[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-370437-105":59,"doc-detail-370437-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","science-summary-table-acls-changes-from-2015-to-2020","Science Summary Table - ACLS changes from 2015 to 2020","","Science Summary Table comparing advanced cardiovascular life support topics from 2015 to 2020. It highlights updated ventilation rates for respiratory and cardiac arrest scenarios, revised bradycardia medication dosing and eligibility guidance, and changes in tachycardia energy recommendations and shock delivery approach. The table also updates post–cardiac arrest oxygen saturation targets, the adult chain of survival structure, IV/IO access preferences, and adds key 2020 content including cardiac arrest algorithms, stroke triage and endovascular treatment windows, and stroke-focused oxygen titration.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/science-summary-table-acls-changes-from-2015-to-2020/370437/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/science-summary-table-acls-changes-from-2015-to-2020/370437.png","ImageObject",300,407,{"name":92,"@type":93},"moss~","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-02","2026-09-23",true,{"@type":102,"interactionType":103,"userInteractionCount":8},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What changed in ventilation recommendations from 2015 to 2020 for respiratory arrest and cardiac arrest?","Question",{"text":112,"@type":113},"In 2020, the breath rate is 1 breath every 6 seconds for respiratory arrest with or without an advanced airway, and also for cardiac arrest with an advanced airway. The bag-mask guidance is noted when local protocols use continuous compressions and asynchronous ventilations.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How were unstable bradycardia medication doses and first-line guidance updated?",{"text":117,"@type":113},"Atropine dosing increased from 0.5 mg (2015) to 1 mg (2020). Dopamine dosing is also updated to 5 to 20 mcg/kg per minute (2020). 2020 guidance states atropine should be used for all unstable bradycardia patients except heart transplant patients, with pacing and/or dopamine or epinephrine for those patients.",{"name":119,"@type":110,"acceptedAnswer":120},"What are the 2020 updates to adult cardiac arrest and stroke recommendations?",{"text":121,"@type":113},"Cardiac arrest updates include epinephrine dosing guidance (midrange interval), stating amiodarone and lidocaine are equivalent, and adding maternal cardiac arrest information, VAD information/algorithm, a new prognostication diagram, and waveform capnography with a bag-mask device. Stroke updates include revised algorithms, EMS destination triage for stroke, focus on large vessel occlusion, extending endovascular therapy windows up to 24 hours, and allowing both IV thrombolysis and endovascular therapy when criteria are met, plus oxygen saturation titration to >94%.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},370437,1790188493,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":8,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":129,"read_time":81},962090895452,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","Science Summary Table  \nThis table compares topics from 2015 with 2020, providing a quick reference to what has changed and what is new in the science of advanced cardiovascular life support.  \n\n| ACLS\u003Cbr>topic | 2015 | 2020 |\n| --- | --- | --- |\n| Ventilation | • 1 breath every 5 to 6 seconds for respiratory arrest, with a bag-mask device\u003Cbr>• 1 breath every 6 seconds for ventilation with an advanced airway in place | • 1 breath every 6 seconds for respiratory arrest with or without an advanced airway and also for cardiac arrest with an advanced airway (use this rate with a bag-mask device if your local protocol is continuous compressions and asynchronous ventilations for cardiac arrest) |\n| Bradycardia | • Atropine dose: 0.5 mg\u003Cbr>• Dopamine dosing: 2 to 20 mcg/kg per minute\u003Cbr>• Atropine is the first-line medication for all unstable bradycardias. | • Atropine dose: 1 mg\u003Cbr>• Dopamine dosing: 5 to 20 mcg/kg per minute\u003Cbr>• Give atropine to all unstable bradycardia patients as a first-line medication except heart transplant patients. Use pacing and/ or dopamine or epinephrine for heart transplant patients |\n| Tachycardia | • Synchronized cardioversion initial recommended doses:\u003Cbr>– Narrow QRS complex, regular rhythm: 50 to 100 J\u003Cbr>– Narrow QRS complex, irregular rhythm: 120 to 200 J\u003Cbr>– Wide QRS complex, regular rhythm: 100 J\u003Cbr>• Wide QRS complex, irregular rhythm: defibrillation dose (not synchronized) | • Follow your specific device’s recommended energy level to maximize the success of the first shock\u003Cbr>• Wide QRS complex, irregular rhythm: defibrillation dose (not synchronized) |\n| Post– Cardiac Arrest Care | • Titrate oxygen saturation to 94% or higher | • Titrate oxygen saturation to 92% to 98% |\n| Adult Chain\u003Cbr>of Survival | • 5 links for both chains (IHCA and OHCA) | • 6 links for both chains (IHCA and OHCA): added a Recovery link to the end of both chains |\n| IV/IO Access | • IV access and IO access are equivalent | • IV preferred over IO access, unless IV fails (then OK to proceed to IO) |\n| ACLS topic | 2020 |  |\n| Cardiac Arrest | • Epinephrine 1 mg every 3 to 5 minutes or every 4 minutes as a midrange (i.e., every other 2-minute rhythm check)\u003Cbr>• Amiodarone and lidocaine are equivalent for treatment (i.e., either may be used)\u003Cbr>• Added maternal cardiac arrest information and algorithms (in-hospital)\u003Cbr>• Added ventricular assist device information (VAD: LVAD and RVAD) and algorithm\u003Cbr>• Added new prognostication diagram and information\u003Cbr>• Recommend using waveform capnography with a bag-mask device |  |\n| Stroke | • Revised stroke algorithm\u003Cbr>• New stroke triage algorithm for EMS destination\u003Cbr>• Focus on large vessel occlusion (LVO) for all healthcare providers\u003Cbr>• Endovascular therapy: treatment window up to 24 hours (previously up to 6 hours)\u003Cbr>• Both IV thrombolysis and endovascular therapy can be given/performed if time criteria and inclusion criteria are met\u003Cbr>• Upon arrival and receiving in the ED, consider having EMS bypass the emergency department and go straight to the imaging suite (CT/MRI); initial assessment can be performed there to save time\u003Cbr>• Titrate oxygen saturation to >94% |  |\n\n™ The heart and / Icon on its own and the heart and / Icon followed by another icon or words in English are trademarks ofthe Heart and Stroke Foundation of Canada.","cbCaicLkTN3ddW1T","https://ap.wps.com/l/cbCaicLkTN3ddW1T","pdf",161155,"English","# Ventilation\n# Bradycardia\n# Tachycardia\n# Post–Cardiac Arrest Care\n# Adult Chain of Survival\n# IV/IO Access\n# Cardiac Arrest (2020 updates)\n# Stroke (2020 updates)","[{\"question\":\"What changed in ventilation recommendations from 2015 to 2020 for respiratory arrest and cardiac arrest?\",\"answer\":\"In 2020, the breath rate is 1 breath every 6 seconds for respiratory arrest with or without an advanced airway, and also for cardiac arrest with an advanced airway. The bag-mask guidance is noted when local protocols use continuous compressions and asynchronous ventilations.\"},{\"question\":\"How were unstable bradycardia medication doses and first-line guidance updated?\",\"answer\":\"Atropine dosing increased from 0.5 mg (2015) to 1 mg (2020). Dopamine dosing is also updated to 5 to 20 mcg/kg per minute (2020). 2020 guidance states atropine should be used for all unstable bradycardia patients except heart transplant patients, with pacing and/or dopamine or epinephrine for those patients.\"},{\"question\":\"What are the 2020 updates to adult cardiac arrest and stroke recommendations?\",\"answer\":\"Cardiac arrest updates include epinephrine dosing guidance (midrange interval), stating amiodarone and lidocaine are equivalent, and adding maternal cardiac arrest information, VAD information/algorithm, a new prognostication diagram, and waveform capnography with a bag-mask device. Stroke updates include revised algorithms, EMS destination triage for stroke, focus on large vessel occlusion, extending endovascular therapy windows up to 24 hours, and allowing both IV thrombolysis and endovascular therapy when criteria are met, plus oxygen saturation titration to \\u003e94%.\"}]","Science Summary Table - ACLS changes from 2015 to 2020 | PDF"]