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

2. Baumrind has NO conflicts
Hiltz is employed by the
AMERICAN HEART ASSOCIATION

7. “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)”

12. Survival to Discharge around
the country:

13. The disparity

18. Compression Fraction
• Measures the percentage of total time that
compressions are actually being done
• Includes all delays and interruptions

19. 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.”

24. DRUGS WITH PROVEN BENEFIT:

25. What Works?
• Early, good quality CPR
• Early defibrillation
• Therapeutic hypothermia (possibly in field)

26. 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

27. •C-A-B
•Minimize interruptions in compressions
•Compress at least 100/min
•Allow complete chest wall recoil/decompression between
compressions
•Rhythm assessment every 2 minutes
•Rotate compressors every 2 minutes
•Hover over patient with hands ready during defibrillation so
compressions can start immediately after the shock (or
analysis) has occurred

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