REVIEW OF THE LATEST CHANGES IN THE CPR GUIDELINES OF THE AMERICAN HEART ASSOCIATION 2018

Background and Aim : American Heart Association (AHA) guidelines on cardiopulmonar yresuscitation (CPR) and emergency cardiac care (ECC) are being updated on an inclusive andevidence-based inquiry every 5 years, and the latest guidelines for 2015. But this time, theInternational Liaison Committee on Resuscitation in a new approach and shorter time intervals hasupdated Gidelines in 2018. This process is based on answering the main questions among thespecialists and professionals of the medical teamMethods : This article is a review article that uses purposeful searches in relevant informa t ionbanks to Review of the latest changes in the CPR Guidelines of the American Heart Association2018.Results : - Prescribing amiodarone or lidocaine in shockable rhythms: A review of new evidencesuggests that lidocaine is administered in shockable rhythms after at least receiving a shock versusplacebo for achieving ROSC in adults.Contrary to Guideline s 2015 recommendation, prioritygiven to prescribing amiodarone as preferential antiarrhythmic in shockable rhythms in adults,lidocaine was introduced as an alternative (same value) and was also included in the ACLSalgorithm. - During the resuscitation, only an anti-arrhythmic drug (amiodarone or lidocaine) isrecommended by Guidline, and only two doses of the selected drug are allowed (after the third andfifth shock). - Prescribing lidocaine prophylaxic after reaching ROSC in the first hour, In somespetial cases, which may be subject to recurrence of VT/VF, it can be considered in the absence ofcontraindication. - Given that evidence of fatigue in the person responsible for chest compressionin the first minute of resuscitation and fatigue greatly affects the quality of the chest compression(rate and depth), so changing the person responsible for chest compression up to a maximum oftwo minutes or sooner if fatigue is recommended.Conclusion : According to studies, the use of the 2018 cardiopulmonary resuscitation guidelinescan greatly help save lives in these circumstances.