Official websites use. Share sensitive information only on official, secure websites. This article presents the update of the adult basic life support BLS of the Korean Guidelines for Cardiopulmonary Resuscitation [ 1 ].
Part 1. The main new or revised contents in the Korean BLS guidelines are as follows. Implementing a dispatcher-assisted cardiopulmonary resuscitation CPR program can be effective in improving the survival outcomes of adult victims of cardiac arrest.
It is recommended that emergency medical dispatchers EMDs apply standardized algorithms to quickly detect cardiac arrest when receiving an emergency call. The victim should not be moved from a bed to the floor to improve the depth of chest compressions.
For adult victims, chest compressions should be restarted immediately after defibrillation. The rescuer could consider stopping chest compressions every two minutes to check the heart rhythm. Chest compression can be temporarily stopped to check the rhythm when physiological indicators that suggest return of spontaneous circulation ROSC waveforms in the artery or rapid increase in end-expiratory carbon dioxide are noted.
EMTs should consider hospital transfer if ROSC does not occur after on-site advanced resuscitation is performed for 10 minutes; however, they may consider extending the duration based on the medical directions of a physician. Tapping on the back is recommended as a priority treatment for patients with airway obstruction caused by a foreign body and for patients who are unable to cough effectively.
