2019 American Heart Association and American Red Cross Focused Update for First Aid: Presyncope: An Update to the American Heart Association and American Red Cross Guidelines for First Aid

Nathan P. Charlton, Jeffrey L. Pellegrino, Amy Kule, Tammy M. Slater, Jonathan L. Epstein, Gustavo E. Flores, Craig A. Goolsby, Aaron M. Orkin, Eunice M. Singletary, Janel M. Swain

Research output: Contribution to journalArticle

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.

Original languageEnglish (US)
Pages (from-to)E931-E938
JournalCirculation
Volume140
Issue number24
DOIs
StatePublished - Dec 10 2019

Keywords

  • AHA Scientific Statements
  • Red Cross
  • first aid
  • hypotension, orthostatic
  • syncope
  • syncope, vasovagal

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

Fingerprint Dive into the research topics of '2019 American Heart Association and American Red Cross Focused Update for First Aid: Presyncope: An Update to the American Heart Association and American Red Cross Guidelines for First Aid'. Together they form a unique fingerprint.

  • Cite this

    Charlton, N. P., Pellegrino, J. L., Kule, A., Slater, T. M., Epstein, J. L., Flores, G. E., Goolsby, C. A., Orkin, A. M., Singletary, E. M., & Swain, J. M. (2019). 2019 American Heart Association and American Red Cross Focused Update for First Aid: Presyncope: An Update to the American Heart Association and American Red Cross Guidelines for First Aid. Circulation, 140(24), E931-E938. https://doi.org/10.1161/CIR.0000000000000730