Heart and Stroke Foundation of Canada has issued new 2017 updates for the adult and paediatric basic life support according to the American Heart Association (AHA) guidelines for cardiopulmonary resuscitation (CPR) and emergency cardiovascular care (ECC).The topics reviewed here include the following:
Adult BLS and CPR Quality
- Dispatch-assisted CPR
- Use of continuous vs interrupted chest compressions by emergency medical services (EMS) providers
- Use of chest compression–only (Hands Only) CPR vs CPR using chest compressions with ventilation in both the in-hospital and out-of-hospital settings.
Paediatric BLS and CPR Quality
The changes for paediatric BLS were a result of weighing the survival benefits of CPR using chest compressions with rescue breaths against chest-compression-only CPR, with the conclusion that the incremental benefit of rescue breaths justified a distinct recommendation. The topics reviewed here include the following: • Reaffirming that compressions and ventilation are needed for infants and children in cardiac arrest • Strongly recommending that bystanders who are unwilling or unable to deliver rescue breaths should provide chest compressions for infants and children.