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Presented by:   David Hiltz  Mike Smith
Systole          Diastole
DEATH BY HYPERVENTILATIONA COMMON EXPERIENCE  IN CARDIAC ARREST
THE PAINFUL TRUTH•Perceived performance does not always match observed performance.•Aufderheide et al. showed that duty cy...
COMPRESSIONS……..CVENTILATIONS………..CDATACOLLECTION…..D
Fatigue and poor crew resource management (CRM)contributed to the accident.EA 401 gradually lost altitude while the flight...
“Quality CPR is a means to improve survival fromcardiac arrest. Scientific studies demonstratewhen CPR is performed accord...
http://www.youtube.com/watch?v=w32PUDL2lb8
Pictures are for presentation purposes only. The American Heart Association does not endorse any particular products, mode...
Improved                          survival                                                    Paramedic                  I...
BLS Continuous        BLS 30:2Compression/ventilation ratio        10:1               30:2    Stop for ventilations       ...
•EMTs own CPR•Minimize interruptions in CPR at all times•Ensure proper depth of compressions (>2 inches)•Ensure full chest...
•C-A-B•Minimize interruptions in compressions•Compress at least 100/min•Allow complete chest wall recoil/decompression bet...
123456
CPR 1  AIRWAYVENTILATION              4                     BOSS2                                    16             5     ...
Compressions                                             VentilationsShock 1 Delivered   Medics on scene: no              ...
Are you interested in high quality  resuscitation related news, discussion topics        and other associated interests?HE...
High Perfromance CPR for NCEMSF
High Perfromance CPR for NCEMSF
High Perfromance CPR for NCEMSF
High Perfromance CPR for NCEMSF
High Perfromance CPR for NCEMSF
High Perfromance CPR for NCEMSF
High Perfromance CPR for NCEMSF
High Perfromance CPR for NCEMSF
High Perfromance CPR for NCEMSF
High Perfromance CPR for NCEMSF
High Perfromance CPR for NCEMSF
High Perfromance CPR for NCEMSF
High Perfromance CPR for NCEMSF
High Perfromance CPR for NCEMSF
High Perfromance CPR for NCEMSF
High Perfromance CPR for NCEMSF
High Perfromance CPR for NCEMSF
High Perfromance CPR for NCEMSF
High Perfromance CPR for NCEMSF
High Perfromance CPR for NCEMSF
High Perfromance CPR for NCEMSF
High Perfromance CPR for NCEMSF
High Perfromance CPR for NCEMSF
High Perfromance CPR for NCEMSF
High Perfromance CPR for NCEMSF
High Perfromance CPR for NCEMSF
High Perfromance CPR for NCEMSF
High Perfromance CPR for NCEMSF
High Perfromance CPR for NCEMSF
High Perfromance CPR for NCEMSF
High Perfromance CPR for NCEMSF
High Perfromance CPR for NCEMSF
High Perfromance CPR for NCEMSF
High Perfromance CPR for NCEMSF
High Perfromance CPR for NCEMSF
High Perfromance CPR for NCEMSF
High Perfromance CPR for NCEMSF
High Perfromance CPR for NCEMSF
High Perfromance CPR for NCEMSF
High Perfromance CPR for NCEMSF
High Perfromance CPR for NCEMSF
High Perfromance CPR for NCEMSF
High Perfromance CPR for NCEMSF
High Perfromance CPR for NCEMSF
High Perfromance CPR for NCEMSF
High Perfromance CPR for NCEMSF
High Perfromance CPR for NCEMSF
High Perfromance CPR for NCEMSF
High Perfromance CPR for NCEMSF
High Perfromance CPR for NCEMSF
High Perfromance CPR for NCEMSF
High Perfromance CPR for NCEMSF
High Perfromance CPR for NCEMSF
High Perfromance CPR for NCEMSF
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High Perfromance CPR for NCEMSF

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Quality CPR is a means to improve survival from cardiac arrest. Scientific studies demonstrate when CPR is performed according to guidelines, the chances of successful resuscitation increase substantially. Minimal breaks in compressions, full chest recoil, adequate compression depth, and adequate compression rate are all components of CPR that can increase survival from cardiac arrest. Together, these components combine to create high performance CPR (HP CPR). This presentation will provide you with an introduction to HP CPR for implementation in your EMS system.

Published in: Health & Medicine

High Perfromance CPR for NCEMSF

  1. 1. Presented by: David Hiltz Mike Smith
  2. 2. Systole Diastole
  3. 3. DEATH BY HYPERVENTILATIONA COMMON EXPERIENCE IN CARDIAC ARREST
  4. 4. THE PAINFUL TRUTH•Perceived performance does not always match observed performance.•Aufderheide et al. showed that duty cycle, chest compression depth andcomplete recoil were performed significantly less well when directly observedthan EMT perceptions of their performance.•Wik et al. showed that chest compression rate and depth were bothsignificantly below AHA guidelines by trained EMS providers, and no flow time(when there was neither a pulse nor CPR being given) was almost 50% indirectly observed performance evaluations.•The likelihood of ROSC increases significantly with higher mean chestcompression rate (in a hospital study 75% of patients achieved ROSC with 90or more chest compressions/minute compared to only 42% with 72 or fewerchest compressions/minute).
  5. 5. COMPRESSIONS……..CVENTILATIONS………..CDATACOLLECTION…..D
  6. 6. Fatigue and poor crew resource management (CRM)contributed to the accident.EA 401 gradually lost altitude while the flight crew waspreoccupied and eventually crashed.The effect of this crash on the airline industry continuestoday and has resulted in the development of CrewResource Management (CRM). CRM is a technique thatrequires air crews to divide the work in the cockpit
  7. 7. “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)”
  8. 8. http://www.youtube.com/watch?v=w32PUDL2lb8
  9. 9. Pictures are for presentation purposes only. The American Heart Association does not endorse any particular products, models or manufacturers.
  10. 10. Improved survival Paramedic Intubation IV Advanced Life placement Support Rapid rhythm Minimize Administer analysis pauses drugs Prioritize Switch compressions compressor C-A-B s every 2 Hover hands min. Rate betweenCompress Minimize Full recoil 100 and interruptions 120/min> 2 inches EMT CPR Foundation
  11. 11. BLS Continuous BLS 30:2Compression/ventilation ratio 10:1 30:2 Stop for ventilations no yes Rhythm assessment every 2 minutes every 2 minutes*Compressions prior to rhythm 2 minutes or 200 variable* assessment compressions
  12. 12. •EMTs own CPR•Minimize interruptions in CPR at all times•Ensure proper depth of compressions (>2 inches)•Ensure full chest recoil/decompression•Ensure proper chest compression rate (100-120/min)•Rotate compressors every 2 minutes•Hover hands over chest during shock administration and be ready to compress as soon as patient is cleared•Intubate or place advanced airway with ongoing CPR•Place IV or IO with ongoing CPR•Coordination and teamwork between EMTs and paramedics
  13. 13. •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
  14. 14. 123456
  15. 15. CPR 1 AIRWAYVENTILATION 4 BOSS2 16 5 3 AIRWAY ASSISTANT CPR 2 ACCESS MEDS MONITOR
  16. 16. Compressions VentilationsShock 1 Delivered Medics on scene: no Analysis 2: no shock break in CPR advised
  17. 17. Are you interested in high quality resuscitation related news, discussion topics and other associated interests?HEARTSafe Community andAmerican Heart Association-Public Safety

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