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)
In critical moments where every second counts, the knowledge and skills to perform Adult Cardio Pulmonary Resuscitation (CPR) can make the difference between life and irreversible damage. This comprehensive presentation, titled "Adult CPR Techniques: A Comprehensive Guide (BLS-ACLS-Post CPR)," available on SlideShare, delves into the intricacies of adult CPR, offering a well-rounded overview of Basic Life Support (BLS), Advanced Cardiovascular Life Support (ACLS), and the crucial post-CPR procedures.
The presentation is meticulously designed to cater to healthcare professionals, first responders, and individuals seeking a comprehensive understanding of adult CPR techniques. Starting with the fundamental principles of BLS, the slides explore step-by-step instructions for delivering effective chest compressions and rescue breaths. The integration of up-to-date guidelines ensures that viewers are equipped with the most accurate and evidence-based practices.
Transitioning into the realm of ACLS, the presentation delves into the advanced interventions necessary for managing cardiac arrest situations. Topics such as defibrillation, drug administration, and airway management are covered in depth, empowering viewers to make informed decisions and take appropriate actions during critical moments.
Furthermore, the post-CPR segment of the presentation highlights the essential steps to follow once successful resuscitation has occurred. From monitoring vital signs to providing appropriate care, this section addresses the critical period following CPR and emphasizes the significance of ongoing support and medical attention.
The presentation employs a blend of engaging visuals, explanatory diagrams, and succinct textual content to facilitate a holistic learning experience. Whether you're a medical professional aiming to refresh your skills, a student delving into life-saving techniques, or an individual concerned with being prepared for emergencies, this slide deck offers an invaluable resource for acquiring and reinforcing essential knowledge.
In summary, "Adult CPR Techniques: A Comprehensive Guide (BLS-ACLS-Post CPR)" is a comprehensive SlideShare presentation that meticulously covers the entire spectrum of adult CPR, ranging from Basic Life Support and Advanced Cardiovascular Life Support techniques to vital post-CPR considerations. By exploring this presentation, you'll be better equipped to respond effectively to cardiac emergencies and contribute to saving lives within your community.
HIGH PERFORMANCE CPR and RESUSCITATION QUALITY IMPROVEMENTDavid Hiltz
This presentation was used to facilitate a discussion of the AHA CPR Quality Consensus Statement, CPR compliance vs. competency, key quality challenges, review of related science, the concept of “pit crew” CPR, and RQI tools and processes.
Download the slides to enable video and other links. You will need to hover over video and other icons.
In this presentation, Hiltz and Baumrind provide a brief overview of HP CPR, based on their experience with the Resuscitation Academy www.resuscitationacademy.org
In critical moments where every second counts, the knowledge and skills to perform Adult Cardio Pulmonary Resuscitation (CPR) can make the difference between life and irreversible damage. This comprehensive presentation, titled "Adult CPR Techniques: A Comprehensive Guide (BLS-ACLS-Post CPR)," available on SlideShare, delves into the intricacies of adult CPR, offering a well-rounded overview of Basic Life Support (BLS), Advanced Cardiovascular Life Support (ACLS), and the crucial post-CPR procedures.
The presentation is meticulously designed to cater to healthcare professionals, first responders, and individuals seeking a comprehensive understanding of adult CPR techniques. Starting with the fundamental principles of BLS, the slides explore step-by-step instructions for delivering effective chest compressions and rescue breaths. The integration of up-to-date guidelines ensures that viewers are equipped with the most accurate and evidence-based practices.
Transitioning into the realm of ACLS, the presentation delves into the advanced interventions necessary for managing cardiac arrest situations. Topics such as defibrillation, drug administration, and airway management are covered in depth, empowering viewers to make informed decisions and take appropriate actions during critical moments.
Furthermore, the post-CPR segment of the presentation highlights the essential steps to follow once successful resuscitation has occurred. From monitoring vital signs to providing appropriate care, this section addresses the critical period following CPR and emphasizes the significance of ongoing support and medical attention.
The presentation employs a blend of engaging visuals, explanatory diagrams, and succinct textual content to facilitate a holistic learning experience. Whether you're a medical professional aiming to refresh your skills, a student delving into life-saving techniques, or an individual concerned with being prepared for emergencies, this slide deck offers an invaluable resource for acquiring and reinforcing essential knowledge.
In summary, "Adult CPR Techniques: A Comprehensive Guide (BLS-ACLS-Post CPR)" is a comprehensive SlideShare presentation that meticulously covers the entire spectrum of adult CPR, ranging from Basic Life Support and Advanced Cardiovascular Life Support techniques to vital post-CPR considerations. By exploring this presentation, you'll be better equipped to respond effectively to cardiac emergencies and contribute to saving lives within your community.
HIGH PERFORMANCE CPR and RESUSCITATION QUALITY IMPROVEMENTDavid Hiltz
This presentation was used to facilitate a discussion of the AHA CPR Quality Consensus Statement, CPR compliance vs. competency, key quality challenges, review of related science, the concept of “pit crew” CPR, and RQI tools and processes.
Download the slides to enable video and other links. You will need to hover over video and other icons.
In this presentation, Hiltz and Baumrind provide a brief overview of HP CPR, based on their experience with the Resuscitation Academy www.resuscitationacademy.org
Advanced cardiac life support or advanced cardiovascular life support (ACLS) refers to a set of clinical interventions for the urgent treatment of cardiac arrest, stroke and other life-threatening medical emergencies, as well as the knowledge and skills to deploy those interventions.
Brief Overview – ACLS Algorithm
Rhythm Based Management of Cardiac Arrest.
Monitoring during CPR.
Access for Parenteral Medications during Cardiac Arrest.
Advanced Airway.
Medications for Arrest Rythms.
Interventions Not Recommended for Routine Use During Cardiac Arrest.
Advanced Cardiovascular Life Support (ACLS).pptxRebilHeiru2
discusses the basic and Advanced Life support according to the AHA guidelines.
ACLS, BLS, defibrillation and Advanced medications at Adama Hospital medical college ICU
CPR is a life saving emergency measure which includes BLS, ALS, prolonged life support
CPR with both compression & rescue breath is critical for victim in emergency situation
BLS includes recognition of signs of cardiac arrest, heart attack, strock, foreign body air way obstruction(FBAO) with activation of EMS
Performed by a medical professional or an ordinary citizen who trained on it
ALS includes BLS & use of defibrillation, drugs to stabilize the victim & done by specially trained medical person
Cardiac arrest an overview of defibrillation vs cardioversionUmair Sheikh
Describes the difference between cardioversion and defibrillation.
Management of Cardiac arrest. Approach to a patient with hemodynamic compromise. How to operate a defibrillator device.
Brief about ACLS and BLS.
Post cardiac arrest care.
Advances in Automated CPR
A/Prof Marcus Ong
Consultant, Senior Medical Scientist
& Director of Research
Department of Emergency Medicine
Singapore General Hospital
John Tobin was the keynote speaker at the EMS track for ASM 2014 and gives an account of where he works and the efforts they have made to pre-hospital deaths in his EMS.
Find out more at singem.blogspot.sg
Advanced cardiac life support or advanced cardiovascular life support (ACLS) refers to a set of clinical interventions for the urgent treatment of cardiac arrest, stroke and other life-threatening medical emergencies, as well as the knowledge and skills to deploy those interventions.
Brief Overview – ACLS Algorithm
Rhythm Based Management of Cardiac Arrest.
Monitoring during CPR.
Access for Parenteral Medications during Cardiac Arrest.
Advanced Airway.
Medications for Arrest Rythms.
Interventions Not Recommended for Routine Use During Cardiac Arrest.
Advanced Cardiovascular Life Support (ACLS).pptxRebilHeiru2
discusses the basic and Advanced Life support according to the AHA guidelines.
ACLS, BLS, defibrillation and Advanced medications at Adama Hospital medical college ICU
CPR is a life saving emergency measure which includes BLS, ALS, prolonged life support
CPR with both compression & rescue breath is critical for victim in emergency situation
BLS includes recognition of signs of cardiac arrest, heart attack, strock, foreign body air way obstruction(FBAO) with activation of EMS
Performed by a medical professional or an ordinary citizen who trained on it
ALS includes BLS & use of defibrillation, drugs to stabilize the victim & done by specially trained medical person
Cardiac arrest an overview of defibrillation vs cardioversionUmair Sheikh
Describes the difference between cardioversion and defibrillation.
Management of Cardiac arrest. Approach to a patient with hemodynamic compromise. How to operate a defibrillator device.
Brief about ACLS and BLS.
Post cardiac arrest care.
Advances in Automated CPR
A/Prof Marcus Ong
Consultant, Senior Medical Scientist
& Director of Research
Department of Emergency Medicine
Singapore General Hospital
John Tobin was the keynote speaker at the EMS track for ASM 2014 and gives an account of where he works and the efforts they have made to pre-hospital deaths in his EMS.
Find out more at singem.blogspot.sg
Debriefing and Cardiac Arrest Quality Improvement NCEMSFDavid Hiltz
“Debriefing of cardiac arrest events, either in isolation or as part of an organized response system, improves subsequent CPR performance in-hospital and results in higher rate of return of spontaneous circulation (ROSC). Debriefing of actual resuscitation events can be a useful strategy to improve future performance (Class IIa, LOE C). Additional research on how best to teach and implement post event debriefing is warranted.”
Abordaje inicial del paciente quemado (abls)Marilyn Méndez
Abordaje inicial del paciente quemado en el servicio de urgencias, manejo de líquidos en el paciente quemado así como el protocolo de la albúmina en el paciente quemado.
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.
This is a slightly updated version of a previous lecture on the science behind CPR. I have deleted the older version to avoid confusion, though they are both essentially the same
This lecture is good for first responders of all levels (from lifegaurds to paramedics) to really bring home the importance of CPR. It has been my experiance that current CPR classess are lacking in this regard, therefore compliance with new CPR standards is lacking, and this promotes LAZY CPR. This is my attempt to remedy that issue.
Death from Sudden Cardiac Arrest is a Preventable Crime! What is the Role of ...David Hiltz
Law Enforcement is in a strategic position to help reduce the number of victims from cardiac arrest.
In this document best practices are outlined.
10 recommendations mutually agreed upon by IACP and the IAFC.
Citizen CPR Foundation Cardiac Arrest Survival Summit 2021: A Call for Presen...David Hiltz
What innovative ideas or compelling points of view do
you have to share with other professionals in the field of
resuscitation? We encourage you to take part in the
2021 Cardiac Arrest Survival Summit by submitting a
presentation or poster submission.
With your contribution to the program, the Summit will
continue to deliver action-oriented programs and
dynamic new content that brings our global community
together to Reconnect & Recharge by strengthening
connections and communities to save more lives.
Effect of Optimized Versus Guidelines‐Based AED Placement on Out‐of‐Hospital ...David Hiltz
Effect of Optimized Versus Guidelines‐Based AED Placement on Out‐of‐Hospital Cardiac Arrest Coverage: An In Silico Trial.
Our special guests are Christopher Sun, a Postdoctoral Fellow at Massachusetts Institute of Technology’s Sloan School of Management and Massachusetts General Hospital and Timothy Chan, Canada Research Chair in Novel Optimization and Analytics at the University of Toronto who will join us to talk about their recently published research.
Study reference:
https://www.ahajournals.org/doi/10.1161/JAHA.120.016701
WHY COMMUNITIES NEED AN ORGANIZED STRATEGY TO IMPROVE CARDIAC ARREST OUTCOMESDavid Hiltz
Looking to promote HEARTSafe in your community? These slides may help!
For annotated slides with notes, contact the Citizen CPR Foundation HEARTSafe Program Director david@code1web.com
Improving Access to Automated External Defibrillators -Free WebinarDavid Hiltz
Improving Access to Automated External Defibrillators
A FREE webinar hosted by Code One Training Solutions and AED Team.
Friday March 27th from 2:00 PM to 3:00 PM EST
Register Here: https://codeone.enrollware.com/enroll?id=3709808
Although many of our public spaces, schools and venues have AEDs, they are not always available.When a person suffers cardiac arrest, there is a one in five chance a potentially life-saving Automated External Defibrillator (AED) is nearby. But up to 30 per cent of the time, the device is locked inside a closed building, according to a study led by U of T Engineering researchers, published in the Journal of the American College of Cardiology. https://www.utoronto.ca/news/life-saving-defibrillators-often-behind-locked-doors-during-hours-says-u-t-study
Learn how AEDs are being made accessible on a 24/7 basis using weatherproof outdoor enclosures.
HEARTSAFE Community Launch- Cardiac Arrest Survival SummitDavid Hiltz
Building communities of heroes and survivors by improving action and response to cardiac arrest through training, preparation and response protocols.
https://citizencpr.org/heartsafe/
Resuscitation is a "team sport"! Plan to attend the Resuscitation Ocer 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.
The Journal of Collegiate Emergency Medical Services (JCEMS) and
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
and evaluation of novel initiatives and programs. Topics include:
• Pre-hospital patient care
• Operations, communications, and equipment
• Training and education
• Administration and agency development
• Career and alumni resources
• Campus public health and safety
Authors of accepted abstracts will present posters at a 1-hour
academic poster session.
All accepted abstracts will be published in JCEMS.
Submission Guidelines
Deadline:
January 15, 2018
For details, please review the Poster
Abstract Submission Guide at:
www.ncemsf.org/conference/2018-conference
Review and Selection
Abstracts will be reviewed and selected
by the JCEMS Editorial Board.
Independent reviewers with subjectmatter
expertise may also review
submissions.
Conference Details
Details available at:
www.ncemsf.org/conference/2018-conference
Improving Bystander CPR, Community Mobilization and Outreach Using Media Infl...David Hiltz
All of you sitting out there have great stories to tell. Stories that will save lives. And news organizations want them.
You just need to figure out how to get the stories out in your communities and better yet, how to get the news organizations to get them out for you. Because the holy grail of any public relations effort, any educational effort, that aims to reach a mass audience through mass media is a staff written story.
And changes in the news industry that are challenging newsrooms across the country are in your favor.
My comments are based on a working knowledge of small, community news organizations, not the big guys, but I believe the same holds true them as well.
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 DeploymentDavid Hiltz
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?
Strive to Revive! Translating Science to Survival The HEARTSafe Community Co...David Hiltz
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.
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
Model Attribute Check Company Auto PropertyCeline George
In Odoo, the multi-company feature allows you to manage multiple companies within a single Odoo database instance. Each company can have its own configurations while still sharing common resources such as products, customers, and suppliers.
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
Francesca Gottschalk - How can education support child empowerment.pptxEduSkills OECD
Francesca Gottschalk from the OECD’s Centre for Educational Research and Innovation presents at the Ask an Expert Webinar: How can education support child empowerment?
Acetabularia Information For Class 9 .docxvaibhavrinwa19
Acetabularia acetabulum is a single-celled green alga that in its vegetative state is morphologically differentiated into a basal rhizoid and an axially elongated stalk, which bears whorls of branching hairs. The single diploid nucleus resides in the rhizoid.
Palestine last event orientationfvgnh .pptxRaedMohamed3
An EFL lesson about the current events in Palestine. It is intended to be for intermediate students who wish to increase their listening skills through a short lesson in power point.
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
Instructions for Submissions thorugh G- Classroom.pptxJheel Barad
This presentation provides a briefing on how to upload submissions and documents in Google Classroom. It was prepared as part of an orientation for new Sainik School in-service teacher trainees. As a training officer, my goal is to ensure that you are comfortable and proficient with this essential tool for managing assignments and fostering student engagement.
Honest Reviews of Tim Han LMA Course Program.pptxtimhan337
Personal development courses are widely available today, with each one promising life-changing outcomes. Tim Han’s Life Mastery Achievers (LMA) Course has drawn a lot of interest. In addition to offering my frank assessment of Success Insider’s LMA Course, this piece examines the course’s effects via a variety of Tim Han LMA course reviews and Success Insider comments.
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
Unit 8 - Information and Communication Technology (Paper I).pdfThiyagu K
This slides describes the basic concepts of ICT, basics of Email, Emerging Technology and Digital Initiatives in Education. This presentations aligns with the UGC Paper I syllabus.
Embracing GenAI - A Strategic ImperativePeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
19. THE PAINFUL TRUTH
•Perceived performance does not always match observed performance.
•Aufderheide et al. showed that duty cycle, chest compression depth and
complete recoil were performed significantly less well when directly observed
than EMT perceptions of their performance.
•Wik et al. showed that chest compression rate and depth were both
significantly below AHA guidelines by trained EMS providers, and no flow time
(when there was neither a pulse nor CPR being given) was almost 50% in
directly observed performance evaluations.
•The likelihood of ROSC increases significantly with higher mean chest
compression rate (in a hospital study 75% of patients achieved ROSC with 90
or more chest compressions/minute compared to only 42% with 72 or fewer
chest compressions/minute).
24. Fatigue and poor crew resource management (CRM)
contributed to the accident.
EA 401 gradually lost altitude while the flight crew was
preoccupied and eventually crashed.
The effect of this crash on the airline industry continues
today and has resulted in the development of Crew
Resource Management (CRM). CRM is a technique that
requires air crews to divide the work in the cockpit
25.
26. “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)”
27. Pictures are for presentation purposes only. The American Heart Association does not endorse any particular products, models or manufacturers.
28.
29. 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 between
Compress Minimize Full recoil 100 and
interruptions 120/min
> 2 inches
EMT CPR Foundation
30.
31. BLS Continuous BLS 30:2
Compression/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
32. •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
33. •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
54. Compressions
Ventilations
Shock 1 Delivered Medics on scene: no Analysis 2: no shock
break in CPR advised
55.
56.
57.
58.
59. Are you interested in high quality
resuscitation related news, discussion topics
and other associated interests?
HEARTSafe Community and
American Heart Association-
Public Safety
Editor's Notes
Perceived performance does not always match observed performance.Aufderheide et al. showed that duty cycle, chest compression depth and complete recoil were performed significantly less well when directly observed than EMT perceptions of their performance.Wik et al. showed that chest compression rate and depth were both significantly below AHA guidelines by trained EMS providers, and no flow time (when there was neither a pulse nor CPR being given) was almost 50% in directly observed performance evaluations.The likelihood of ROSC increases significantly with higher mean chest compression rate (in a hospital study 75% of patients achieved ROSC with 90 or more chest compressions/minute compared to only 42% with 72 or fewer chest compressions/minute).
The 2010 AHA Guidelines for CPR and ECC once againemphasize the need for high-quality CPR, including• A compression rate of at least 100/min (a change from“approximately” 100/min)• A compression depth of at least 2 inches (5 cm) in adults• Allowing for complete chest recoil after each compression• Minimizing interruptions in chest compressions• Avoiding excessive ventilation
The quality of unprompted CPR in both in-hospital and out-of–hospital cardiac arrest events is often poor, and methods shouldbe developed to improve the quality of CPR delivered to victimsof cardiac arrest.73,91–93,287 Several studies have demonstratedimprovement in chest compression rate, depth, chest recoil,ventilation rate, and indicators of blood flow such as end-tidalCO2 (PETCO2) when real-time feedback or prompt devices areused to guide CPR performance.72,73,80,288–293 However, there areno studies to date that demonstrate a significant improvement inpatient survival related to the use of CPR feedback devicesduring actual cardiac arrest events. Other CPR feedback deviceswith accelerometers may overestimate compression depth whencompressions are performed on a soft surface such as a mattressbecause the depth of sternal movement may be partly due tomovement of the mattress rather than anterior-posterior (AP)compression of the chest.62,294 Nevertheless, real-time CPRprompting and feedback technology such as visual and auditoryprompting devices can improve the quality of CPR (Class IIa,LOE B).
Cardiac arrest is an important public health issue. Resuscitationinvolves a broad spectrum of individual stakeholdersand groups. Individuals include victims, family members,rescuers, and healthcare providers. Key stakeholdergroups include the public, emergency medical dispatchers,public safety organizations, EMS systems, hospitals, civicgroups, and policy makers at the local, state, and federallevels.Because the links in the Chain of Survival are interdependent,an effective resuscitation strategy requires theseindividuals and groups to work in an integrated fashion andfunction as a system of care.40 Fundamental to a successfulresuscitation system of care is the collective appreciationof the challenges and opportunities presented by the Chainof Survival. Thus individuals and groups must worktogether, sharing ideas and information, to evaluate andimprove their resuscitation system. Leadership and accountabilityare important components of this teamapproach.A conceptual appreciation of the system and its workingcomponents is only a starting point. Improving carerequires assessment of performance. Only when performanceis evaluated can participants in a system effectively intervene to improve care. This process of quality improvementconsists of an iterative and continuous cycle of(1) systematic evaluation of resuscitation care and outcome,(2) benchmarking with stakeholder feedback, and(3) strategic efforts to address identified deficiencies (seeFigure 4).There is wide community and hospital variability incardiac arrest survival.3,8,13 High-performing systems haveused this continuous quality improvement approach withgreat success,41 as have systems that have more recentlyadopted this strategy.42 These successes have occurred in avariety of systems, suggesting that all communities andhospitals can substantially improve care and outcomes.Since each system has different characteristics and challenges,there is no single prescriptive strategy for improvement.However, each system has an obligation to addressthe fundamental principles of quality improvement: measurement,benchmarking, and feedback and change.