HIGH PERFORMANCE CPR, SEATTLE STYLE!
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In this presentation, Hiltz and Baumrind provide a brief overview of HP CPR, based on their experience with the Resuscitation Academy www.resuscitationacademy.org
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HIGH PERFORMANCE CPR, SEATTLE STYLE!
- 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
- 29. 1 2 3 4 5 6
Notas del editor
- Hearts too good to die
- 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
- Possible ALS benefits:Manual defibrillatorLeadershipAssessment