2010(CPR)( ECC)

2010
(CPR)( ECC)

/
/

1960
American Heart AssociationAHA

(CardiopulmonaryresuscitationCPR)
50

AHA2010CPR

(BasicLifeSupport,BLS)
2010

2010

(Pediatric
Basic Life Support)

2010CPRECC
BLS,
CPR

1  100 /

2
; 
1.5(4)2
5
3
30:2
15:2(
)

()
235

 JOURNAL OF KAOHSIUNG MEDICAL ASSOCIATION 2011. vol.20, No.3

810

2010BLS

:
1C PRA-B-C(Airway
Breathing
Chest compressions)
C-A-B30

15

(
)
CPR

CPRCPR
C-A-B
18
CPR
AHA2010
BLS
C-A-B()
2 10
CPR


AHA

PALS 2010

2010 BLS
10
CPR
3

AED

236

2010(CPR)( ECC)

AED

/)
4
100% 94%

(PaO2)

-(ischemia-reperfusion)

5
AHA

(Extracorporeal Membrane
OxygenationECOM)
6 (Wide-Complex
Tachycardia)0.09
0.08
7Etomidate
Etomidate

8

(32C34C)

(Pediatric
Advanced Life SupportPALS)
PALS2010CPR
ECC:
1 ACLS

CPR

 P E T C O 2 1 0
15 mmHgCPR

restoration of spontaneous circulation

(ROSC)PETCO2
(
40 mmHg)PETCO2
ROSC

2  2  CPR

3
2-4/
 2
/
 4 /
 4 / ( 10

(Neonatal Resuscitation)

2010CPRECC
CPR

A-B-C

237

 JOURNAL OF KAOHSIUNG MEDICAL ASSOCIATION 2011. vol.20, No.3

2010PALS

CPR
(
)
(100
)

:
,
152
8
10CPR

2
4
4
10

Epinephrine IV/IO
0.01mg (0.1 ml/kg of
1:10000 concentration )
3~5
IV/IO,
0.1mg (0.1ml/kg of
1:1000 concentration )
Amiodarone IV/IO
5mg
VT/VF

6~8
8~10

ROSC

Hypovolemia
Hypoxia Hydrogen
ion(acidosis)
Hypoglycemia/
Hypo-/hyperkalemia
Hypothermia
T e n s i o n
pneumothorax
Tamponade, cardiac
Toxins Thrombosis
pulmonary
Thrombosis, coronary

PALS 2010

238

2010(CPR)( ECC)

 3:1

(33.5C  34.5C)
 18

1
3739

2

(pulseoxymeter
)
3
100%
air-oxygen blender

()pulse
oxymeter
4

(
)

(Trachealsuction)
5
 3:1

15:2
6 36


:
1. 2010CPRECC
()http://www.heart.
org/idc/groups/heart-public/@wcm/@ecc/
documents/downloadable/ucm_317347.pdf

2. 
PALS2010
http://www.cemea.org.tw/admin/user_
path/2010_11_26_17_44_7.pdf

3. 1003P4
~P9
4. MarcD.Berg,Chair;StephenM.
Schexnayder;LeonChameides,etal.Part
13:PediatricBasicLifeSupport:2010
AmericanHeartAssociationGuidelines
forCardiopulmonaryResuscitation
andEmergencyCardiovascularCare.
Circulation.2010;122[suppl3]:S862-
S875

5. MonicaE.Kleinman,Chair;Leon
Chameides;StephenM.Schexnayder,
etal.Part14:PediatricAdvancedLife
Support:2010AmericanHeartAssociation
GuidelinesforCardiopulmonary
ResuscitationandEmergency
CardiovascularCare.Circulation.2010;122
[suppl3]:S876-S908

6. JohnKattwinkel,Co-Chair*;JeffreyM.

239

 JOURNAL OF KAOHSIUNG MEDICAL ASSOCIATION 2011. vol.20, No.3

Perlman,Co-Chair*;

KhalidAziz,etal.
Part15:Neonatal
Resuscitation:
2010American
HeartAssociation
Guidelinesfor
Cardiopulmonary
Resuscitation
andEmergency
Cardiovascular
Care.Circulation.
2010;122[suppl3]:
S909-S919

(preductal)
1 60~65%
2 65~70%
3 70~75%
4 75~80%
5 80~85%
10 85~95%

PALS 2010

240