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Cardiac Arrest Survival - PSOW

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Cardiac Arrest Survival - PSOW

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Cardiac Arrest Survival - PSOW

  1. 1. Cardiac Arrest Survival Josh Finke Josh Finke
  2. 2. Disclaimer
  3. 3. Facts on Sudden Cardiac Arrest • Approximately 359,400 out of hospital cardiac arrests annually • 90.5% mortality rate=325,257 deaths • This would equal the death toll of the titanic sinking 4 times every week • *Data according to AHA
  4. 4. We Can Do Better!!!
  5. 5. How can we Improve • CCR • Automated Compression Devices • Team Approach • Capnography • Data • Pre Arrival CPR
  6. 6. Importance of Data • Is what we are doing working? • Are we spending money where it should be spent? • Do we really make a difference? • Does staffing matter? • Does getting there one minute faster really help?
  7. 7. How to Keep Cardiac Arrest Data • Wausau Fire has maintained cardiac arrest data since 2012 • The CARES data set is used • The only person that sees it is me!!!
  8. 8. Changes in Our Cardiac • CPRA tor CrCeRs t Protocols • Change from Combi to King for backup airway • Addition of automated compression device after trial • Addition of induced Hypothermia • Addition of capnography
  9. 9. Capnography????
  10. 10. Automated Compression Device **During a trial an increase to out of hospital survival of 6% was found with the use of a compression device**
  11. 11. Some of our Data • In 2010/2011 the approximate cardiac arrest survival rate was 12%-18% • In 2012 after protocol changes and equipment upgrades our overall survival rate was 33%; of those 93% had a CPC score of 1 or 2.
  12. 12. Maybe it was Just a Lucky Year??? • In 2013 the overall survival rate was 26%; of those 100% had a positive neurological outcome!!
  13. 13. Lets be more Specific • 2012 • 42 total arrests • 13 VF/VT • 8 VF/VT ROSC=61.5% (all survived) • 29 PEA/Asystole • 7 PEA/Asystole ROSC=24% (3 survived)
  14. 14. • 2013 • 34 total arrests • 7 VF/VT • 4 VF/VT ROSC=57% (all survived) • 27 PEA/Asystole • 7 PEA/Asystole ROSC=26% (4 survived)
  15. 15. • 2014 (Jan-Jun) • 17 total arrests • 3 VF/VT • 3 VF/VT ROSC=100% (2 survived 66%) • 14 PEA/Asystole • 1 PEA/Asystole ROSC=7% (1 survived) 100%)
  16. 16. The Big Picture • Total VF/VT arrests 2012-2014=23 • Total VF/VT ROSC=15 (65%) • Total PEA Asystole Arrests=70 • Total PEA/Asystole ROSC=15 (21%) • VF/VT survival to discharge 61% • Asystole/PEA survival to discharge 11%
  17. 17. • Overall survival rate 2012-2014=23.6% • Overall survival 2010-2011=12-18%
  18. 18. Data Tracking • Use of the CARES data set • Using 52 data points • Great data but very underused
  19. 19. Data Bank • Statewide cardiac arrest data bank • Each service data submitted quarterly • All data would be complied and returned to each participating service • Service names would be kept confidential
  20. 20. Benefits • A larger pool of data • Ability to determine what works and what doesn't without trying it for yourself • Ability to increase cardiac arrest survival across Wisconsin
  21. 21. Possibilities • Normal cardiac arrest ratio 1 for every 1,000 population annually • Wisconsin population=5,726,000 or approximately 5,726 cardiac arrests statewide • 90% mortality rate=5,153 deaths • 76% mortality rate=4,351 deaths
  22. 22. • Over 800 more lives saved!!! • This would be equal to saving the entire Village of Crystal Lake WI every year
  23. 23. I’m on the Trail of Better Outcomes
  24. 24. Contact Info joshua.finke@ci.wausau.wi.us joshua.finke@ci.wausau.wi.us

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