Reanimación cardiopulmonar. Soporte vital básico y avanzado
- 1 Servicio de Medicina Interna. Hospital General Universitario Gregorio Marañón.
- 2 Servicio de Medicina Interna. Hospital General Universitario Gregorio
ISSN: 0304-5412
Year of publication: 2015
Issue Title: Urgencias: Urgencias cardiovascualares. Reanimación cardiopulmonar
Series: 11
Issue: 87
Pages: 5185-5194
Type: Article
More publications in: Medicine: Programa de Formación Médica Continuada Acreditado
Abstract
The sequence of cardiopulmonary resuscitation is CAB, starting chest compressions before ventilation. Cardiopulmonary resuscitation should apply high quality compression with a frequency of 100 to 120 compressions per minute and a depth of at least 5 cm, allowing full chest expansion, minimizing disruption of compressions and avoiding excessive ventilation. The automated external defibrillator should be used as soon as it becomes available. The foundation of successful advanced cardiovascular support is based on a high quality of cardiopulmonary resuscitation and ventricular fibrillation and pulseless ventricular tachycardia rapid defibrillation within minutes after the collapse. Understanding the importance of diagnosing and treating the possible underlying causes, considering therefore rule the “H” and “T” is fundamental to the management of all cardiac arrest rhythms, especially mentioning the cases of pulseless electrical activity. Once the patient reaches the spontaneous movement must “immediately” begin the post resuscitation care, optimizing the long-term survival with good neurological outcome.
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