short 20 minute overview that precedes 1.5 hours hands on practice

1. 2016 High Performance CPR Part 2
ACCESS – BT – 2016 03 HP CPR PT 2

3. IMPORTANT POINT!
• RATE
– (110/min)
– (Continuous 2 minute
cycles)
• DEPTH
– At least 2”
• RELEASE/RECOIL
(complete)
• UNINTERRUPTED
– (pauses <10 sec)
– (prefer less than 3 sec)
• DECREASED VENTILATION
(6-10/minute)
5 KEY
ASPECTS
OF
GOOD
CPR!

7. POSITION 1 (Compressor- Left)
TASKS
• BLS
– Switch off compressions
– Switch off Squeezing Bag on BVM
• Asynchronous ventilations 6-10/minute (less is more)
– Coach Position 2 on rate, depth, recoil
• If LUCAS
– Helps place Lucas
• If ALS/ILS
– May assist with IV/IO/Meds ONLY if not actively doing
compressions or assisting position 3 (Compressions
take priority)

8. POSITION 2 (Compressor- RIGHT)
TASKS
• BLS
– Switch off compressions
– Switch off Squeezing Bag on BVM
• Asynchronous ventilations 6-10/minute (less is more)
– Coach Position 1 on rate, depth, recoil
• If LUCAS
– Helps place Lucas
– Runs Lucas once placed
• If ALS/ILS
– May assist with IV/IO/Meds ONLY if not actively doing
compressions or assisting position 3 (Compressions take
priority)

9. POSITION 3 (AIRWAY)
• BLS:
– Facemask Seal (two handed)
– Suction (Have Near By)
– Monitors ventilator rate
– Run the AED
• ALS
– All BLS AND…
– Run the Monitor
– Place Advanced Airway
– ETCO2
– May also function as intervention medic if needed

10. Intervention Medic (TASKS)
• Medic If available,
– AEMT if not
– May be responsibility of Code Commander
• Establish IV/IO/ access
• Push meds (as appropriate)
• May also run Monitor/Defib (as appropriate)

11. Code Commander/IC (TASKS)
• Mind on Big Picture
• Direct Interventions
– EKG determination
– Meds when/what/how much
• Perform ALS interventions if no other ALS on
scene
• The CODE COMMANDER is the only one who
can direct compression cycle to stop

17. LUCAS PLACEMENT
• STEP 1: Continue Compressions. Plan on completing the 2 minute
cycle
• STEP 2: Power on LUCAS before placement
• STEP 3:LET EVERYONE KNOW WHAT YOUR DOING
• STEP 4: During 2 minute pause, lift patient and place back plate
(Less than 10 seconds)
• STEP 5: RESUME COMPRESSIONS IMMEDIATELY
• STEP 6: Hook one side of Lucas, leave it “hanging” if feasible
• STEP 7: During NEXT 2 minute pause, swing Lucas into place,
position, and press start. (less than 10 seconds).
• STEP 8: place neck strap and secure hands to prevent LUCAS “slip”
• If at any time you face difficulty, resume manual compressions
• If ROSC: Leave in place on “standby”, in case of re-arrest.

19. “It is up to us to save the world.”
- Peter Safar