——更新与亮点版本：2010AHA心肺复苏和心血管急救指南为基础，参考2010ERC心肺复苏指南发布时间：相差两天——竞争无处不在基本生命支持部分的改变高级生命支持中药物使用的改变低温治疗复苏后综合征的处理生存链的变化*●LayrescuersbeginCPRiftheadultvictimisunresponsiveandnotbreathingnormally(ignoringoccasionalgasps)withoutassessingthevictim’spulse.●Followinginitialassessment,rescuersbeginCPRwithchestcompressionsratherthanopeningtheairwayanddeliveringrescuebreathing.●Allrescuers,trainedornot,shouldprovidechestcompressionstovictimsofcardiacarrest.Astrongemphasisondeliveringhigh-qualitychestcompressionsremainsessential:pushhardtoadepthofatleast2inches(5cm)atarateofatleast100compressionsperminute,allowfullchestrecoilaftereachcompression,andminimizeinterruptionsinchestcompressions.●Trainedrescuersshouldalsoprovideventilationswithacompression-ventilationratioof30:2.●EMSdispatchersshouldprovidetelephoneinstructioninchestcompression-onlyCPRforuntrainedrescuers.病人无反应无正常呼吸公众复苏者，不推荐脉搏检查Compression-VentilationSequenceABCorCAB？按压优先于通气BLS——compression（按压）BLS——compression（按压）BLS——compression（按压）高质量的胸外按压：4点用力按压：深度——至少5cm（2005年指南4-5cm）快速按压：频率——至少100次/分*(ERC2010100-120bpm)两个atleast完全回复：每一次按压后必须让胸廓完全复位尽可能减少按压中断BLS——openingtheairwayBLS—判断呼吸*要不要先清除口腔内异物？BLS—RescuebreathingERC2010：持续1秒，给足够的潮气量使患者胸廓抬起，要避免过快和用力吹气。无论口对口呼吸还是面罩通气，通气时有无给氧均如此。连续2次呼吸时间不超过5秒按压：通气比成人：30:2儿童院外复苏、非专业人员复苏：30:2，专业人员复苏：15:2具体情况具体分析：BLS—Compression-onlyBLS—气道梗阻的处理对于双相除颤/电复律，自粘电极板与手持金属电极板一样安全有效单相波电复律时，手持电极板更合适电极板的size>8cm除颤器的选择：双相波比单相波更有效能量的选择：双相截断指数波形：150-200焦耳，单相波：360焦耳除颤：第二次及以后能量？.Placethefirstelectrodepadinthemid-axillarylinejustbelowthearmpit.Placethesecondelectrodejustbelowtherightcollarbone(clavicle).除颤过后，立即按压●Theuseofcapnographytoconfirmandcontinuallymonitortrachealtubeplacementandqualityofcardiopulmonaryresuscitation(CPR).●Morepreciseguidanceonthecontrolofglucoseinadultswithsustainedreturnofspontaneouscirculation.Bloodglucosevalues>180mg/dL(>10mmol/L)shouldbetreatedandhypoglycemiaavoided.●Additionalevidence,albeitlowerlevel,forthebenefitoftherapeutichypothermiaincomatosesurvivorsofcardiacarres