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CPR involves chest compressions for adults between 5 cm (2.0 in) and 6 cm (2.4 in) deep and at a rate of at least 100 to 120 per minute. [2] The rescuer may also provide artificial ventilation by either exhaling air into the subject's mouth or nose ( mouth-to-mouth resuscitation ) or using a device that pushes air into the subject's lungs ...
Similarly as with adults ECMO is only indicated if reversal of the pathology for example with cardiac transplantation, is feasible. [27] When it comes to the consideration of the withdrawal of ECMO, unlike in adult populations parents are encouraged to make the final decision with guidance from the treating physicians.
The CPR mask is the preferred method of ventilating a patient when only one rescuer is available. Many feature 18 mm (0.71 in) inlets to support supplemental oxygen, which increases the oxygen being delivered from the approximate 17% available in the expired air of the rescuer to around 40-50%. [12]
The LUCAS can be used both in and out of the hospital setting. [6] [7] The 2015 European Resuscitation Council Guidelines for Resuscitation does not recommend using mechanical chest compression on a routine basis, but are good alternative for situations where it may be difficult or to maintain continuous high-quality compressions, or when it may be too strenuous on the medic to do so. [8]
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Epinephrine in adults improves survival [106] but does not appear to improve neurologically normal survival. [107] In ventricular fibrillation and pulseless ventricular tachycardia, 1 mg of epinephrine is given every 3–5 minutes, following an initial round of CPR and defibrillation. [ 82 ]
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The ABC system for CPR training was later adopted by the American Heart Association, which promulgated standards for CPR in 1973. As of 2010, the American Heart Association chose to focus CPR on reducing interruptions to compressions, and has changed the order in its guidelines to Circulation, Airway, Breathing (CAB). [48]
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