CCRCardio Cerebral Resuscitation You CAN save a life!! Presented by: Kelly Sommerfeld Amanda Fitzpatrick Nick Gomez Joni Grams Cody Sokolik
Brief Background: •CPR has been around since 1740 but didn’t gain acceptance until 1960 when the AHA introduce it to physicians. •CCR gained popularity and acceptance around 2008 although it had been around dating back to 1990. Why should I care? •88 percent of all out of hospital sudden cardiac arrests occur at home. •Effective CPR provided immeadiatly after SCA can double or triple the chance of survial… Only 32 percent of SCA victims actually get CPR. An introduction to our topic today from the Mayo Clinic…… http://www.youtube.com/watch?v=E5huVSebZpM&feature=player_e mbedded#!Facts and figures courtesy of the American Heart Association
What is Sudden Cardiac Arrest? http://www.cardiacscience.com/blog/2009/06/hear t-attack-cardiac-arrest/ http://www.youtube.com/watch?v=zdemKH_v_aI
What Is CCR? CCR= Chest Compression-only or Cardio cerebral Resuscitation (CCR) CCR protects the heart and the brain by increasing blood flow to these organs. CCR eliminates the risk of over-ventilation. Over-Ventilation: excessive rate and depth of respiration leading to abnormal loss of carbon dioxide from the blood.
How Does it Differ?? CCR= chest compression only CPR= rescue breaths and chest compressions CCR differs from CPR in the first 5-10 minutes after cardiac arrest. CPR is performed in cycles of 30 compressions and 2 breaths, with the breaths taking 10 seconds away from compression The rescuer does not breath for patient at all, instead shifts the focus to chest compressions at the rate of 100 per minute. Note: Many doctors feel that CCR is more effective in saving lives of humans that go into cardiac arrest
Survival in Tucson AZ with Cardiocerebral Resuscitation 40% 30% 11/03-8/06Hospital Discharge Survival 20% 1997-1999 25% 10% 34/136 9% 28/314 0% Terry Valenzuela MD AHA Resuscitation Science Symposium 2006
Perfusion Important InformationWhat: Perfusion is the process of delivery of blood to a capillary bed in the biological tissue.Coronary perfusion pressure correlates with the coronary blood flow and determines the outcome during a cardiac arrest.Re-establishing blood flow to the vital organs is the single most important factor for successful resuscitationHow: Coronary perfusion pressure is the difference between right arterial pressure (RAP) and aortic pressure (AoP) during diastole.Note: Calculating coronary perfusion pressure (CPP) is an invasive technique used primarily for research, to measure the pressure in the coronary arteries upon diastole.
This graph shows the percentage of patients who achieve return ofspontaneous circulation (ROSC) in response to coronary perfusionpressure (CPP).
l Normal ventricular fibrillation (heart beat) contracting uniformlyAfter cardiac arrest, heart response declining and contracting independently After providing compressions, perfusion to the heart is reestablished
What is it? Was developed to help understand urgency of help Developed in 1990 By American Heart Association Most SCA episodes occur outside of a hospital Death occurs within minutes of onset Must be done in a quick manner
Early Access Activate the emergency response system Early recognition of cardiac emergency Call 911 as soon as possible The sooner the call, the sooner help will arrive Alert system in individual facility
Early CPR (or CCR) Should be started as soon as possible Should be maintained until help arrives At least 100 chest compressions per minute 2 inch compression depth for adults 1 ½ inch compression depth for infants and children Try to minimize interruptions Helps oxygenate blood flow to heart and brain
Early Defibrillation The only way to restart someone’s heart Electronic device sends an electric shock to the heart to stop Extremely rapid Irregular heartbeat Restore the normal heart rhythm
Early Advanced Care Provided by paramedics or other highly trained EMS personnel Includes Basic life support Defibrillation Administering cardiac drugs Insertion of breathing tubes
Facts Every minute after onset of cardiac attack survival chances are reduced by 7-10% Within 4-6 minutes brain damage and brain death starts After 10 minutes few attempts of resuscitation succeed CCR and defibrillation within 4 minutes and paramedic within 8 minutes, survival chance is 43%http://www.chainofsurvival.com/cos/Timing_detail.asp
Performing CCRTwo simple steps….1) Call 9112) Push hard and fast in the center ofthe chest.http://handsonlycpr.org/
Common Questions:Where is the center of the chest?What does a compression actually do?
Practice Time…How will I ever remember 100 beats per minute? http://www.youtube.com/watch?v=MJ5Z8BjQ_8A http://www.youtube.com/watch?v=rNQRfBAzSzo