2019 American Heart Association and American Red Cross Focused Update for First Aid: Presyncope. Issue 24 (10th December 2019)

• Record Type: Journal Article
• Authors: Charlton, Nathan P.; Pellegrino, Jeffrey L.; Kule, Amy; Slater, Tammy M.; Epstein, Jonathan L.; Flores, Gustavo E.; Goolsby, Craig A.; Orkin, Aaron M.; Singletary, Eunice M.; Swain, Janel M.
• Is Part Of: Circulation. Volume 140:Issue 24(2019)
• Publication Date: 2019-12-10
• Subjects: AHA Scientific Statements -- first aid -- hypotension, orthostatic -- Red Cross -- syncope -- syncope, vasovagal; Blood -- Circulation -- Periodicals; Cardiovascular system -- Periodicals; Cardiology -- Periodicals; Heart -- Diseases -- Periodicals; Blood Circulation; Cardiovascular System; Vascular Diseases; 616.1
• DOI: 10.1161/CIR.0000000000000730
• Languages: English
• ISSNs: 0009-7322

Abstract

Abstract : This 2019 focused update to the American Heart Association and American Red Cross first aid guidelines follows the completion of a systematic review of treatments for presyncope of vasovagal or orthostatic origin. This review was commissioned by the International Liaison Committee on Resuscitation and resulted in the development of an international summary statement of the International Liaison Committee on Resuscitation First Aid Task Force Consensus on Science With Treatment Recommendations. This focused update highlights the evidence supporting specific interventions for presyncope of orthostatic or vasovagal origin and recommends the use of physical counterpressure maneuvers. These maneuvers include the contraction of muscles of the body such as the legs, arms, abdomen, or neck, with the goal of elevating blood pressure and alleviating symptoms. Although lower-body counterpressure maneuvers are favored over upper-body counterpressure maneuvers, multiple methods can be beneficial, depending on the situation.