Improving Access to Defibrillators
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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.
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forward to meeting you there.
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Those challenges are your entryway.
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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?"
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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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CPR Fractions
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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.
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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.
15 ISSUES IN RESUSCITATION
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.
HP CPR (SHORT)
The document discusses the importance of high quality CPR for cardiac arrest survival. It states that poor quality CPR is a preventable harm, and that a standardized approach and continuous quality improvement process can help optimize outcomes. However, few healthcare organizations consistently monitor and improve CPR quality. The document advocates that monitoring key CPR metrics like compression rate and depth, minimizing interruptions, and ongoing iterative improvement can increase survival rates from cardiac arrest.
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This document discusses learning objectives and goals around improving telecommunicator CPR (T-CPR) and addressing disparities in CPR. The overall goal is to train telecommunicators to provide high-quality CPR instructions to callers and "become the help" through sharing ideas to increase CPR rates, with a discussion of potential funding needs.
HIGH PERFORMANCE CPR and RESUSCITATION QUALITY IMPROVEMENT
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.
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