Special Circumstances of Resuscitation

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Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00302841026182,00306932607174,alsfakia@gmail.com,

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Summary of Key Issues and Major Changes

• Experience with treatment of patients with known or suspected opioid overdose has demonstrated that naloxone can be administered with apparent safety and effectiveness in the first aid and BLS settings. For this reason, naloxone administration by lay rescuers and HCPs is now recommended, and simplified training is being offered. In addition, a new algorithm for management of unresponsive victims with suspected opioid overdose is provided.
• Intravenous lipid emulsion (ILE) may be considered for treatment of local anesthetic systemic toxicity. In addition, a new recommendation is provided, supporting a possible role for ILE in patients who have cardiac arrest and are failing standard resuscitative measures as the result of drug toxicity other than
  local anesthetic systemic toxicity.
• The importance of high-quality CPR during any cardiac arrest has led to a reassessment of the recommendations about relief of aortocaval compression during cardiac arrest in pregnancy. This reassessment has resulted in refined recommendations about strategies for uterine displacement.

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https://eccguidelines.heart.org/index.php/circulation/cpr-ecc-guidelines-2/part-10-special-circumstances-of-resuscitation/

Alexandros Sfakianakis
Anapafseos 5 . Agios Nikolaos
Crete.Greece.72100
2841026182

6948891480

alsfakia@gmail.com