15 ISSUES IN RESUSCITATION
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This document outlines 15 issues that can fracture the chain of survival in resuscitation efforts. These issues include problems with detecting agonal breathing and pulses, low rates of bystander CPR, incorrect dispatch instructions, chest compressions being too slow, fast, or shallow, interruptions during compressions, overinflating lungs or hyperventilating, delays and interruptions, and ineffective resuscitation techniques.
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Looking to promote HEARTSafe in your community? These slides may help!
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Looking to promote HEARTSafe in your community? These slides may help!
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• Comprehensive CQI and more
The Citizen CPR Foundation is proud to present this course as part of the Cardiac Arrest Survival Summit, December 10-13,
2019, and other pre-conference workshops happening the 9th and 10th. Formerly ECCU, the Summit is the largest and most
well-respected conference on cardiac arrest care for CPR and ECC instructors, nurse & hospital educators, researchers, EMS
and PAD program managers, EMS medical directors and survivors.
Learn more and register for the ROP course or for the Summit in its entirety by visiting citizencpr.org/summit. We look
forward to meeting you there.
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Resuscitation is a "team sport"! Plan to attend the Resuscitation O cer Program with your institutional peers and learn from
the course faculty as well as from other participants through facilitated and interactive exercises. This course is offered as a
pre-conference workshop in conjunction with the Cardiac Arrest Survival Summit, presented by the Citizen CPR
Foundation.
This dynamic 8-hour certificate program is designed to prepare physicians, nurses and allied healthcare professionals to
effectively organize and implement cardiac arrest guidelines, innovations and best practices to improve outcomes from
cardiac arrests that occur in the hospital setting.
Focus areas include:
• Code committee and code team organization
• Process improvement
• Emergency ultrasound
• Targeted temperature management
• Post resuscitation PCI
• ECMO
• High-quality training
• Mock codes
• Comprehensive CQI and more
The Citizen CPR Foundation is proud to present this course as part of the Cardiac Arrest Survival Summit, December 10-13,
2019, and other pre-conference workshops happening the 9th and 10th. Formerly ECCU, the Summit is the largest and most
well-respected conference on cardiac arrest care for CPR and ECC instructors, nurse & hospital educators, researchers, EMS
and PAD program managers, EMS medical directors and survivors.
Learn more and register for the ROP course or for the Summit in its entirety by visiting citizencpr.org/summit. We look
forward to meeting you there.
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NCEMSF are proud to host the Academic Poster Session at the
25th Annual Conference.
Abstracts for poster presentations are encouraged from students
and professionals on (1) original research or (2) the development
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Authors of accepted abstracts will present posters at a 1-hour
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Deadline:
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For details, please review the Poster
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www.ncemsf.org/conference/2018-conference
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Abstracts will be reviewed and selected
by the JCEMS Editorial Board.
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Details available at:
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It’s no secret that the number of reporters and photographers and editors in traditional newsrooms is shrinking. But news editors still have holes to fill in print editions and they face a constant challenge to keep their websites updated with new information 24/7.
Those challenges are your entryway.
But you won’t gain entry without your own challenges. Those tight staffing situations may make your mission harder at the outset than it might have been 10 or 20 years ago when newsrooms were flush with young reporters looking for their next story.
You’ve got to get a reporter or editor to take the time to listen to you and they’re all wearing several hats taking care of print issues and web site updates and social media posts. So be politely persistent.
David Hiltz was and he ended up getting more than one message into our paper and on our web site. If I may, I suggest you borrow a line from David. After challenging him to tell me why we should be writing about this stuff as a general circulation newspaper and website rather than a medical journal, he had the perfect line.
“If 15-20 people were needlessly dying in house fires in Westerly each year, would that be newsworthy," he asked. "How is cardiac arrest any different?"
Perseverance will be key, but if you get your pitch down right -- make it brief, but compelling – you should be able to convince an assignment editor that you’ve got a story that will get lots of eyeballs on his or her website -- and maybe even convince someone to grab a print copy off the rack.
Local and unique are the keys to good news stories in 2017 when global news is available from any number of news outlets as soon as you grab you smartphone in the morning. And all of you have unique, local stories from your communities. Stories about regular citizens saving lives on the street because they learned how to do CPR or because they learned how to use an AED.
Access Denied! Failures in Automated External Defibrillator Deployment
This presentation will examine current practices in early defibrillation strategies including defibrillation by law enforcement and PAD models. While millions of defibrillators have been placed in public venues, many victims are not defibrillated in a timely fashion.
Why do current practices fall short of expectations?
Early Heart Attack Care Discussion ACC Congress
This document discusses the partnership between Early Heart Attack Care (EHAC) programs and Emergency Medical Services (EMS) to improve cardiovascular health in communities. It outlines mandatory and recommended components of community outreach in the areas of community health improvement and community education where EMS can be involved, such as offering joint EHAC and CPR training courses. The future of EMS is envisioned as more integrated with the overall healthcare system to identify and address risks, provide acute care as well as chronic condition management, and improve community health.
Exposure
The document discusses using exposure therapy techniques in CPR education to address real-life fears that potential rescuers may experience when encountering a victim of sudden cardiac arrest. It proposes exposing CPR course participants to simulations of agonal breathing, seizures and posturing during training, while also providing frequent reassurances about the frightening nature of such situations, in order to desensitize people to the fears and increase their willingness to take action during a medical emergency. The approach aims to break the link between feared situations and panic reactions through controlled exposure and reduce fear without inducing fear.
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The document discusses the politics of risk and disasters. It notes that experts in different fields like airplane safety, neuroscience, and disaster response do not often share knowledge and experiences with each other or the general public. As a result, valuable insights into risk and how to prepare for disasters remain siloed within individual specialties rather than being integrated more broadly. The conclusion calls for overcoming these barriers so that people everywhere have access to information that could help them survive disasters, regardless of where they live.
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Often it "takes a village" and indeed the entire community to make a significant difference! Hear how the HEARTSafe Community concept is designed to promote survival from sudden out-of-hospital cardiac arrest by recognizing and stimulating efforts by individual communities to improve their cardiac arrest system of care.
Death From Cardiac Arrest is a Real Crime! Can Law Enforcement Reduce Time ...
This document discusses the potential role of law enforcement in reducing time to CPR and defibrillation for victims of sudden cardiac arrest. It provides an overview of studies showing improved survival rates when law enforcement responds rapidly to medical emergencies and uses AEDs. Successful law enforcement AED programs have certain attributes, such as the ability to respond quickly to emergencies, as outlined in the NCED LEA-D best practices checklist. While evidence supports the law enforcement AED concept, ongoing issues include medical oversight, training, and program coordination.
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This document discusses improving cardiac resuscitation systems of care. It describes how some systems achieve survival rates over 50% for cardiac arrests due to ventricular fibrillation through coordinated efforts including bystander CPR, public access defibrillators, EMS response times, and post-resuscitation care. The document outlines key components of model systems including establishing registries to measure performance, improving layperson and EMS involvement in CPR, and decreasing time to access emergency care. It emphasizes that the overall system of care, not individual components, determines survival rates.
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This document provides links to various resources for improving outcomes from sudden cardiac arrest, including a 10 step approach for improving survival, AHA guidelines on resuscitation quality improvement, toolkits, and presentations on ideal cardiac arrest systems of care, issues in out-of-hospital resuscitation, the science behind chest compressions, EMS roles, dispatcher-assisted CPR, citizen CPR education, law enforcement defibrillation, and improving access to defibrillators. Videos are also linked to demonstrate community CPR programs and training.
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Cardiopulmonary resuscitation (CPR) is an emergency procedure performed when a person's breathing or heartbeat has stopped. It involves chest compressions to manually pump blood through the body and deliver oxygen to vital organs until emergency medical services arrive. The recommended chest compression to ventilation ratio during CPR is 30 compressions to 2 breaths for all ages.
Debriefing and QI Compressed
This document discusses the importance and benefits of debriefing after cardiac arrest events. It notes that debriefing improves CPR performance and results in higher rates of return of spontaneous circulation. Debriefing allows rescuers to reflect on their performance, identify areas for improvement, and learn from real-life events. When used as part of an organized resuscitation response system or as part of advanced life support courses, debriefing has been shown to improve adherence to guidelines and result in better performance during subsequent simulated scenarios. The document advocates for incorporating structured and supported debriefing into the resuscitation process to help clinicians evaluate what happened, how they responded, and how they can enhance outcomes going forward.
Improving Access to Defibrillators
Researchers studied cardiac arrest responses in Copenhagen from 1994 to 2011 and found that 30% of victims collapsed within 100 meters of an automated external defibrillator (AED). However, over half (53.4%) of nearby AEDs were inaccessible during evenings, nights, and weekends due to being empty or locked cabinets. Improving AED availability around the clock could help save more lives.
OOHCA System of Care
This document discusses the components of an ideal cardiac arrest system of care. It notes that survival rates for out-of-hospital cardiac arrests vary widely between locations due in large part to differences in their systems of care, such as public education and bystander CPR rates, emergency dispatcher instructions, public access defibrillator programs, emergency response times, and post-resuscitation care in hospitals. An ideal system would include early 911 access, bystander CPR training, public access defibrillators, dispatcher-assisted CPR, police defibrillation programs, and coordination between EMS, hospitals, and the community to optimize resuscitation and post-cardiac arrest care.
Ownership of OOH SCA
Out-of-hospital cardiac arrest (OOH SCA) is a medical problem that currently lacks a clear owner to take responsibility for improving patient outcomes. The document suggests that emergency medical services (EMS) could potentially take ownership of OOH SCA to help address this issue, and asks readers to vote privately on whether EMS should own OOH SCA.
Science behind chest compressions
This document discusses the importance of effective chest compressions during cardiopulmonary resuscitation (CPR). It notes that recent American Heart Association guidelines have emphasized minimizing interruptions to chest compressions and limiting ventilation rates during CPR. The document explains that chest compressions are critical for increasing survival, especially when collapse to shock time is greater than 15 minutes. It also discusses how excessive or interrupted ventilations can decrease blood flow and notes that observed CPR often involves too many ventilations contrary to guidelines. The key message is that effective, continuous chest compressions with few interruptions and limited ventilations are the most important aspect of CPR.
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