5. Guideline changes

  1. Changed from A-B-C to C-A-B (Compressions-Airway-Breathing). This leads to higher incidence of ROSC (Return of spontaneous circulation).
  1. Removal of “Look, listen, and feel” for breathing. This can frequently be difficult. If there is no breathing, or shallow breathing, begin CPR. 
  1. Emphasis on high quality CPR. 100-120 beats per minute. Compression depth of AT LEAST 2 inches in adults (no greater than 2.4 inches), and 1.5 inches in infants, and 2 inches in children. Allow complete recoil of chest. Do not interrupt CPR except to use AED (interruptions to chest compressions should be less than 10 seconds). MOST IMPORTANTLY, “PUSH HARD AND FAST.”
  1. Manual defibrillator is preferred to AED in infants. Next best option is adult AED with pediatric dose attenuator. You can use adult AED on an infant if nothing else is available. 
  1. Give 1 breath every 6 seconds when advanced airway is in place.