Resuscitation
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This discussion about advanced cardiac life support (ACLS) reflects disappointment with the over 50% of out-of-hospital cardiopulmonary resuscitation (CPR) attempts that fail to achieve restoration of spontaneous circulation (ROSC). Hospital discharge rates are equally poor for in-hospital CPR attempts outside special care units. Early bystander CPR and early defibrillation (manual, semi-automatic or automatic) are the most effective methods for achieving ROSC from ventricular fibrillation (VF). ⋯ Fibrillation and defibrillation thresholds are influenced by the peripheral sympathetic and parasympathetic nervous systems and impulses from the frontal cerebral cortex. CPR for cardiac arrest of the mother in advanced pregnancy requires modifications and outcome data. Until more recognizable critical factors for ROSC are identified, titrated sequencing of ACLS measures, based on physiologic rationale and sound judgement, rather than rigid standards, gives the best chance for achieving survival with good cerebral function.
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Cardiopulmonary resuscitation (CPR) is a vital skill which must be mastered by all health care professionals. The General Dental Council recommends that it is taught to all UK dental undergraduates. ⋯ Only 64% (9/14) of respondents thought their students received enough training to be able to cope with the initial stages of an emergency on their own. Thus, although the level of BLS training is probably acceptable at present, further improvement of CPR training in UK Dental Schools is advisable.