HIGH PERFORMANCE CPR, SEATTLE STYLE!

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In this presentation, Hiltz and Baumrind provide a brief overview of HP CPR, based on their experience with the Resuscitation Academy www.resuscitationacademy.org

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  • Hearts too good to die
  • The 2010 AHA Guidelines for CPR and ECC once againemphasize the need for high-quality CPR, including• A compression rate of at least 100/min (a change from“approximately” 100/min)• A compression depth of at least 2 inches (5 cm) in adults• Allowing for complete chest recoil after each compression• Minimizing interruptions in chest compressions• Avoiding excessive ventilation
  • Possible ALS benefits:Manual defibrillatorLeadershipAssessment
  • HIGH PERFORMANCE CPR, SEATTLE STYLE!

    1. 1. Baumrind has NO conflicts Hiltz is employed by theAMERICAN HEART ASSOCIATION
    2. 2. “Quality CPR is a means to improve survival fromcardiac arrest. Scientific studies demonstratewhen CPR is performed according to guidelines,the chances of successful resuscitation increasesubstantially. Minimal breaks in compressions, fullchest recoil, adequate compression depth, andadequate compression rate are all components ofCPR that can increase survival from cardiac arrest.Together, these components combine to createhigh performance CPR (HP CPR)”
    3. 3. Survival to Discharge around the country:
    4. 4. The disparity
    5. 5. Compression Fraction• Measures the percentage of total time that compressions are actually being done• Includes all delays and interruptions
    6. 6. RESUSCITATION OUTCOMES CONSORTIUM (ROC): -Circulation, 2009 “…increasing chest compression fraction (hands- on time) during out of hospital resuscitation of patients with ventricular fibrillation is an independent determinant of survival to hospital discharge. Devising CPR protocols that take advantage of this simple fact can save thousands of lives each year and are extremely inexpensive to implement.”
    7. 7. DRUGS WITH PROVEN BENEFIT:
    8. 8. What Works?• Early, good quality CPR• Early defibrillation• Therapeutic hypothermia (possibly in field)
    9. 9. BLS Owns the Resuscitation!• Out of hospital Cardiac Arrest is a BLS event• Includes ALS and BLS providers• Interventions that work are Basic Life Support interventions• Everybody (ALS, BLS, Driver, Attendant) has the same chance to positively effect the outcome• There is NO reason to “wait” for ALS to resuscitate someone
    10. 10. •C-A-B•Minimize interruptions in compressions•Compress at least 100/min•Allow complete chest wall recoil/decompression betweencompressions•Rhythm assessment every 2 minutes•Rotate compressors every 2 minutes•Hover over patient with hands ready during defibrillation socompressions can start immediately after the shock (oranalysis) has occurred
    11. 11. 123456

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