New ANZCOR resus guidelines

ANZCOR have updated their guidelines.

The main changes – as summarised by Dr Stacy Turner:

Defibrillation – can increase 2nd shock energy to maximum available on defib, if first shock unsuccessful.
Cooling anywhere between 32-36 degrees.
Post-ROSC PCI – immediate in STEMI, new LBBBB and selected patients if coronary ischaemia is considered the likely cause on clinical grounds (although Level of Evidence III – poor)

Chest compressions now 100-120/min instead of 100

For term babies, start with air, not oxygen; for pre-term babies start at 21-30% O2, then titrate O2 to sats (minimum at 1min 60%, 2min 65%, 3min 70%, 4min 75%, 5min 80%, 10min 85%)

Chest compressions now 100-120/min instead of 100
Cooling anywhere between 32-36 degrees post ROSC

First Aid
C-spine collars for suspected spinal injuries by any first aid provider in the pre-hospital environment no longer recommended

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