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“ Call and Pump”
Cardiac Arrest Program ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Why should I learn  “Call and Pump” ? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Survival   in  Tucson   AZ  with Cardiocerebral Resuscitation(2.8x) Hospital Discharge  Survival 40% 30% 20% 10% 0% CPR CCR 9% 28/314 25% 34/136 Terry Valenzuela MD  AHA Resuscitation Science Symposium 2006  11/03-8/06 1997-1999
Survival   in  Kansas City Pre-Hospital ROSC Pre-Hospital  ROSC 100% 80% 60% 40% 20% 0% CPR CCR 15% 52% Bobrow and SHARE study group
Survival   in Southern Arizona Adult OOH Witnessed VF in Arizona  ( 2.6x ) Survival to  Hospital Discharge   after OOH Witnessed VF 40% 30% 20% 10% 0% CPR CCR 10.9% 28.1% Bobrow and SHARE study group
Neurologically Intact Survival 40% 30% 20% 10% 0% CPR CCR 15% 40% Survival   in Rock-Walworth  WI Three Year Results (2.7x) Normal Brains Witnessed Collapse with   Shockable Rhythm
This is REALLY SIMPLE stuff ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Chest Compressions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Even  seconds  without CC   are deadly
It takes time to build blood flow to heart & brain
KB Kern, 1999 Deadly nature of Interruptions
Our  Goal  Should be  what is seen in animals - 60-70% survival 24-Hour Good Neuro Survival  100 80 60 40 20 0 80% 13% Standard CPR CCC CPR Kern ,  Hilwig ,  Berg, Sanders, Ewy. Circulation 2002
 

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CCR Inovations

  • 1. “ Call and Pump”
  • 2.
  • 3.
  • 4. Survival in Tucson AZ with Cardiocerebral Resuscitation(2.8x) Hospital Discharge Survival 40% 30% 20% 10% 0% CPR CCR 9% 28/314 25% 34/136 Terry Valenzuela MD AHA Resuscitation Science Symposium 2006 11/03-8/06 1997-1999
  • 5. Survival in Kansas City Pre-Hospital ROSC Pre-Hospital ROSC 100% 80% 60% 40% 20% 0% CPR CCR 15% 52% Bobrow and SHARE study group
  • 6. Survival in Southern Arizona Adult OOH Witnessed VF in Arizona ( 2.6x ) Survival to Hospital Discharge after OOH Witnessed VF 40% 30% 20% 10% 0% CPR CCR 10.9% 28.1% Bobrow and SHARE study group
  • 7. Neurologically Intact Survival 40% 30% 20% 10% 0% CPR CCR 15% 40% Survival in Rock-Walworth WI Three Year Results (2.7x) Normal Brains Witnessed Collapse with Shockable Rhythm
  • 8.
  • 9.
  • 10.  
  • 11. Even seconds without CC are deadly
  • 12. It takes time to build blood flow to heart & brain
  • 13. KB Kern, 1999 Deadly nature of Interruptions
  • 14. Our Goal Should be what is seen in animals - 60-70% survival 24-Hour Good Neuro Survival 100 80 60 40 20 0 80% 13% Standard CPR CCC CPR Kern , Hilwig , Berg, Sanders, Ewy. Circulation 2002
  • 15.  

Editor's Notes

  1. Call and Pump The New CPR Original Research by Gordon Ewy Tucon Arizona Gordon A. Ewy, M.D., director of The University of Arizona Sarver Heart Center, Tucson, Ariz., pioneer of the chest-compression-only resuscitation approach for out-of-hospital cardiac arrest. Dr. Ewy is Professor and Chief of Cardiology at the University of Arizona of College of Medicine and Director of the University of Arizona Cardiology Fellowship Training Program.