It has been a long time coming, with the guidelines being released a year later than the usual 4 year interval – but they are finally here! Today ANZCOR (Australian and New Zealand Committee on Resuscitation) released new resus guidelines that are endorsed by the Resuscitation Councils of Australia and New Zealand.
The new guidelines draw on the research within the latest international consensus statements that were released in October 2015. The key factors for us as health care practitioners in hospitals are that the recommended approach to Basic Life Support and Advanced Life Support remains the SAME. The only change to the guidelines is the rate at which chest compressions are delivered in CPR. We used to recommend 100 compressions per minute, these new guidelines recommended 100 to 120 per minute. They remind rescuers to push hard, aiming for 1/3 of the depth of the chest on each compression.
In other areas of first aid, there are some developments. One of these is that cervical collars need not be applied in suspected spinal injury; recognising that airway management is a higher priority in emergency situations. Rescuers are still encouraged to care for a suspected spinal injury and manual support of the head is recommended to achieve this.
There are some new recommendations for resuscitation in advanced care settings; mostly around medicines, equipment and specific treatment options.
These new ANZCOR (Australian and New Zealand Committee on Resuscitation) guidelines can be found at: www.resus.org.au or www.nzrc.org.nz
LearnPRN’s Basic Life Support and Advanced Life Support programs, as well as the Early Management of Anaphylaxis program, will all be updated by the end of this week. So you can feel confident that the information you are learning is up to date and demonstrates how best practice is refined in the light of new evidence.
So, what does that tell us? That what we are doing is best practice! So let’s keep on doing what we have been: the emergency DRS ABCD (Danger, Response, Send for help, Airway, Breathing, CPR, Defibrillation) approach, administering CPR at 30:2, and defibrillating early, but now we’ll do it a bit harder, and a bit faster!
You can view or save the charts below: