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  2010,American Heart Association ,Guidelines for CPR and Emergency Cardiovascular Care (ECC).  
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Timing of IV/IO Access,ACLS Guidelines



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Timing of IV/IO Access.
Timing of IV/IO Access.
During cardiac arrest, provision of high-quality CPR and rapid defibrillation are of primary importance and drug administration is of secondary importance.

After beginning CPR and attempting defibrillation for identified VF or pulseless VT, providers can establish IV or IO access .

This should be performed without interrupting chest compressions.

The primary purpose of IV/IO access during cardiac arrest is to provide drug therapy .

Two clinical studies134,136 reported data suggesting worsened survival for every minute that antiarrhythmic drug delivery was delayed (measured from time of dispatch).
However, this finding was potentially biased by a concomitant delay in onset of other ACLS interventions.
In one study the interval from first shock to administration of an antiarrhythmic drug was a significant predictor of survival.
One animal study reported lower CPP when delivery of a vasopressor was delayed.
Time to drug administration was also a predictor of ROSC in a retrospective analysis of swine cardiac arrest.
Thus, although time to drug treatment appears to have importance, there is insufficient evidence to specify exact time parameters or the precise sequence with which drugs should be administered during cardiac arrest.

ACLS Guidelines DOCUMENT HOME

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Stepping Up To Standards Compliance

Solution ----> Medical Standards Compliance Tools





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CPR ECC Web Site

    Medical Standards Compliance Science ,Tools For Training & Implementation
   
  2010,American Heart Association ,Guidelines for CPR and Emergency Cardiovascular Care (ECC).  
2010 ILCOR International Consensus on CPR & ECC    

Tools For Training & Implementation

  • Simulators

  • E Learning

  • Paper less charts (Electronic medical records -EMR )

  • Certification Exam Preparation