AHA Guidelines

2015 Guideline Changes

Click here for full guidelines.

+ADULT CPR Changes

  • Use of Cell Phones to Activate EMS:
  • The BLS algorithm has been changed to include the use of a mobile phone to activate EMS without leaving the victim’s side.
  • Rescue Breaths, Yes:
  • Rescue breaths are recommended for trained rescuers; maintain the current ratio of 30 compressions to 2 breaths.
  • A Continued Emphasis on High Quality Compressions:
  • Do not lean on the chest between compressions, minimize interruptions to compressions and avoid excessive ventilation.
  • Compression Rates:
  • The recommended rate is 100 to 120 compressions per minute (as opposed to ‘at least’ 100 compressions).
  • Compression Depth:
  • The recommended compression depth is at least 2 inches (5 cm) but not greater than 2.4 inches (6 cm)
  • Naloxone:
  • the use of Naloxone by trained bystanders to treat suspected opioid overdose may be considered.

+BLS for HEALTHCARE PROVIDERS

  • New Chain of Survival for In-Hospital Cardiac Arrest (IHCA):
  • A different chain of survival will be used to prevent and improve outcomes of IHCA. The IHCA Chain of Survival is: Surveillance and protection, recognition and activation of the emergency response system, immediate high-quality CPR, rapid defibrillation, and advanced support and post arrest care.
  • Team Resuscitation:
  • Provides a customizable approach for activation of the EMS and cardiac arrest management to better match the rescuers’ clinical setting. Instead of focusing on a single-rescuer algorithm, team resuscitation teaches how to modify the BLS sequence based on the type of arrest, its location and who is nearby.
  • Rescue Breaths with an Advanced Airway in Place:
  • There is only one rate once an advanced airway is in place. One breath every six seconds for all ages. Compressions and breaths are performed asynchronously after the placement of an advanced airway.
  • Out-of-Hospital Cooling:
  • Is not recommended at this time.

+PEDIATRIC CPR (Child and Infant)

  • Use of Cell Phones to Activate EMS:
  • The BLS algorithm has been changed to include the use of a mobile phone to activate EMS without leaving the victim’s side.
  • Compression Rates:
  • The recommended rate is 100 to 120 compressions per minute (as opposed to ‘at least’ 100 compressions).
  • Compression Depth:
  • For adolescents, a maximum compression depth not greater than 2.4 inches (6 cm) is recommended.

+FIRST AID

  • Separated Tooth:
  • If immediate reimplantation is not possible, certain solutions are suggested to prolong the tooth’s viability: Hanks Balanced Salt Solution, propolis, egg white, coconut water, Ricetral or whole milk.
  • Use of Aspirin for Chest Pain:
  • Aspirin is still recommended for a person suspected of having a heart attack as long as the patient has no allergy other contraindications. Either coated or non-coated aspirin is allowed as long as the aspirin is chewed and swallowed. There is no change to recommended dose of 1 adult or 2 baby aspirin.
  • Repeat Doses for Anaphylaxis:
  • When a person does not respond to an initial dose of epinephrine and EMS is not expected to arrive within 5 to 10 minutes, consider a repeat dose.
  • Hemostatic Dressings:
  • May be considered when standard bleeding control measures are not working to treat severe external bleeding.