*9:+;0!.-/,0123$!456',&"<6$ !"#$%&'()*+,-.*/01/#234"$15"62%76!"#$%&'()*+,-,./012$3*4 56178"'/9*7:*(08$ Etomidate !"#$%&'&()*($#&+),-.#&+(/,0,12&.(3 ($456#0&+# 789456#:; :5.'<=8;,1#&+>284-<.$$*1. !"#$%#!&'&()*+,*-,./0&/1'2()3()+14567,/89:.;<=>?@%?+A4=B)&3C34:D)9'-<EF2)==)1"G;.-HIE*&=1'!3.AHE; 2005 (!"#$): !"#$%&'() AHA guideline !"2005 !"#"$%&'()(#*+,-./0123405675#"!8(94':'&30;<=4.&(4>8(0#?!*7)(#-),9@A(&"+B&*!+3%C0D,7 -D'.8(&'( “!"#$%&%'()*+),+” !"#$%&'()*+, AHA guideline !" 2010 #!$%&'()*+,-.#/%0(123(4567389:823(;(/0*;-%<=(>?.@ Etomidate !"#!$%&'(()#*+&,-./ AHA guideline !"2005 !"#$%&: !"#$%&'()*)%+*),)-%./0)!(&&12(3%.34()&(56-473$/8"9!6)5:#12(;#%160#9,./<4) !"#$%&'()#*+,&,-."#/01)#*%2()+2(3-1)#*$%&452+6(-' -)+7&, $,)*8(!(3'(%29):#,;,9<;,=,7>#'(?#7@452+6(-'$,+2ABCD3"# EC&-# )2=>' Calcium channel blocker!"#$%$&' (&)*+,"$-!.-/!"#$%&'()*+ ,-)*./012345"'678!"#$%&'()*+ !"#$%&'()*)%+*),)-.( !"/%)01(23(&&(1456 etomidate !"#$%!&'()*+,-./01231456+7.89:5//5;<=-,7>?8!"/;+)@,*>8- !"#$%&'()"#*!+!"#,-./0102-342-.563#7/01 etomidate !"#$%&"'( Etodmidate !"#$%&'()*(#+(*(#+!"#,#-./,01/2%23(40 56!"#$"#%&'()*+#,&-.& endogenous steroid !"#$%&'()*#$)+,-./0(123&45678#98:,5;<=>-?,@@,AB*C%<DE>0(@A;F)%GD>C

!"#$%&'(")*'+,("-.*+-/0*)1$2345 2010 (!"#$ ): !"#$%&'()*+#,%(%-.)/0-12%1345.)/6758#$99 prospective randomized trial !"#$%&'()&*++,&-*.$/&*+0$12345678 (therapeutic hypothermia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2005(!"#$) : !"#$ 2005 !%&#'()*+",-./'0+10/*2/. 340'/./')0&"536%47!2,340'/./'%/8!2, !"#$%&'()*+,-# !"#$%&'()#*+(),- #-.)/01"22"3*34#56-+72894!(:",-/2-7;- <=;-27>2"3*34#56-</0?%@+4>&AA+ !"#$%"&'()*+",-,./)01$*23)4!"#$%&'() *+,-.$/)012+3&45--67%&89:19;7<=.$."(2 >.<, oxygenation !"#"$%&'(&"#)$*+#',(-.(/0(123/ +4$56789:( pulse oximeter !"##$!%"&'(!"#)*+ oxygen 2010(!"#$) : !"#$%&'()* pulse oximeter !"#$#%&'()*+ probe !"#$%&'()#*+)(,+ !"#$%&'()*+,$-.+/01#,234546')!"#$%&'"()*+,'-.$,'-/0)-12 oxygen !"#$%&'(#%)*%)+),-(./012-0%')"#$3-04%+%,/5673)#%)879.4,6-74:)#%;972#)#<=)6,5#))4>#)#%;$7 oxygen 100% !"#$%"&'()*+,-.!+ oxygen !"#$%&'()** +,-,./-01 234-5* ++-617$8 69:;/#14,<-,#&=(3,4,#>&'(70#?:+;"5@ pulse oximeter !"#$%&%'()*!"# $%&'(% probe !"#$%&'()&%*) +,-.*/ %(0120 3,20 45)120 2005(!"#$) : !"#$%&"'( cyanosis , bradycardia !"#$%&$'('")*+,(-*.'/('"!'012$#3456$/.'"( !"#$%&'()*+,-./)0 oxygen 100% !"#!$ !"#$%& : !"##"$%&!'()*+,'#-"./'01!.%2" 3.4"$#5$#1#&04*67,807$9#:"+.05!"#$%&#'&()*+,-. !"#$%"&'&&()*+,)- aterial oxyhemoglobin<60% !"#$%&'()*+,")-)((,.) 10 /)01 *#234 aterial oxyhemoglobin !"#$% >90% &'%()#*+,-. hyperoxia !"#$%&'()*+,-.&/0*1234,5 !"#$%&'()*+',-+./012"-32*-4'5*" !"#$%$&"#'($)*(+, 2010(!"#$) : "#$ suction %&'$!"#$%&'(&)(*+,-./!0*123#4!50/6%/)"+*1237890:1(*05&);7<=(2'%7>(+?0,)&0/7%@(<051>$A%B'(>(&C01<3#C0D0!"#$!%&'%()*+$, '&-$ )./+0-1$02!%&+&310)./!%&.#4('%()*566 positive pressure ventilation !"#$%&%'()"*+,-*,./01"!2'345'!#562'31748)'3!-9:,;-7-:,<-*,.."*=,2,.*8>0?"@0!"#$%&#!'()*+,!%'&-./.+0.123%(%)suction !"#$%&'%&(&)*#+, (-." non vigorous !"#$"%&'( meconium stained 2005(!"#$) : !"#$%&'()*+,-./$01213,)(045-/67#/4 suction !"#$%&'()#*+,"+$-.*),'/01() !"#$%&'()*+,-./+$01$12,&3$,"'()*+,-4$%"/"25,3,,365 !"'573'()089&07&.!"#$%&'()*+,-./0 suction !"#$%&'(")*))'+&,"-. /0'123435+36&.7 meconium stain *+$ suction !"#$%&'() *+(,% -*./01) !"#!$!$%&$'()*+,-,,./0 (intrapartum suction) !"#$!%&'()* thin ',- thick meconium .#"/#+- meconium !"#!$%&'()$&*+,-./0(&$&1+&*(&2'3 ,-+&*4541601 muscle tone , !"#$%&%$'#()*!+,"-./ < 100 0$"1+/)%23 0-$#(!+24% direct laryngoscope !"#!$%&'()!*+,+-./. meconium !"#$%&'((()*+,+) hypopharynx !"#$%&'()*)+,)-#.%#'/012 suction %!"#$%#&'()'*+ !"#$%& : !"#"$%&'()*+,-+,'+.'/01+2#*3+4*5(4$6789:75:1;!/<=5;>,.+?)#""#$23 airway suctioning !"#$%&'(")*&$( meconium !"#$% &'()*+,-./$%0123450)6074!891:;<92.) !"#$%&%'()"*+,-.'/01'!#12.'/345-"65-7-(892 :;<05=*,8>5&.&2?&@!(,!>3019/2.A,*,8 suction !"#$%&#'()'*$+, meconium stain !"#$%&'&()*(+,-


!"#$%#&'()*+,-',./ 2010(!"#!"#$%&'()*"+ 2005) : positive pressure ventilation !"#$%"&'("&!")*'+,-./01*)23* 45/672$%"&81( !"#$%&%$'#()*!+,"-./012'3425*67) ,$8! 09%.,(0$-+!&*:%:#"-;1*67) <#=#(!+$>5";$>-"+ !"#$%&$'()*+,$-./0123456!'7089:%1;$</0=#$>=?<9<.8.*(01$#'123+@<.'?<0';$&0. <>?$68#'A!"# !"#$%&'(%()*)+,-."/$/01&(2&(3/45672&(89:4;%(+'%!"# inflation time ,tidal volume, positive end expiratory pressure !"#!$%&'()*+, functional residual capacity !"#$"%&'()!*)+,-(./!"#(01 !"#$%& positive airway pressure !"#$%&#!'()*!%+,-#$./0123"4(5.$67(8$1!"#$%&'(!)'*!+,-*( !"#$%"&'()*+!,- LMA !"#! !"#$%&'$(#)(*+,-./012(#34( face mask ventilation !"#$%&'()*'+,-%./0*&123!"#',",%45'#6#78#91:,15/!;< !"#"$%&'()*+)%,-%./0+ exhaled co2 2010(!"#$) : !"#$%& exhale co2 !"#"$%&'(&)(*+,-./,"/0"1$%!'"2342.)25/'%/&652%./72!"#$%&$'#()%*'+ !"#$%&''%'()*+, -"./01"(2 cardiac output !"#$%&'(")*(+ ,-.+ +/0(12314534*$67 !"#$%&'()*+')+,#"&-.$-/0). 2005(!"#$) : !"#$%& exhale co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asphyxia !"#$%&'#(')*'+'#+,-./'0+120+'#32"4-'45& )67 15:2(+#(6)67869:/)*'+'#32"436"%1 2 !.) !"#$%&'()*+,-./0 1/2*345678%*2849:4;%#+<=#1><-?'@A(/,'-:4B%@!"#$%&'(%)*+,%'-./!012$ Post resuscitation hypothermia 2010(!"#$) : !"#"$%&'(&")%*+),-./0100+2%),-2,0%34.**562%++78%'*90:)8%+;< 36 =;>1%'6),-2,5%7# hypoxic ischemic encephalopathy !"#$%&'()*+,$-./$01'20/134+.56+07.890*:5;1: )*$<&=$'(5+$$'5>+&=*?@+*% hypothermia !"#$%&'#(&)*+,-$./0/12342'$5/&'##6&7'89#1:1:'"


2005(!"#$) : !"#$%&'#($)*+,-.,/012 32456127,8)9:;)<$ #$%.=$1>?7!@0@-A<12B$)6 hypothermia !"#$%&#'()'*+,-$ asphyxia !"#$%&'()*+,)-&)+./0&1(2.3452672$8+9 !"#$%&'(#!)*)+,-./)+,'0-1/2)34#,2*(53,67839,-):)!;*!"#$%&'()*+,-./),.( !"#$%& : !"#$"%&'!()*++ randomized controlled multicenter !"#$%&%'()%*+,-&./0%#1 hypothermia (33.5°c-34.5°c)!"#$%&#'()'*$+,-%%./-0*1#'()$&&23$4%5*6#3$&78 36 97:1$4/ !"#$"%&'( hypoxic ischemic encephalopathy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hypothermia !"#$%&'()*+,-./01)*2-$(/034-&(5/'(6789/-&(:+;5<;%=8 !"#$%&'()*%*+,-../0 123*41567.6-8%9 /*(:&;6*.<52=7<)7.6!6;9 >?$="@A%6*BC16*..%9D@(;<"@1E%+"*6 !"#$"%$&$'()*$*%+,-./0#123'3('4/5*67.

Ethical Issues

ETHICAL ISSUES !"#$%&'()*+",-.""/

!"#$%&'()*!+)',- ./0 1)"2$/3456.$/78/,1

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

!"#$%&'$()!"#*+"+",!-./0*1'2-.1345 607,08"9:3;91<3+()=>.''?!@#A*+"B"C

2010 (!"#$): !"#$%&'()*+$,-./01/2#34$&3+5$6789:*;!"#$%&'()*)+ ,+-./0%1*#)%23')-#)%#4056'%-/1*'78!9)! !"#$%&'()*"+,' ”!"!#$%&'(%)*!#$!+,-./01'(/2'(3#( (BLS termination resuscitation rule)” !"#$%&'()'*%+,*-".'(./012$34+,$5+,6',74+897:.:;,.'(3,*:8"0<#(=$#'>'? @A5B;*C'<D3;8E/0FG<#7(87'A30;.H'I," !"#$%&'()*+!"#!"#

- !"#$%&'()&*+(,-./0123"45!6!"/+1%(21%3"47'88879:%7:%7;<3,=>-:/>92 (7?@ /+1%<2):A%2:B1C"<D)E2012

- !"#"$%&'%()*"&+,-.)//&01$2(ROSC) !"#$%&'(!)'&*+,-!#,(%.&/01-'2)345 !"#$%&'()*&%#+,-%$)*&./01$&#2345+6'7-06285962( *&: 3 &0:

- !"#"$%&'()#*+%',-.!//0&**%1&%23'45!"#$%&'()*+,-.

!"#$%&'!(#)*#%+,-./$)012*345.67&8)!39::*;<='&>=*#%5012?$@A:B34C$D0-./E.F#1G$&1CH$2IJ?>4)):*K%962#'#@ LJ4E.*#%H&J-"# ”!"!#$%&'(%)*!#$!+,-./01'(%+2 (ALS termination resuscitation rule)” !"#$%&'()'*%+,*-".'(./012$34+,$5+,6',74+897:.:;,.'(3,*:8"0!"#$%"&'&( )*+,-./&!01-234567!"8#28&*15-9:&;<= !"#$%&'()*+!"#$%&

- !"#$%&'()&*+(,-./0123.,4!5!"67189/(:2

- !"#"$%&'()*+&,-.*%/01$23*,+/0456(4578%&'9:

- !"#"$%&'%()*"&+,-.)//&01$2(ROSC) !"#$%&'(!)'&*'+),-./#012+$32*4%2501 6 7-83'593!:;

- !"#"$%&'%'()*+,-./01

!"#$%&'!"#$%&'#()!* +*,-.' #+/0*"#!+12%1)34567*078,9!'#!+:;9<=>,?@3A63#B!C"%7+0 !"#$%&#$'()*+,,,*-.$*.$*/0'1234.!3-&56*78#*9,.$*:;.<,*= !"#$%&"'(")*+,$-+)*.#$/#0&)/12!-#%3-4-5"'(0*-(0*'&6-789:;<&%!"#$%&"'(811'=>?6-7")*"9:@#= !"#$%!"&$#'"$$()#*+"'&,+-'".,&-/'&,0 12'! "#!$%&$'%(!)*+,-+./0102 3!45/67!89:-.2($;. !"#$%&'()*+),-./++01.!"#$%2,03245 !6/ 37(185(1#9:;<1.*7 =501.>5?+>5,501.=@(0AB?C06D1*

Ethical Issues

2005 (!"#$): !"#"$%&'()*+,&-./%,&01*"&%#/101.&1$2

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

!"#$%&#"'()*+,)(*-./*01234567#,89":;)#<8"#1=8,>'?!52@%AB'5*"C()**"(D)'5#,;)#<E>-8;4!"#$%&'($

2010 (!"#$): !"#$%!&'()*+,-./*012&345671.890:&40!;&<=.62%">3:?.%,4@79,,47A9.%0<890:-=B&8$C179<2+D9 C*ED9>":"D90(9 !"#"$%"&$'(()$'*"% #"$+$,-./0123445"*$6$',7%8"9!& (!"#$%&'#%()*+) (Electrophysiology)

!"#$%&'(')*+,!-"./&'0'.12 (Biomarker) !"#$%&'&()*%!"#!$% &'$()("*+",&-./01234%5 3 ,#367#!$8(,'6#,2&69:0;+13 !"#$%%&'(" )*(+,-".-/01.2-3-4567.89:;02!"+-65(<41"!%41="4&<+-6>2-2-?:;02+@A:8>2(/?8BAC%D-+(< !"#$%&'()*+,-#./0123456,'789',*#:/6,'2$;<=-12$ 72 7,>'?3=@5,= !"#$%&'%()*+(,$*-.#/01234)5#1!+6&%!!+&7%#1(-!"#$%&'(!)*+,"-./0" !"#$%&'()*+,-./$0123,2123-4,5,6*+7896:;</=&9>:"*+?%27?+,=&(8*&/ !"#$%&'()*"!+,-$+.)*/")0(#$%1-,2#341567%89:;-&$;<,$;=7;$.);

2005 (!"#$): !"#"$%&'%(&)*+,-./$0.-+%&'12&%'345'67*89:;<.2)=->?&.@)-.7A)2B+C,:*D$E!+:'-F%&''-%G&+:.2?&.@HB3)?9"I%&!"#$%

!"#$%&'()*+,-./0123425*%&'6#%%&67#5*-.8#-9:;<$8)3=6#.>1"# 6#%-=?@%#9$A:8=3#B(Meta-analysis) !"##"$%&#'" 33 ($)*+, !"#$%&"'( )**'+,-./012&34567282"96/0.2://";<!8=>*3.2:!*?/: (anoxic-ischemic coma) !"#$% !"##$%&'()*+,-.*/,--$012&'(3%* 4' 3 !"##$% 56/

- '&()!"#$%&'()(*(+,-./*0"#,12,314516789,"

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evoked potentials) !"#$%&'(&)*+,-./$%012*3"45674 ./$"/*+,-89":+%;:+<)(%; 72 '=$,8"< +!"#$%&'()*$+#,'-++./01234!),'-1!5+-

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Ethical Issues

!"#$#%&'()*+!"#$,+-.,/ N20 !"#!$% (N20 peak) !"#$%&$'()$ *)++),+,-./(0!)$+,-1%2334)(Somatosensory-evoked potentials) !"#$%&'&(($)&*+,-#.)&(/0 24 1/2$3'4 5%6 (&+7+$89'):0./;4<=>(>+>?&@-4(+68(7& 5%6+A')&"7& !"#$%&'&(($)&*+,-#.)&(/0 3 $/" *%/!"#$%#&'()&*"(+,-./01 (2)$3#14#!$#5674+849:";#$)-61'1;#<9$&=# $#5/5&" Glasgow Coma Scale !"#"$%&'(()*+,-./01+,-.)*+/2*+341 2 5.6*(7*#,89- :(;8<- 3 !"#$%"&'()*+,(!-$"!.')%"+/(012#03&(ROSC) !"#$%&'&()*+,%(#-.$/012345(Status epilepticus) !"#!$%&#'()'*++,-./0123!"#$%&'()*+!,-.%/0+1,.+23,!4567(89:;<5(=.>?0==.?@05(+!/0+1$4A,/'BC?0!7;D0 289D08$%65:!+?.8 !"#!$%&'"()*+,"'#-./0!1%,(Consciousness) !"#$%&&'(&)*(Cognitive)!"#$%&'()* !"#$%&'()*+,-,$.!&%/-01,234.56789&4:574/;5.<+=>,-?"@*+,A7)%&AA7%B&+,4.9&4:$<C591!D%&.>@E& !"#!"#$%"%&'#()(!*+,'#()-,./-0 N20 !"#$%&$'()$ *+,&-+./012034$25678(&4 !"##"$#$%&'()*+(),$%+"-./*0/1)0(21#$%3+4556" (Somatosensory-evoked potentials) !"#$%&'()*+,-./01$2/()',)3456#,76,8-(80+45(9219 :')-9()456#,76,*,$;)<4:-=>=#&($;?)'@-=5='AB (Biomarker) !"#$%!"#$%&!'()$*+,-*.$/(0!%1$23)$04-4(23)5657189:6(;<=%1$>&$?)(0!@<23)56558#(A$B5C9

EDUCATION, IMPLEMENTATION, AND TEAMS

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- !"#$%&'($&)*+,-#./,0./12/3"4-#./%&5 6+78+92:; 2 <= !"#$#%&'()*"+&,#$#%-./0-$10#%+%2-&34+"&5(!",.#6*78%95&:%;0&,#&6*<3= #".>?@&,#A05(A0B0 C#D' !"#$#%!"#$%&$'()!'*+,!-.,!/0,123( 24//56'( !"#$%&%'()*(+),-.*/!/012)32/145'()*6'70,%)/8%9-()*:*/0%4-;1)%*<=>?+) ,*@A()*8-"B8-C-D=A%<2 !"#$%&'()&*+,*+,-.*/+'0)12

- !"#$%&'()%&'*+,)&-./*012345$6!&53/78%'93:7':7'/)()%&')!;2)/&7%<&=>7;%./?$* @;/A%B !"#$%!&'(!"#)*"!"#(+,-!"#$%&#'($)%*"+,-$'.#/0(1!2#/%#3

- !"#$%&'(%)*+&,)-./01234,51,6"52&4,% 7%#/4!"#89!:1$;!6<=.>4?@/6/47%"/:$)*)$!"#1A#/ '#01!"#BCDA(ED!"#!=.-43 !"#$%&'()*+&,-./0,12/345 6&478%/4.,9:;&,%&<-//0,=>?>6/@0!=7'()'@0:;&"#A"B/0,?CDB/%&?(= (A?C5 ED09/"-D !"#$!%&'()* +%,-./'!"#$%&'(&)*"+,-./012034-56(-786.9:;!"<8=>$?)

- !"#$%&#$'()*+),-$./&.011-$.23'4567-!68& !"#$%&%#'()*!+%$,-./012,314%.54#6,74897:-;<=">?@*4A-;>@=(B9)3CD%#E83#F)B,D"=% ?@*/G">&AH%"F),"(I)>CJ93*B KJ*LD= !"#$%&'()*+,-'./0,'1-234+5(Gasping) !"#$%#&'()*+(,-(./012-3!"#$%&'()*+,-('()"./$"0(1'2(341/'50678

Ethical Issues

!"#$%$&'()#*+",-('./0#(12&(342'5678"9 74"#29"#:/;$&;%<#=39=1>><#=?@:'AB5<7BC9D#4$#.#=!32" !"#$%&'()*+%,*-#'.-/0%1-2314&56789:;<-=&59;7>?3@,AB#/C2-=&DE73!9DF</%+B#/GHB5+/EB#/B;<6=1E#B75? !"#$%&'()*+(#$%",-.*,!/0-1!2345!"#$%&!%'(&")$%*+),

- !"#$%#&'#()*+,-"./0)/ 1&2&'34'+5/'()67)8&##&'7(9+7+!":/;1<=>#&'1>/ !"#$%&''()*+,-%#.,-/01(.102341!"#56*%718680$9'(1:;82,"6$

- !"#$%&'!(&)*+,)-./),)-,-0123+45(*6'3(7899:) !"#$%&'(#)*+,-./012&/*3-4/*5647"0#289(/:!;<9)=+">9(#?9'(9#@<?AB !"#$%&!"#$%&"%!'(!&"%!)*+,-!./'0"!1$2+3456)7'5$83&5$9*:6;<5=3%-6%&>%&%!?)3>?%3"%!@A7B%C'0DC1;50,EF3!"#$%&#'()(*+

- !"#$%"&"'()*'$+, -./$0!1/23",()*'456'%" 23#,+!"#78!9:#,9;<"&=<9('>?9&$0@&A'B.0!C5=#!56D+EF0@'C5& !"#$%&$'()*+,-./0'12/345$

- !"#$%&'()*+,-.,(/01234!.5)$%67* !"#$ %&'()%*)%)+,-$.)+/*01.)+23)32415+(14. 6+74%&!*&31840 !"#"$%!$&"'()*+$ $,#%-'.,"#/0123456 738 !"#"$%*9/:/& ;"+#)<$82=(1>!?"4$0@A"$@9$B"A"$.,"#$9& C0AD8 !"# $%&'&( )*+%,-$./0102-34522-32678*9:;<0=6> !"#2-32678*9:;<0=6>10$?@2 ABC->D32@&-E !"#$%&'()*+",-.*!"#$%&'$()*+,-.*/*0,1-2(3"(34,*+,-)54',*16"*78'+9",:)*198+;<3-=>+(?-!

- !"#$%&"'()&*+,-,./.01002-'34(writing tests : !"#$%&' ()*+$ !),- -+.*+$) !"#$%&$'(%!)#$* !"#$%&%'()*"+)%%,"'-./012(-2$34#.5%)!"678#+19%#12:;<-8="+1/ >8=/!"(?@#A7'!"012!6BC !"#$#%&'()!"#*+,!"#$%#&'(Performance assessment)!"#$%&'#()'*+,-*./-!0-

- !"#$#%&'()*++,'-.(/0-")1#234! .5#'6!"##5'7)189!:;4#!"#<=!3+#'4-3,$ !"#$%&'(!)*+,-./&+012)23!4-+5,14671!289:%;<=(!:(12>,4?@0%A24&+012A22BC,DEFC)236;5G:%;HBD06=E2 !"#$%#&'()*+,'-.,&%/01234"56-78%

- !"#$%&'()!"#$$%&!'()!*%+$,%-.+($/*012 34536(784$%&.9:;<=: !"#$%&'()*+,-.,/"'01/!2'$345.65/"'+78*96:;! !"#$%&'()*#+,-./0.1*2&3452%'67%28.7%0.6%*)9:;<1:6%*.238.7%$6=%,)$3647-(>0.?47)@2,&*:A

- !"#$%!&"'()*"+,-.(/)0(Debriefing) !"#$%&'()$%*&+,-!.*'./+,-012!&,3$(learner-focused)

!"#$%&'()*+*,-./01%02.+*,32.24536+78$9&6:;<$20'2.32.245=>7!4*?$9&6+*.-@7 !"#$%!&"'()*"+,-.(/)012#'/!"##2'()3*456,%!738#!39:/;<%=573+ !"#$%&'()*+,!-./-01!12)314,56780901:*&,*3-01;<;(3(.=2-01*3-01>?.<@A.B1.C !"#$%&'()*(#+,-./#(+012/(#+(3&45,6*& %7-891$&#,(-$%&

- !"#$%&!"#'()"*+,-.#/00(Systems-based approaches) !"#$%"&'()*&+,-+).+/012" !13( !"##$%&'(%)*+,-./,01)234560 &'" !"##72#87)2-/93!,$:!;,193<9!&=1->?@<:?50 !"#$%&'()*+,-.,/"'0123"$45/56"78!7/"''!1+%395#"/:"3(;<3.#;*=1>5?, .,4560(@?!7@%AB1?

Ethical Issues

2 !" #$#!"#$%& '$"()&)*!+#$,-".*"()"/0123456(

2010 (!"#$): !"#$%#&'#()*+, -.'/+#&'0'%1/23456&73'%8.9&: 2 0; <=:=&>?1=#@&''"A'=: !"#$%&'()*+,+-$./012301415'$67'$89':;<1 =5>;?884321 !"#$%&%'()*(+),-.*/!/012)32/145'()*6'70,%)/8%9-()*:*/0%4-;1)%*<=>?+) ,*@A()*8-"B8-C-D=A%<"

!"#$%& : !"#$%&'()*%+,-*(.+/012!3%/456'()*%+,-*(.+/789%:;<=;>??@AB9%!@CD=*%+&@E=%;+2BFGHF$%&'()*%+*IJK5& !"#$%&'() *+,-.*#/,&012+3&4'5,&6*+,72+*8%96:,;<;=5>+ 2 ?@ !"#$%!&'(")*+,-./012345674879:"8;("./01<1!"##=!>"#?@=)9ABC"DE+5!"#!FGH7D !"#$%&'()*+,&-.'/0&11(02!"#$%&'()*!+,-./!"/0123+45-6789:;<9=9>?.,-.=@%/:0A",-.:4!&%9BC/-&"D=@!EF=;. !"#$%&'()*+,-!"#./#0)1(&0)'()*23)4)-561&370 &0)!706&0)$%&'()*&"#89:40*5,1&;"4)/'< AHA !"# ECC !"#! !"#$!%&'()*+,-.)!/0+$12$ )+.34)56.785( American Heart Association !"# ECC !"#$%&!"#$!%!&'()*(+,-.&+/,012+,-345!,6789,3+,-+:;<=3*>#,(?#*@!A'*( !"#$%&'()*+,-./()$0-123&0-14504*6)$'78$/7,9:++323&1&99 !"#$%&&'()*#)+,-.-/012/3456"7/8,"95)(345#:*#)*0.47/8"/7/8;'"6*3455)3<45=")(>'?@4ABC+3453D9E/A

!"#$#%&'#()$*+,-./"0$1%,&/1"2

2010 (!"#$): !"!"#$%&'()*""+#(,-.(/+0"1+2!0-"3/456 7897:-;<8"+#!=>&'?>#@A(B.CAD !"#$%&'()*+,-.,/"'01/!2'$345.65/"'+78*96:;! !"#$%&'()*'+',-./0.123456(7893:;.+<=>'?68@:A'6B2CD6@/0.?68'*=+'E60?F61%0=?GEHI@>'JGE%K*1L8M. !"#$%!&'()*+,-./01!23+4!"#567896-:;<=0/)./!"#>6#?"!"#7!"#$%#&'( )*+,-./01(2(3.4056%$763.4(89:(&.'3)*+/;*<=;'($>( !"#$!%&$'()*+,-./"'0"*1%23*1453#216!"#$6,78*6'9,-:89*;<=3*1>?@$<A"'AB=8C*(DE2%!EF@"G1E$

!"#$%& : !"#$%&'()*"#+,-."'!"#/-0,/1"2!3,1456-"46'7583/ 3 2'69)#+!2: ;01<!. 6-"4=583/!"#!0 6-"4>?!3/!"#!0 !"#$!"#$%&'()*+,-!".'!'-$/0.&12"31&-(recoil) !"#$%&'()**+,'(*%-).!/0!1)2-).310'3()4- 567381)*$()$)949:)2;<2 !"#$%&'()*+,#'-)./01+,#.2-)34256'-)78#%(9$5%:;$"5<3=5*8-$>?5" 8(*1(@1 !"#$%#&'()*+,-./0#*123#,4+)&,56#78&-9:5.5:)&,'())&,:836:#&*)*;<&1$6-&/9- 7=&>:/:=&5:!"#!$%&'()* 2010 +,- AHA !"# EEC !"#$%#&'()*+(&,-.,/.(01+($%#),23$4'5(67#89.:/0) *()(0;1+(.(03'"%3#(:.!"#:<5(=;7.>#:= !"#$%!&'()*")+,-".!"# “!"#$%&'( &)* !"#$%+',-” !"#$%&'()*+(!,)-#.,/"01234&0#5&" 6"7458142"!6,/"$82!*&"+*!8'*)-*% !"#$%&'()!#*+,-./0!!"#.123.&"'!"#$%&'!()*+, -./-0'12.!#3%456785 3/9:;#1!#3"<!=:'9=)#&!=7>= !"#$%&%'()*+,&-.%&'/01234%'!5!6%750

!"#$%&%'!(")$*+,-+("./012314!"#&564!70&,$

2010 (!"#$): !"#$%!&'#()*#(+!"#,-./01!2"3,14+567189:7&)*"(!#;:<&#<&#=>?&18-=@#;6'AB:C)>3#!D>!"#@EF'G:F!"#>*.B>="&!$"H@&!"#$!"#

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Ethical Issues

!"#$%&'(")#*&+",-.(/$%&0#1-"-2345(603758'/9."2!"#:;!+<#)!"#!*&-7=>4?2=@?2A"2$%&B")"#C-.(/8%D@+9*&0E!"#$%$&'()* !"##"$%&#'"()*+",-"./)012())+/34 !"#5678+*39:;</567=>*3!$?@4 .+"@#;A*B;C$67D&#:*A2EF:* !"#$"%&'()*&+*,-&./*012*'.32456&+*"7.+&+*7%8&"9+2 !"#$%&!'#'%&(&)*(+&,'+&-./01/2)&34'3#55)&3!6-789:)*9;'$<3=.)&3(%&!')!7)!7# <;*$3&#,8 <;>.-./=.,"1)?&'<@& !"#$%!"#$"%&'()*&+(,-./&0+1-234!567!+"0(,-81-95/:7,3;<!&0&+=*+4#>&*&+*1-9?'@A-<:5&6=1*B-<6

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2010 (!"#$): !"#$%!&'#(!"#!)*+,-./012)345#(,!"#$%!!"#67"3"189:16,(;*5<

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!"#"$%&'"()'*+,!"#$%&'(()*+,#%)!-.*/0$%(*1"2#!345+6$4"7!84"9

2010 (New): !"#"$%&'"()'*+,-./012344'567/*%5890145:.;/-<=&6(0=.>-"=.? !"#$%&'&()*'+,-%$./012"3$&"4&"&(567'&(6-#8&7/3(92:8';<&"

!"#$%& : !"#$%&'#($)*+!,-./0"12$345 6780$ !"#$%#&'()'*'+,$%#-.+/01&2+345#(678$9174:(!"#$%&'()*+,-./#'(,0&)%!*#'(,1*+2/+345/!+/*(2 !"#$%&'#($)&*+(,-./'(012&3%45$6.417384197:;<=&>(0?@*%12+3A('!B-C8DC:&EF'.@(8'G8B>(07;)3H AI0.#6)D5;$%&<=&>J5;(.:)B591 !"#$%&'())(*+,)%-*.!/01&!23)"4%1)3567&894!93":;(6(.(*<!/=$.>:(.6(.(*<8")(*8?4&("!>*#$%&8"9@;"!"#$%&'() !"#$%&'()*&+,-.+&/' .0/1'23)*+)*&45)36&'789):6;<9=&#+6.8>?$@!&)A9%B

!"#$%&'"()*+"$,-.#/00!1234$-56".76-8'9:-.

2010 (!"#$): !"##$%!$&'()*+,!-)!"##$%!.!"/-012343"*561%789%:;97/1<=7:

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

First aid

!"#$%&'(")"*

2010 AHA Guidelines for CPR and ECC !"#$%&'($)%*+(,"- AHA !"#$%&'&(&)*+,-.'/0 (American Red Cross: ARC) !"# 2010 AHA/ARC Guidelines for First Aid !"#$%&'(&!()(**(+,-,.&.++/*++! 0&12.345,"678(92:;<(=> ?@A5(B2A International First Aid Advisory Board !"#$%&'()*+,-./0$12/345%67.8.9-./ 30 43:;+< ;=>.3?)% !"#$%&$'()*$+$,)-./%0)1.),!&1 ILCOR International Consensus on CPR and ECC Science with Treatment Recommendations !"#$%&$'()*+,-&.,/,012342 ILCOR

!"#$%&'(")"*+,-!"#$#./&012*.!"##3!4"567 89:;"&"#<8=">6?!"#$%&'()*+,-./,-0123456 (-478!"#$%&9:;#,8<) !"#$%&'(&)*+$)%,-.&/)&%01.#- 2%3*45678915#/9:;)<8*# =>8.?&)&%$@41#&A&: B"80)C=>8.5DB"8%EA)&%FG)*A%4)&%$@41#&A&: !"#$%&'(%)*+,-./!0.12 3#45!"#&67-8./!0.12 79:;3)!"#*<=6-">"'(%)*+,-2?:205@

!"#$$"%&'()!*+,-. /0%,1+2!"#$%&'("#)*#+,

!"#$%&'()*"+,- 2010 AHA/ARC Guidelines for First Aid !"#$%&

- !"#$%&''!()*+,*-#). (supplementary oxygen administration)

- Epinephrine (adrenaline) !"# anaphylaxis

- !"#$%&'()*+#,-$-./&0123'-4-%-&"(! ($%54)

- !"#$%&'()&"( (Tourniquets) !"#$%&'(%)*"+,!

- Hemostatic agents

- !"#$%

- !"#$%&'(!)*+ (jellyfish stings)

- !"#$%&'(%)*+"',#"-./0* (heat emergencies)

!"#$%&'()*(+, 2010 Guidelines !"#$%&'&()*+,-&(.+/-01023 '.4. 2005 5)6!7# 7891:6 inhalers !"#$%&'()*+!,-./01/, 23415, !"#$%& $&'$%&(&)*, +,+-./ 012"3/)0&4*, spine stabilization, !"#$"%&'($)*+!,-".&/01*2,3!#3%4!, !"#$"%&'($)*+56/, !"#$%&'(%)*+"',#"-(./* (Cold emergencies) !"# $%&#'()*'+,-%).+/ (poison emergencies)

!"#$%&''!()*+, (supplementary oxygen)

2010 (!"#$#%&'%()*&+, 2005) : !"#$%&%'()*+ )*+,,-./01%023/"045!"#$%&'()#*#+ ,!-./%01)23"$#)245'4"#$6#),789: (shortness of breath) !"#$%&'&!&()$* (chest discomfort)

2010 (!"#$) : !"#$%&'#(')*+,,-.%/&0/1#%2 /34015"0*06789,8-'#3:2$;'<'= 0>-?@'0A@'BC72C decompression injury

First aid

!"#$%&: !"#$%&'()*$+ ,.-. 2005 ."#/010234"'5&*627!"#$%&$'()*+,-./0110(234551678/-8"(79 2-:;4'<=+>?@9?10(30+2/AB# (shortness of breath) !"#$%&'&!&()$* (chest discomfort) !"#$%&'()*+,-%.!/01231456789,:;<1)+5=&><<)?@AB,A/5@$ !"#$%"&'($)'(*+,-+ decompression injury

Epinephrine (adrenaline) !"# anaphylaxis

2010 (!"#$) : !"#$"#"%&$' anaphylaxis !"#$#%&'!()*+"#,*- epinephrine !"#$ !"#$%&'&()*+,-&.&/01(2&01&+341-52/67$&8'&(9,$-:'47;$<=>?@2# epinephrine !"#$%&'()*%

2005 (!"#$) : !"#$%&'()*$+ ,.-. 2005, 2010 AHA/ARC Guidelines for First Aid !"#"$%&'()*(+$%,%-./012%3%45!"#$!%&'()*+,+! -./*+,+!-01)2*) anaphylaxis !"#$%&'() epinephrine !""#$%%&'()*+,- !"#$%&'()*+,-.(/0+,!1#2%34(567(

!"#$%&: Epinephrine !"#"$%&'()&*(+,-./01()2*3#* anaphylaxis !"# $%&'()*+, 18%-35% !"#$%&'()*+,-.,"/0/1 !"#$%&%'!()*+$* anaphylaxis !"#$%&"'() epinephrine !"#$%&'()*+,-.) /0&12$234'5 anaphylaxis !"#$%"&'()"* !"#$%&'()*+,-.&*/(012345657896#06/$89:;0<=6% $>(06/?@& epinephrine !"#$#%&'(#)*+#,-./0$#%12"3+456#70-&'10 ($8,& !"#$%&'"()*+,-./#012"3)&+-3456&7 .8+-)%93./#01):'*;931/7.#$) ."%0.'0*;<'=>#5?@A(9!"#$% anaphylaxis (!"#$ !"#!$%&#'()*+,-.'/$012"345.3645"7)!8) 579$7:$%&#+;<=<1'>?@*<A<38B92)1.1,*=C42)<?DE)*."364FG=.FH$ =E4$!"# epinephrine !"#$%&'()*%

!"#$%&'()*+#,-$-./&0123'-4-%-&"(!

2010 (!"#$) : !"#$%&'&()*+,-&.&/01(23#4(5...(6'&('&(2,$-789':86;:+<=>!"#$%&'()*+,+-+%./0 1234567/78!).".9:.7;" !"#$%&%'()*+,-+./"01!230"0($4567#8% (9%8:1;<: 6;=1!>?4@) A%(:A4B,-+)*C= 1 1;<: *#?4A%(:A4B1:<D 2 1;<: !"#$%&'()*+,-,.'/0)12345&*"467+5/38 490+,-,.:")0;9<6=66#>8?"@;=386"!"/#-68!8&"8.A+,-8"8

!"#$%&: !"#$%&'()*+(,-./0!"#$%&'()* +,-./0#12'3"45),)6)07-8978&$:6;-<=;>-<6?2@9 AB4C-787$5),)6)07-8)?D) !"#$%&'()*+,&(-./#012343567689:/;9<=0#/>?&94/ 1"4#4/4-'/2?@4/%<1$@%-A#>B" !"#$%&'()*+#,--./-*0123#45"$%&!"#'6&7#8999#,!"#!"#'+4:;<=!><,-?1"@&"*A

!"#$%&'()&"( (Tourniquets) +*,!"#!"#$%&'()

2010 (!"#$#%&'%()*&+, 2005) : !"#$%&'())(*+,"-.!"(.%('/0(123145!64(.74 6*#%!)829:+3(&!;<=&/<$%('!>?"%,"@*(=123 !"#$%# &'()#"#*+,-./*+0+12$#3"4#+"4!5+",#67.89:;/<=>?@A+?+1B0CDC;E1(/<=F+C)6G -1HI0+10C#$%#>?@A+?+1B-;JC4GHIC>C. !"#$%&'()*)+,-./0)1)"23+45!"#!$%&'#()*#$)+$*,-#./0$1234567

!"#$%&: !"#$%"&'()*++%,-,./012345'3"5+26!(7", &08#59-43:*-7"6-.;6<3=>"3!"#?:@A"'B"5 '473 <3=3"&#C !"#$%&'()*+,$-.*/&01&2341305&1/60 6)/&78219(- 85/5-:,65+"2672;<1&2:;0=#>0&#$-.$%&'()*+,$%&1&2?@5A)&<&"!B/6)/&7C(

First aid

!"#$%&'()*+,-.*!"#$%&'()*$+*,-%. '/0* 1%-2%3'45$36478"'*59$,%. (ischemia and gangrene) !"#$!%!& !"#$%&'()*+',-./(0%1#23 4567589:(5;<#=">1?@.("*;1;*5A<'"B#C !"#$%#&'()'*+,-./0+%(1+-23405674'8-./0+%-547#94+#!66:;+/< =8>(5?@A$!"B@ !"#"$%&'(&)(*+,-./0123**-!445%6789:;%#72-<=%-!"#"$%&'()*+,

Hemostatic agents

2010 (!"#$) !"#$%&%'()*+),+ hemostatic agents !"#$%&'()!*#%)+,-./012"'.3.*

!"#$%&: !"#$%&'(") hemostatic agents !"#$%&'()*+,-!$./0"12/3/-4" !"#$%&'#!()(*+,-.,/.,($+012'34+5+67(89:;<+$'=>?+'-6+$-6+4@:;10)ABCDBE+3$+0-4FG768:G "#!"#$%&'()*+',*-.&/(012.3245&+67% (892 (2:;.(+:-.<=>,?&#&+ 59@A>3B>&5(>C7 proembolic state !"#$%&'()*$+,-.%/&%(01%2.3$,4*3 (thermal injury)

!"#$%

2010 (!"#$) !"#$%&#%'()*+,-./01&234 (pressure immobilization bandage) !"#$%&'()*"+,-./(0)1 40-70 !!."#$% !"#$%&'(!" #$%&%'()*+ 55-70 !!."#$% &'()#*+,( -*./0$123(!4(3,$56,.)#7$,(%89:1.;*1 !"#$%&!'()*+*,%-./0"12-34/56-7!89:-/89:4;-$'*1!<.=!>?9$;-@.= (lymph flow) !"#$%&'()*(*+,)-.%/"01/2

2005 (!"#$) !"#$%$&'(.). 2005 "%*" +","-.!/0!10 2.34%"3%5+67!/089:;"<=> (pressure immobilization bandage) !"#$%&'( !"#$%&'()*+,-./0123*&4*01251#6789:;%((,;%<$0 (neurotoxic venom) !"#$%&'(")(

!"#$%&: !"#$%%$&'$()*'+,-"."/0#1-2$##$%34(%4-5+,-4'#,6$789$':9( ;(+<9=>7&."/)<#'<31?@(1-AB/(C (;(A0!%1#$) #4--97&

!"#$%&'(!)*+ (jellyfish stings)

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!"#$%&'(%)*+"',#"-./0* (heat emergencies)

First aid

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!"#$%&: $%& 2010 AHA/ARC Guidelines for First Aid !"#$%&'()*$+,-.#/-012$#3+$!%451 (heat emergencies) !!"#$%& 3 !"#$%& '()*+()",-."/ 012.34 '#*"5+6(3*+()"27- (heat cramps), !"#$%% (heat exhaustion) !"#$%&'()!'*$%&+(,-./ !"#$%&'(( (heat stroke) !"#"$%&'()!(#"$*+,-./%'' +$0#!12+'345!"#"$)!(6!1%'' !"#$%&'()%)!*+,-.(-!/''0!/+)1+"#2%3)- (central nervous system) !"#$%#&'()*+,-./#'0&112(3451(,$6*+,17&'!8*-!9#,)0:;4*+,<=(>+,#%?+@+4='31-'A311?+1()B

!"#$

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!"#$%&'%()*+,$-&./) +)(0/.1+23!"#$%&'(&)#*+"),-./0123/4564 789:6;<=#2>"?*1@!"#$%%;14A@;*'BC/*@678D8'4C/*!3#2C6;!"#$%5E/F*GH (post-cardiac arrest care) !"#$%&'()*+ ,(-.+/01234-5(.+67/(89-:$.+/.;(<$2(.+6=%)>$!%) ?@A"3A7($-4B012%C6$D*2!"#$%&'()*+

!"#$#%&'!"#()' #*+,-.!"#/0!/')&12(+34"$(+) !"#$%&'()$*+,"-./%+01/23%.415267859:5"0;-68<6=+>

!"#$%&'%(%)( 50 *+ ,-./0,1 Kouwenhoven, Jude, and Knickerbocker

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Health & Medicine

Thai Highlight CPR 2010