Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række
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Tidsskr. Nor. Laegeforen. · Feb 1999
Review Practice Guideline Guideline[Guidelines for advanced cardiopulmonary resuscitation of adult patients. European Resuscitation Council].
In this paper 16 experts from ten different countries present an abridged version of the 1998 European Resuscitation Council guidelines for advanced adult life support. There are few changes from the 1992 version, and they are mainly made for educational reasons. There is thus no convincing new scientific evidence that warrants changes in the guidelines. ⋯ The ventilation volume has been reduced to 400-600 ml, and the chest compression frequency has been increased to 100 min-1. For other rhythms than ventricular fibrillation/ventricular tachycardia, ventilation and chest compressions should now be performed for three minute periods, not one minute as used to be the rule. One minute is still the correct period for ventricular fibrillation/ventricular tachycardia.
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Tidsskr. Nor. Laegeforen. · Feb 1999
Review Practice Guideline Guideline[Guidelines for basic cardiopulmonary resuscitation of adult patients. European Resuscitation Council].
In this article, 15 experts from six countries present an abridged version of the 1998 European Resuscitation Council guidelines for adult basic life support. Persons trained in advanced life support should use these guidelines together with the guidelines for advanced life support, also published in this journal. There are a few changes from the previous guidelines published in 1993. ⋯ In Norway, but not in the rest of Europe, the evaluation of the circulation by a pulse check has been eliminated in basic, but not in advanced cardiopulmonary resuscitation. This is due to reports that pulse checks performed by lay rescuers require much time with poor specificity and sensitivity. Finally, in evaluating the patient's own ventilation the differentiation between agonal gasps and regular breaths is stressed.