EMS A to Z: 2020 AHA Guideline Updates Show Notes:

From your hosts, Dr. Josh Gaither, Dr. Amber Rice, and Dr. Rachel Munn

Cardiac Arrest: * In 2015, 350,000 individuals had OHCA in the US. Less than 40% of adults receive layperson-initiated CPR, and fewer than 12% have an automated external defibrillator (AED) applied before EMS arrival.

EMS Highlights:  * Adults/Pediatrics: * Importance of early CPR and defibrillation * CPR quality monitoring * Audio feedback if available * ETCO2 if available * IV may be preferred to IO if available * Early epinephrine in non-shockable rhythms * Prioritizing defibrillation over epinephrine in shockable rhythms * Shock x 3 prior to antiarrhythmic * Early epinephrine in pediatrics * Neonates: * Neonatal warming, drying, stimulating, skin to skin with mom is priority * Neonatal suctioning only recommended if suspected airway obstruction due to meconium * PPV for HR < 100 * CPR for HR < 60 * IO may be used for med admin * Epinephrine may be used if no response to CPR / PPV * Fluid bolus may be used * Community Health: * Focus on debrief for providers and family members of patient suffering cardiac arrest * Focus on booster CPR training for layperson * Focus on naloxone admin by layperson