Final answer:
The 2018 focused update on ACLS outlines recommendations including early recognition of opioid emergencies, updates to the BLS algorithm, a strong recommendation for using POCUS, and the emphasis on continuous quality improvement and CPR feedback systems for better outcomes post-cardiac arrest.
Step-by-step explanation:
The recommendations from the 2018 focused update on Advanced Cardiac Life Support (ACLS) include several important revisions and clarifications to improve the outcome of patients who experience cardiac arrest. Key changes include the increased emphasis on the early recognition of opioid-associated emergencies, modification of the algorithm for Adult Basic Life Support (BLS) to encourage simultaneous chest compressions while a second rescuer prepares for defibrillation, and a stronger recommendation for the use of point-of-care ultrasound (POCUS) during the management of cardiac arrest. The guidelines also stress the importance of continuous quality improvement and the need for systems of care to optimize post-cardiac arrest treatment.
Beyond clinical interventions, the update encourages integrating feedback systems to monitor and improve CPR quality, including measurement of compression rate and depth, as well as complete chest recoil. Recognizing that high-quality CPR is crucial for improved survival and neurological outcomes, training and education efforts are emphasized. Furthermore, the use of adjunctive devices such as mechanical CPR devices is addressed, with guidance offered on their role compared to manual chest compressions.