Introduced to international guidelines for Japanese ruby and electronic texts
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Japanese ruby has been introduced into the international guidelines for electronic texts for the humanities.Graduate School of Humanities and Social Sciences, University of Tokyo ... → Continue reading
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International guidelinesIt is,American Heart Association (AHA) andInternational Liaison Committee on Resuscitation This is the Japanese common name for scientific consensus texts formulated by (ILCOR).Cardiac arrest,strokeIt is a document that describes the method of treatment for patients, etc., but it is characterized by being significantly different from past treatment methods in that it describes the countermeasures after clarifying the strict grounds.
The original title is “International consensus on cardiopulmonary resuscitation (CPR) and emergency cardiovascular care (ECC) science with treatment recommendations”.The title of the Japanese title is under consideration, but "International Consensus on Science and Treatment Recommendations in Cardiopulmonary Resuscitation and Emergency Cardiovascular TreatmentIs often called.
Because this item is long, it is known by various abbreviations such as: "Guidelines 2010", "G2010", "AHA Guidelines", "AHA2010", "International Guidelines".There is no standard abbreviation yet.
The International Liaison Committee updates this guideline every few years.Therefore, the year numbers announced as International Guideline 2005, International Guideline 2010, etc. are often added to the end of the word.
Outline at the time of announcement in 2000
The standard method of cardiopulmonary resuscitation was presented to the world, which was submitted scientifically and with sufficient statistical methods.Because the content was substantialInternational Liaison Committee on ResuscitationIt spread all over the world in a blink of an eye.Citizen levelAutomatic external defibrillatorMany changes have been made compared to traditional standards, such as recommendations for use and simplification of the procedure to start CPR.
Outline at the time of announcement in 2005
Since the content announced in 2000 surpassed the conventional data in both quality and quantity, it was announced while the world is watching over the departure in 2005.Of cardiopulmonary resuscitationChest compressionsThe ratio of artificial respiration to artificial respiration was changed from 15: 2 to 30: 2.Citizen rescuers no longer need to check their pulse.This is because even medical staff is not accurate and takes time, and even if it is done, it should not take more than 10 seconds.The point is that we paid more attention to chest compressions than before.
Outline of 2010 revision
The point is to perform chest compressions as quickly as possible and to minimize their interruptions.Also trained rescuers and the general public (Bystander) Are separated to make the procedure easier to understand.For the general public, we have eliminated the psychological resistance and made it possible to carry out CPR with or without training. The main changes in the BLS procedure are as follows.
- No need to open the airway (when a trained rescuer gives artificial respiration, do it just before the artificial respiration)
- "Look, hear, feel" has been abolished for breath confirmation.This is more important than simplification to not overlook Agonal respiration = cardiac arrest.
- Chest compressions are our top priority.Anyway, start early and do not interrupt as much as possible.Until Guideline 2005, it was "airway management (A) -artificial respiration (B) -chest compressions (C)", but chest compressions came first.
- The position of chest compressions is "middle of the chest". "Middle of both nipples" has been removed.You can wear it over your clothes.
- The depth of chest compressions has changed from "4 to 5 cm" to "5 cm or more". (For children and babies, 1/3 of the chest thickness)
- The tempo of chest compressions has changed from "100 times / minute" to "100 times / minute or more".
- Citizen rescuers who are not proficient in CPR do not have to give artificial respiration.Considering the large psychological resistance and the negative effects of interruption of chest compressions.Even for trained rescuers, interruptions in chest compressions due to mechanical ventilation should be minimized.However, children and babies often suffer from suffocation, and prioritize artificial respiration in combination with drowning.
- AEDs can now be used for babies as well.
Outline of 2015 revision
- International Liaison Committee on Resuscitation(ILCOR)
- Japan Revitalization Council
- American Heart Association(AHA)
- JRC Resuscitation Guidelines 2015 -Japan Resuscitation Council
- Guidelines for Emergency Resuscitation 2015 (for citizens) -Ministry of Health, Labor and Welfare
- Guideline Update 2015 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Treatment --American Heart Association
- Key Updates to AHA Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Treatment 2019 --American Heart Association