What are the 2015 AHA revised recommendations for the performance of cardiopulmonary resuscitation (CPR)?

Updated: Sep 15, 2020
  • Author: Catharine A Bon, MD; Chief Editor: Kirsten A Bechtel, MD  more...
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Answer

Answer

The AHA 2010 guidelines revised the initial CPR sequence of steps from ABC (airway, breathing, chest compressions) to CAB (chest compressions, airway, breathing) [44] ; this was reaffirmed in the 2015 update, which also offered the following revised recommendations for performance of CPR [43] :

  • Chest compressions should be performed at a rate of 100-120/min (class I)

  • During manual CPR, chest compressions should be at a depth of at least 2 inches for an average adult, while avoiding excessive chest compression depths (>2.4 inches) (class I)

  • Total preshock and postshock pauses in chest compressions should be as short as possible (class I)

  • For adults in cardiac arrest receiving CPR without an advanced airway, it is reasonable to pause compressions for less than 10 seconds to deliver two breaths (class IIa)

  • In adult cardiac arrest with an unprotected airway, it may be reasonable to perform CPR, in which case, the chest compression target fraction should still be as high as possible (at least 60%) (class IIb)


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