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The document summarizes changes such as mechanical CPR considerations, updated drug and airway approaches, post–cardiac arrest care with TTM, diagnostic alternatives like capnography substitutes and cardiac ultrasound, and recommendations for coronary angiography, hypotension correction, prognostication timing, and organ donation candidacy.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/rca-guideline-for-advanced-life-support-tzong-luen-wang/370412/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/rca-guideline-for-advanced-life-support-tzong-luen-wang/370412.png","ImageObject",300,407,{"name":42,"@type":43},"kopisore","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-31","2026-09-23",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",12,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What is the document’s main structure for resuscitation priorities?","Question",{"text":63,"@type":64},"It uses the Chain of Survival framework, organized into basic concepts and phases such as early CPR, early defibrillation, and ALS, followed by post-arrest care.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"Which topics distinguish OHCA from IHCA and address adult versus pediatric care?",{"text":68,"@type":64},"The guideline highlights differences across OHCA and IHCA and specifies that key measures apply to both adult and pediatric populations, with separate focus areas under the early and advanced phases.",{"name":70,"@type":61,"acceptedAnswer":71},"What major updates are listed for 2010 to 2015 regarding advanced life support and post–cardiac arrest care?",{"text":72,"@type":64},"Updates include mechanical CPR in difficult circumstances, removal of vasopressin from drug lists for cardiac arrest, use of BVM/SGA/tracheal tube during CPR, capnography substitutes if waveform capnography is unavailable, and post–cardiac arrest TTM with accepted temperature ranges plus timing for prognostication.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},370412,1790309258,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,106,110,115,120,123,127],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & 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\nProfessor, School of Medicine and Law, Fu-Jen Catholic University, New Taipei City, Taiwan Vice superintendent, Chang Bing Show Chwang Memorial Hospital, Changhua County, Taiwan  \nAcknowledgement  \nJRC  \nMayuki Aibiki  \nSchinichiro Ohshimo  \nKACPR  \nKyoungchul Cha  \nMi Jin Lee  \nNRCT  \nTzong-Luen Wang  \nChih-Hung Wang  \nRCHK  \nRalph Cheung  \nHing-Yu So  \nSRFAC  \nLim Swee Han  \nTRC  \nParinya Kunawut  \nPHA  \nFrancis :avapie  \nChain of Survival  \nChain of Survival  \nBasic Concepts  \nFive Chains in AHA and Four Chains in ERC  \n50%  \nOHCA and IHCA; Adult and Pediatric  \nEarly CPR  \n30%  \nEarly Defibrillation and ALS  \n10%  \nD  \nPost-Arrest Care  \n10%  \nB  \nC  \nNew Development from 2010 to 2015  \n• Adult Advanced Life Support  \n• While these mechanical CPR devices should not routinely replace manual chest compressions, they may have a role in circumstances where high-quality manual compressions are not feasible..  \n• New data did not prompt a recommendation to change practice but do provide sufficient equipoise for large RCTs to test whether advanced airways and epinephrine are helpful during CPR.  \n• Recent improvements in post-cardiac arrest care include further delineation of the effects, timing, and components of TTM, and awareness of the need to control oxygenation and ventilation and optimize cardiovascular function.  \n• Post–cardiac arrest patients should be treated with a care plan that includes TTM, but thereis uncertainty about the optimal target temperature, how it is achieved, and for how long temperature should be controlled. g temperature should be controlled.  \nMajor Changes from 2010 to 2015  \n• If waveform capnography not available, non-waveform carbon dioxide detector, esophageal detector device or ultrasound in addition to clinical assessment is an alternative.  \n• Vasopressin has been removed from drug lists for cardiac arrest.  \n• Use BVM, SGA or tracheal tube during CPR.  \n• Cardiac ultrasound may be considered as an additional diagnostic tool to identify potentially reversible causes if not interfering with standard ACLS protocol.  \n• Mechanical CPR devices can be considered in difficult circumstances such as limited staff numbers, transport, confined spaces, or during interventions.  \n• Some special resuscitation is reemphasized.  \nMajor Changes from 2010 to 2015  \n• Coronary angiogram is recommended for all patients with ST elevation or hemodynamically or electrically unstable patients without ST elevation.  \n• Identification and correction of hypotension is recommended in the immediate post-cardiac arrest period.  \n• Target temperature management  \nwith a range from 32 to 36ºC for at least 24 h and prevention of rebound fever is acceptable.  \n• Prognostication should be made no sooner than 72 h after TTM or ROSC.  \n• All patients progressing to brain death or circulatory death should be considered candidates for organ donation.  \nILCOR CoSTR  \nInternational Liaison Committee on Resuscitation  \nConsensus on Science and Treatment Recommendation for Management of Cardiac Arrest and Related Emergencies  \n2016  \nILCOR CoSTR  \nInternational Liaison Committee on Resuscitation  \nConsensus on Science and Treatment Recommendation for Management of Cardiac Arrest and Related Emergencies  \n2017  \nIndependent Chest Compression and BVM Ventilation  \nAHA BLS Update 2017","cbCaif33Jvcb1hAo","https://ap.wps.com/l/cbCaif33Jvcb1hAo","pdf",5147618,49,"English","# Chain of Survival\n## Basic Concepts\n## Five Chains in AHA and Four Chains in ERC\n## OHCA and IHCA; Adult and Pediatric\n## Early CPR\n## Early Defibrillation and ALS\n## Post-Arrest Care\n## New Development from 2010 to 2015\n## Major Changes from 2010 to 2015\n## ILCOR CoSTR\n## AHA BLS Update 2017\n## Independent Chest Compression and BVM Ventilation","[{\"question\":\"What is the document’s main structure for resuscitation priorities?\",\"answer\":\"It uses the Chain of Survival framework, organized into basic concepts and phases such as early CPR, early defibrillation, and ALS, followed by post-arrest care.\"},{\"question\":\"Which topics distinguish OHCA from IHCA and address adult versus pediatric care?\",\"answer\":\"The guideline highlights differences across OHCA and IHCA and specifies that key measures apply to both adult and pediatric populations, with separate focus areas under the early and advanced phases.\"},{\"question\":\"What major updates are listed for 2010 to 2015 regarding advanced life support and post–cardiac arrest care?\",\"answer\":\"Updates include mechanical CPR in difficult circumstances, removal of vasopressin from drug lists for cardiac arrest, use of BVM/SGA/tracheal tube during CPR, capnography substitutes if waveform capnography is unavailable, and post–cardiac arrest TTM with accepted temperature ranges plus timing for prognostication.\"}]","RCA Guideline for Advanced Life Support - Tzong-Luen Wang | PDF",1790188386,123]