Peter J. Kudenchuk, MD University of Washington
|
|
|
- Everett Williams
- 5 years ago
- Views:
Transcription
1 Peter J. Kudenchuk, MD University of Washington
2 CPR-The Science Behind the Hands A/Prof Marcus Ong Senior Consultant, Clinician Scientist & Director of Research Department of Emergency Medicine Singapore General Hospital Associate Professor Duke-NUS Graduate Medical School Senior Consultant, Ministry of Health Director, Unit for Prehospital Emergency Care
3 What Saves Lives in Resuscitation? Therapeutic hypothermia Transcutaneous pacing Sodium bicarbonate Rx Calcium, Magnesium Fluids and Pressors Antiarrhythmic Rx Epi/Vasopressin O 2 /intubation Shock CPR
4 % Survival Estimated Survival to Hospital Discharge Witnessed VF Cardiac Arrest No CPR With CPR Time from collapse to defibrillation (min) Link MS. CPR Guidelines Circulation 2010;122:S Christenson J Chest Compression Fraction Determines Survival Circulation 2009;120: Stiell IG Chest Compression Depth during Resuscitation Crit Care Med 2012;40:1-7 Idris AH Chest Compression Rates and Outcomes Circulation 2012;125:
5 Adenosine Nucleotide Concentrations During VF n = 10 swine (~10 samples/time period) nmole/mg protein (transmural myocardial bx) ATP ADP AMP Duration of Unsupported VF (min) Neumar RW. Ann Emerg Med 1991;20:222-9
6 CPR Makes It Easier to Defibrillate Successfully n= 32 swine UnTx VF x 10 R No Pre-shock CPR 3 Pre-shock CPR VF at 10 min (No CPR) ROSC after 1 st set of 1-3 shocks 0/10 5/10 (50%, p<0.05) Berg RA. Ann Emerg Med 2002;40: MF = VF median frequency in Hz; AMP = VF amplitude in mv
7
8
9 Kouwenhoven WB. JAMA 1960;173:1064-7
10 Thoracic Pump Mechanism of CPR Compression Relaxation Niemann JT Circulation 1981;64: Werner JA. Circulation 1981;64: ; Crit Care Med 1981;9:375-6 Rudikoff MT, Circulation 1980;61:345-52
11 Compression Increased intrathoracic pressure Ejects blood from heart and lungs Good compression increases forward output and BP Decompression (recoil) Decreased intrathoracic pressure Refilling of heart and lungs Good recoil vacuum refilling forward output
12 Criley JM et al. Circulation 1986;74(IV):42-50 (modified). Why recoil is Important mm Hg 60 Compression ( systole ) Aorta Decompression ( diastole ) Organ perfusion 40 Heart + organ perfusion 0 EXTRATHORAIC VEINS (IJ) LEFT VENTRICLE RT ATRIUM
13 Meaney PA. Circulation 2013;128: Metrics of High Performance CPR Optimize chest compression rate: cpm Maximize compression depth: 50 mm (2 ) Minimize interruptions: chest compression fraction >80% Promote full chest recoil: no leaning
14 Idris AH. Circulation 2012;125: Stiell IG. Crit Care Med 2012;DOI: /CCM.0b013e31823bc8bb 3098 adults out-of-hospital cardiac arrest 5 min electronic chest compression rate recordings 1029 adults out-of-hospital cardiac arrest 5 min electronic chest compression depth recordings Survival to Hospital Discharge ~2
15 Pauses are BAD! Effect of CPR Fraction on Survival in VF Arrest % Survival to Hospital Discharge n=506 VF patients CPR Fraction = % of time a pulseless patient 23% receives chest compressions (goal >80%) Reference OR adj 2.27 ( ) OR adj 2.39 ( ) OR adj 3.01 ( ) OR adj 2.33 ( ) 12% (1.01,1.21) 25% 29% % CPR 10% CPR fraction OR adj survival % CPR fraction OR adj survival 1.11 (1.01,1.21) Proportion of time with active chest compressions before 1 st shock (CPR fraction)* (OR adj : age, sex, arrest location, bystander witnessed, bystander CPR, EMS response time, EMS site, chest compression rate, chest compression fraction category) Christenson J. Circulation 2009;120: *Interruption= any pause > 2-3 sec
16 Actual Quality of CPR During Out-of- Hospital Cardiac Arrest 1st 5 minutes of CPR Entire Episode of CPR n= Vs AHA Guidelines chest compression 100 ± 10/min Vs AHA Guidelines compression depth ~52 mm (2 ) 30:2 100% ETT Wik L et al JAMA 2005;293: Chest compressions/min CC Depth (mm) CPR Fraction (%) *Average # compressions given per minute vs instantaneous rate at which compressions, when given, were administered (120 20) * % 21 52% 18 % time with active chest compressions in absence of spontaneous circulation
17 The Price of CPR Pauses 30 compressions CPR systole CPR diastole Paused CPR Aorta RA 16 secs 3 secs
18 Pre-Shock Pauses and Cardiac Arrest Survival Survival to hospital discharge (%) %% 18% survival per Preshock Pause 5 sec preshock pause* OR 0.82 (0.73, 0.93)/ 5 sec p= % < % Maximum Pre-Shock Pause in Chest Compressions (secs) n = 815 VF arrests n = 3756 shocks Cheskes S et al. Circulation 2011;124:58-66 *Adjusted multivariable logistic regression model for age, sex, public location, witness status, bystander CPR, and time from dispatch to first vehicle arrival
19 Compression Increased intrathoracic pressure Ejects blood from heart and lungs Good compression increases forward output and BP Organ perfusion Decompression (recoil) Decreased intrathoracic pressure Refilling of heart and lungs Good recoil vacuum refilling forward output Coronary perfusion
20 Intrathoracic pressure Recoil (neg. intrathoracic pressure) Lean (no recoil) n= 108 cardiac arrests 112,569 chest compressions (CC) CPR-sensing defibrillator Leaning = ~ 5 lbs residual force Seen in 91% resuscitations Affected >20% of CC in ~20% pts Aufderheide TP. Resuscitation 2005;64: Fried DA. Resuscitation 2011;82:
21 Effect of Incomplete Chest Decompression On Coronary and Cerebral Perfusion Pressures n=9 instrumented swine std CPR (100% recoil) x 3 CPR (75% recoil) x 1 std CPR (100% recoil) * * p<0.05 % Chest recoil mm Hg * 33% * * p<0.05 * 53% *(Ao Diastolic-RAP) Yannopoulos D et al. Resuscitation 2005;64:363-72; Paradis et al JAMA 1990;263: * (MAP mean ICP pressure)
22 CPR Quality starts to decline within 2 mins Comparison of CPR quality and rescuer fatigue_shin et al SJTREM 2014
23 Is this Overkill?
24 Quality CPR?
25 What about Mechanical CPR?
26 Interruptions to CPR during device deployment
27 No Flow Time for 1st 5 mins of resuscitation (Mechanical CPR)
28 Meaney PA. Circulation 2013;128: Metrics of High Performance CPR Optimize chest compression rate: cpm Maximize compression depth: 50 mm (2 ) Minimize interruptions: chest compression fraction >80% Promote full chest recoil: no leaning
29 Link MS. CPR Guidelines Circulation 2010;122:S Christenson J Chest Compression Fraction Determines Survival Circulation 2009;120: Stiell IG Chest Compression Depth during Resuscitation Crit Care Med 2012;40:1-7 Idris AH Chest Compression Rates and Outcomes Circulation 2012;125:
The Positive Effect of Negative Pressure
The Positive Effect of Negative Pressure (Future Direction in Resuscitative Care) Brent Parquette, NRP Lucas County EMS, Toledo, OH Toledo, Ohio Lucas County EMS (Toledo, OH) Primary service area: 340
High Quality CPR: Demonstration and Analysis. Conflict of Interest (COI)
High Quality CPR: Demonstration and Analysis Ankur Doshi, MD, Emergency Medicine, University of Pittsburgh Mark Pinchalk, MS, EMT-P, Patient Care Coordinator, Pittsburgh EMS Robin Roberts, Sr. Account
High-Functioning EMS CPR Teams. Sally A Taylor - Paramedic Atlantic Partners EMS
High-Functioning EMS CPR Teams Cardiac Arrest Management Sally A Taylor - Paramedic Atlantic Partners EMS Insanity: Doing the same thing over and over and expecting a different result. John Dryden The
Enhancing 4 th chain: Mechanical chest compression during transportation
How to Implement New Resuscitation Guidelines Enhancing 4 th chain: Mechanical chest compression during transportation 한림대의료원강동성심병원응급의학과조영석 Contents The Present of Mechanical CPR Device Barriers of High
What is the Role of Chest Compression Depth during Out-of-Hospital CPR?
Resuscitation Outcomes Consortium What is the Role of Chest Compression Depth during Out-of-Hospital CPR? Ian Stiell for The ROC Investigators Co-Authors Ian Stiell University of Ottawa Siobhan Everson-Stewart
CPR: Are You a Machine or Do You Need One?
CPR: Are You a Machine or Do You Need One? Outline Mechanical CPR update Are you a machine? Measuring performance ED/hospital challenges When mechanical CPR could make a difference New Guidelines The evidence
On-Scene Resuscitation. Brent Myers, MD MPH Director Medical Director Wake County EMS, Raleigh, NC
L MODULE 7 On-Scene Resuscitation Brent Myers, MD MPH Director Medical Director Wake County EMS, Raleigh, NC Plan For Discussion: Rationale for EMS Providers On-Scene Resuscitation Choreography Check lists
EMD CPR. The First First Responder. R. Darrell Nelson, MD, FACEP
EMD CPR The First First Responder R. Darrell Nelson, MD, FACEP Emergency Medicine Wake Forest University Baptist Health Medical Director, Davie and Stokes County EMS Assistant Medical Director, Forsyth
EMD CPR. The First First Responder. R. Darrell Nelson, MD, FACEP. Emergency Medicine Wake Forest University Baptist Health
EMD CPR The First First Responder R. Darrell Nelson, MD, FACEP Emergency Medicine Wake Forest University Baptist Health The First, First Responder Objectives 1. Why does EMD matter? 2. Review Role of EMD
CPR Quality During OHCA Transport
CPR Quality During OHCA Transport Sheldon Cheskes, MD CCFP(EM) FCFP Medical Director, Sunnybrook Centre for Prehospital Medicine Associate Professor, Division of Emergency Medicine, University of Toronto
ANZCOR Guideline 6 Compressions
ANZCOR Guideline 6 Compressions Who does this guideline apply to? Summary This guideline applies to all persons who are unresponsive and not breathing normally. Who is the audience for this guideline?
2015 Guidelines Summary HeartSine samaritan PAD Automated External Defibrillators
2015 Guidelines Summary HeartSine samaritan PAD Automated External Defibrillators This document provides a summary of the 2015 guidelines and how the HeartSine samaritan PAD range of products complies
Proficiency with Zoll in Manual Mode: There is a new Dashboard screen that you will see on the Zoll while in manual mode
1 Recognizing a shockable rhythm: Will be discussing the difference between course VF and fine VF and that if you are unsure if it is fine VF or asystole treated as asystole and do not shock Proficiency
The Concept of Q-CPR. The need for Quality CPR
The need for Quality CPR Push hard, push fast, allow full chest recoil after each compression, and minimise interruptions in chest compressions. 1 Victims of cardiac arrest need immediate CPR. This provides
THE SYSTEM FOR HIGH-QUALITY CPR
AutoPulse THE SYSTEM FOR HIGH-QUALITY CPR RESUSCITATION ON THE MOVE Since we had the AutoPulse, we could carry the patient down three flights of stairs while continuing chest compressions. He survived,
Ain't Nobody Got Time for That Epi, Fool: ACLS in the 20-Teens Comes of Age Disclosures Updated Syllabus
Ain't Nobody Got Time for That Epi, Fool: ACLS in the 20-Teens Comes of Age JASON PERSOFF, MD, SFHM UNIVERSITY OF COLORADO HOSPITAL MEDICINE GROUP Disclosures Nothing to disclose Will present topics that
Introduction Welcome to COMPREHENSIVE BASIC LIFE SUPPORT Course. BLS is the foundation for saving lives after cardiac arrest. You will learn the skills of highquality cardiopulmonary resuscitation (CPR)
McHENRY WESTERN LAKE COUNTY EMS SYSTEM FALL 2014 CONTINUING EDUCATION MANDATORY FOR ALL PRIMARY AND PROBATIONARY ALS SYSTEM PROVIDERS.
McHENRY WESTERN LAKE COUNTY EMS SYSTEM FALL 2014 CONTINUING EDUCATION MANDATORY FOR ALL PRIMARY AND PROBATIONARY ALS SYSTEM PROVIDERS ResQPOD In a cardiac arrest blood flow to the organs stop. Key to survival
AutoPulse. Mechanical CPR. in the Hospital
AutoPulse Mechanical CPR in the Hospital When Do You Need Mechanical CPR? Justifying the use of mechanical CPR in the pre-hospital setting where the number of rescuers is limited and patients must be
Cardiac Arrest General
Date: November 15, 2012 Page 1 of 5 Cardiac Arrest General This protocol should be followed for all adult cardiac arrests. Medical cardiac arrest patients undergoing attempted resuscitation should not
UTSW/BioTel EMS System Training Bulletin June 1, 2015 EMS TB Adult CPR Update: Change to Continuous Chest Compressions (CCC)
UTSW/BioTel EMS System Training Bulletin June 1, 2015 EMS TB 15-005 Adult CPR Update: Change to Continuous Chest Compressions (CCC) 06/01/2015 FINAL-BioTel 1 Purpose To set forth updated ADULT CPR practice
Training Presentation. TFD-EMS Ver. 1 09/15
Training Presentation TFD-EMS Ver. 1 09/15 Agenda ResQCPR System: Definition and Labeling IPR Therapy Physiology of Conventional CPR ResQPOD ITD 16 and Instructions for Use ResQPUMP ACD-CPR Device and
B-CARD NO PAUSE SHOULD BE YOUR CAUSE
B-CARD NO PAUSE SHOULD BE YOUR CAUSE SIMEU Congress, 17-20 November, Symposium Georges Bousignac 1 Cardiac arrest: A new cutting edge treatment method by Dr. Boussignac No Pause Should Be Your Cause 2
High Performance CPR. Offline Reading Download as PDF. Welcome. Introduction. Physiology of CPR. High Performance CPR. Positioning.
High Performance CPR Acknowledgement This training package was created by Crystal Harris, Clare Collihole, Joseph Schar, and Jordan Pring. Please direct any questions to your CSO or Team Leader. Offline
Out of Hospital Arrest: How are We Doing in Lane County? By: Joshua Moore, FireFighter EMT-P Eugene Springfield Fire Department
Out of Hospital Arrest: How are We Doing in Lane County? By: Joshua Moore, FireFighter EMT-P Eugene Springfield Fire Department Objectives: 1. State the 5 links in the AHA Chain of Survival. 2. How has
Update on chest compressions
Update on chest compressions Georg M Schmölzer Centre for the Studies of Asphyxia and Resuscitation, Royal Alexandra Hospital, Edmonton, Canada; Dept. of Pediatrics, University of Alberta, Edmonton, Canada
Pan-Asian Resuscitation Outcomes Study (PAROS)
Pan-Asian Resuscitation Outcomes Study (PAROS) Page 1 of 6 Case number Mode of Transportation #1 Patient brought in by 1 EMS 2 Non-EMS If Non-EMS, please specify 1 Private ambulance 2 Own/Private transport
Termination of Resuscitation in the Prehospital Setting
Resuscitation Outcomes Consortium Termination of Resuscitation in the Prehospital Setting Mr. Ian R Drennan ACP BScHK PhD(c) Rescu, Li Ka Shing Knowledge Institute, St. Michael s Hospital Institute of
Hot Topics in Telephone CPR
Hot Topics in Telephone CPR Bentley J. Bobrow, MD, FACEP Professor, Emergency Medicine Maricopa Medical Center University of Arizona College of Medicine-Phoenix Disclosure PI Arizona HeartRescue Project
At the end of this course participants should be able to demonstrate:
١ ٢ At the end of this course participants should be able to demonstrate: How to assess the collapsed victim. How to perform chest compression and rescue breathing. How to place an unconscious breathing
Resuscitation Science
Resuscitation Science Duration of Ventilations During Cardiopulmonary Resuscitation by Lay Rescuers and First Responders Relationship Between Delivering Chest Compressions and Outcomes Stefanie G. Beesems,
The prevalence and magnitude of common CPR problems, their probable root causes, and strategies for the reduction or elimination of these problems
The prevalence and magnitude of common CPR problems, their probable root causes, and strategies for the reduction or elimination of these problems Robert H Trenkamp Private practice, Hasleiters Retreat,
Taking the Team to the Next Level. Disclosure
Taking the Team to the Next Level Walt Lubbers, MD University of Kentucky Emergency Medicien Disclosure None 1 This is not ACLS This is not anti-acls 2 We don't rise to the level of our exp 3 This is not
DESIGNED FOR PROFESSIONAL RESCUERS
DESIGNED FOR PROFESSIONAL RESCUERS SMART TECHNOLOGY. UNRIVALED SUPPORT. Designed for professional rescuers, the ZOLL AED 3 BLS defibrillator provides in-depth rescue support for both adult and child victims
American Heart Association Health Care Provider CPR 2010 Curriculum
American Heart Association Health Care Provider CPR 2010 Curriculum 1 CPR Overview Compressions are most important part of CPR Push hard and fast Minimize interruptions CAB Assessment Circulation Airway
AED Plus. The Best Support For Rescuers
AED Plus The Best Support For Rescuers Superior Support in a Rescue 100% of the Time CPR Saves Lives That s why more than 30 states now require students to receive CPR training before they graduate from
This presentation should be viewed in its entirety by rescuers being trained for the first time on LUCAS.
EXCLUSIVELY DISTRIBUTED BY 1 Orientation Guide 2 Refer to the Instructions for Use for complete directions for use, indications, contraindications, warnings, precautions, and potential adverse events.
AED Plus. The Best Support. For Rescuers
AED Plus The Best Support For Rescuers Superior Support in a Rescue 100% of the Time A sensor in the hand placement landmark helps you provide high-quality CPR. CPR Saves Lives That s why more than 30
Guide to Compression-only Bystander CPR
Guide to Compression-only Bystander CPR The Value of CPR During a cardiac arrest, CardioPulmonary Resuscitation (CPR) is important because it is the best treatment until the arrival of a Defibrillator,
eacls TM Skill Performance
eacls TM Skill Performance Directions for Instructors and Course Coordinators: The evaluation forms that follow are used to verify that participants in the ACEP eacls TM program can demonstrate competency
Basic Life Support & Automated External Defibrillation Course. OBJECTIVES
OBJECTIVES Basic Life Support & Automated External Defibrillation Course www.erc.edu At the end of this course participants should be able to demonstrate: How to assess the collapsed victim. How to perform
AED Plus. The Best Support For Rescuers
AED Plus The Best Support For Rescuers CPR Required The latest American Heart Association (AHA) Guidelines, issued in 2010, are clear: successful defibrillation requires high-quality CPR performed at the
Basic life support updates
Basic life support 2010 updates Chest compressions. Airway, Breathing (C-A-B) science indicates the following order: 1. Check the patient for responsiveness and breathing. 2. Call for help and get the
This article appeared in a journal published by Elsevier. The attached copy is furnished to the author for internal non-commercial research and
This article appeared in a journal published by Elsevier. The attached copy is furnished to the author for internal non-commercial research and education use, including for instruction at the authors institution
Basic Life Support Adult
1/3.4.1 Version 4, 03/2016 Basic Life Support Adult CFR - A EFR Collapse Initiate mobilisation of 3 to 4 practitioners / responders Unresponsive and breathing abnormally or gasping 112 / 999 Go to Primary
DECLARATION OF CONFLICT OF INTEREST
DECLARATION OF CONFLICT OF INTEREST Data collection supported by unconditional grant of Physio- Control Place and use of the Automated External Defibrillator in the community R.W. Koster Academic Medical
An Appropriate Compression Pace is Important for Securing the Quality of Hands-only CPR - A manikin study
Hiroshima J. Med. Sci. Vol. 63, No. 1-3, 7~11, September, 2014 HIJM 63 2 7 An Appropriate Compression Pace is Important for Securing the Quality of Hands-only CPR - A manikin study Yoshitaka SHIMIZU 1,*),
European Resuscitation Council. Basic Life Support & Automated External Defibrillation Course
Basic Life Support & Automated External Defibrillation Course OBJECTIVES At the end of this course participants should be able to demonstrate: How to assess the collapsed victim. How to perform chest compression
AED Plus. The Best Support For Rescuers
AED Plus The Best Support For Rescuers CPR Required The latest American Heart Association (AHA) Guidelines issued in 2010, are clear: successful defibrillation requires high-quality CPR performed at the
MRC Academy November 4, 2013 Kevin Sipprell MD EMS Medical Director Ridgeview Ambulance DISPATCH ASSISTED CPR
MRC Academy November 4, 2013 Kevin Sipprell MD EMS Medical Director Ridgeview Ambulance DISPATCH ASSISTED CPR Objectives The importance of dispatch assistance Keys to success Perceived barriers to performing
AED strategies in the community
AED strategies in the community R.W. Koster Dept. of cardiology Academic Medical Center Amsterdam Conflicts of interest Arrest studies supported by Netherlands Heart Foundation Netherlands Ministry of
Pearls for ED Airway Management 12/26/2013
Red Flags in Prehospital Airway Management Henry E. Wang, MD, MS Associate Professor and Vice Chair for Research Department of Emergency Medicine University of Alabama at Birmingham The Current Standard
AED Plus AL The Best Support For Rescuers
AED Plus AL-80166 The Best Support For Rescuers AL-80166 CPR Required The latest American Heart Association (AHA) Guidelines issued in 2010, are clear: successful defibrillation requires high-quality CPR
Defibtech s Latest Advancement The Lifeline ARM Automated Chest Compression (ACC) Device for Professionals
Defibtech s Latest Advancement The Lifeline ARM Automated Chest Compression (ACC) Device for Professionals Precise operation of the Lifeline ARM helps to ensure high-quality and continuous cardiopulmonary
New method of chest compression for infants in a single rescuer situation: thumb-index finger technique
J Med Dent Sci 2011; 58: 15-22 Original Article New method of chest compression for infants in a single rescuer situation: thumb-index finger technique Bakhtiyar Zeynalov Fakhraddin 1), Naoki Shimizu 2),
MANAGEMENT OF COLLAPSED ADULT PATIENT
MANAGEMENT OF COLLAPSED ADULT PATIENT Author Information Dr. Venugopalan P.P. Chief Emergency Medicine Dy Director, MIMS Academy Malabar Institute of Medical Sciences Ltd. P.O. Govindapuram, Calicut, Kerala
Academic Grant CPR process monitors provided by Zoll. conflict of interest to declare
Comparison of Bystander Fatigue and CPR Quality when Using Ui Continuous Chest Compressions Versus 30:2 Compressions to Ventilations: A Randomized Cross over over Trial CAEP Niagara Falls 2012 CAEP St
American Heart Association. Basic Life Support for Healthcare Providers
American Heart Association Basic Life Support for Healthcare Providers Pre course Review Materials Revised Huntsville Hospital Training Center Disclaimer: This document is solely produced by Huntsville
Once student shouts for help, instructor says, Here s the barrier device. I am going to get the AED. STOP TEST
Adult CPR and AED Adult Skills CPR Testing and Checklist AED Skills Testing Checklist Student Name Date of Test Hospital Scenario: You are working in a hospital or clinic, and you see a person who has
LUCAS 2 Mechanical Chest Compression Device
LUCAS 2 Mechanical Chest Compression Device Skills to be achieved: Explain the rationale for using the LUCAS 2 Device Be able to demonstrate appropriate placement, operation, and troubleshooting of the
Frequently Asked Questions About AEDs updated 11/2/2015
Frequently Asked Questions About AEDs updated 11/2/2015 What does AED stand for? AED stands for automated external defibrillator. What s an AED? An AED is a device used to administer an electric shock
Key statistics from the National Cardiac Arrest Audit 2016/17
Key statistics from the National Cardiac Arrest Audit 216/17 Supported by Resuscitation Council (UK) and Intensive Care National Audit & Research Centre (ICNARC) Data collection scope (NCAA Version 1.3)
1/9/2015. Red Flags in Prehospital Airway Management. H. Wang, MD 1. Red Flags in Prehospital Airway Management. Disclosures. The Current Standard
Red Flags in Prehospital Airway Henry E. Wang, MD, MS Professor and Vice Chair for Research Department of Emergency Medicine University of Alabama at Birmingham Disclosures NIH Grant Support UH2-HL125163
Public Access Defibrillation: Where are we now? Assoc Prof Tony Walker ASM Chief Executive Officer
Public Access Defibrillation: Where are we now? Assoc Prof Tony Walker ASM Chief Executive Officer OHCA System of Care Chain of Survival OHCA and Early Defibrillation OHCA a significant public health issue
Q-CPR Measurement and Feedback Application Note
Q-CPR Measurement and Feedback Application Note Introduction Consider the following: Research demonstrates that the quality of cardiopulmonary resuscitation (CPR) has a direct effect on survival rate and
Alpine Trauma Registry
Alpine Trauma Registry Giacomo Strapazzon MD PhD EURAC Institute of Mountain Emergency Medicine, Italy CNSAS Italian Alpine and Cave Rescue Team, Italy ICAR-CISA General Assembly Bol, Croatia 2013 OBJECTIVE
Evaluation of a Prototypic Inspiratory Impedance Threshold Valve Designed to Enhance the Efficiency of Cardiopulmonary Resuscitation
Evaluation of a Prototypic Inspiratory Impedance Threshold Valve Designed to Enhance the Efficiency of Cardiopulmonary Resuscitation Keith G Lurie MD, Thomas A Barnes EdD RRT, Todd M Zielinski PhD, and
INITIATE APPROPRIATE RESUSCITATION PER POLICY/PROTOCOL
PATIENT ASSESSMENT ASSURE PATIENT HAS A PATENT AIRWAY LOOK, LISTEN AND FEEL TO CONFIRM APNEA CHECK F PULSE F MINIMUM OF 60 SECONDS TO CONFIRM PULSELESS CHECK PUPILLARY RESPONSE DOES PATIENT MEET OBVIOUS
THE AED THAT LEADS THE WAY
THE AED THAT LEADS THE WAY ARE YOU PREPARED TO HELP IN A HEARTBEAT? It happens in a split second. A person collapses the victim of sudden cardiac arrest (SCA) and the clock starts ticking. You call for
12/03/2013. Conflict of interest. ERC 2010 Guidelines. Waar is nog winst te behalen in het reanimatieonderwijs?
Conflict of interest Waar is nog winst te behalen in het reanimatieonderwijs? Unrestricted research grant from the Laerdal Foundation Nicolas MPOTOS Emergency Department, Ghent University Hospital, Belgium
How might GRADE work for ILCOR? Summary of specific components of GRADE using example worksheet
1 How might GRADE work for ILCOR? Summary of specific components of GRADE using example worksheet Associate Professor Peter Morley Director Medical Education Royal Melbourne Hospital University of Melbourne
LIFEPAK. CR2 Defibrillator. Better technology for better outcomes. Essential version
LIFEPAK CR2 Defibrillator Better technology for better outcomes. Essential version The LIFEPAK CR2 Defibrillator is not available for sale in the U.S. LIFEPAK CR2 Defibrillator A new approach to public
BLS. Compressions Airway Breaths. Basic Life Support Quick Reference. Critical Concepts
BLS Basic Life Support Quick Reference C-A-B Compressions Airway Breaths Critical Concepts High-quality CPR improves a victim s chances of survival. The critical characteristics of high-quality CPR include
Other diseases or age process
1 BLS For Healthcare Providers 2 Time is Critical! begins to die in 4 to 6 minutes Brain matter cannot regenerate itself In order to sustain life, the human body must have going in and out and must be
Even Better Support For Rescuers
Even Better Support For Rescuers Beyond the AED Plus In 2002, ZOLL launched the AED Plus defibrillator with Real CPR Help real-time CPR Feedback to let rescuers know, for the first time ever, when they
Introducing Intellisense CPR Feedback Sensor and Technology Overview. Internal Use Only Not For Distribution
Introducing Intellisense CPR Feedback Sensor and Technology Overview 1 2015 Guidelines The Need For Better Quality CPR 2 Guidelines 2015 High quality CPR remains essential to improving outcomes CPR providers
The University of Texas at Tyler. Automatic External Defibrillator Program
The University of Texas at Tyler Automatic External Defibrillator Program Medical Director: Dudley Goulden, M.D., FACC, Professor of Medicine, Division of Cardiology The University of Texas Health Center
Even Better Support. For Rescuers
Even Better Support For Rescuers Beyond the AED Plus In 2002, ZOLL launched the AED Plus defibrillator with Real CPR Help real-time CPR Feedback to let rescuers know, for the first time ever, when they
2005 Top Ten Major Changes in Treatment Recommendations *
2005 Top Ten Major Changes in Treatment Recommendations * This document reviews the top ten new treatment recommendations and guidelines for ASHI s basic life support training programs for professional
How to Perform CPR. The CABs of CPR are Circulation, Airway and Breathing. C - Circulation (Chest Compressions)
How to Perform CPR Learning how to perform cardio-pulmonary resuscitation (CPR) saves lives. While no statistics are available on the exact number of lives sudden cardiac arrest claims per year, approximately
B.L.S احیای پایھ کودکان American Heart Association
B.L.S احیای پایھ 2010 American Heart Association کودکان زنجیره حیاتی کودکان 1.prevention, 2.early CPR, 3.prompt access to the emergency response system, 4.rapid PALS, 5. integrated post cardiac arrest
Simulation for emergency care
Simulation for emergency care Resusci Anne Simulator The simulator for critical lifesaving skills - Educational quality through simulation training - Cost-effective simulation for team training - Clinical
Basic Life Support (BLS) for the Healthcare Provider
Essential Medical Training, LLC Providing Quality, Professional Training Basic Life Support (BLS) for the Healthcare Provider Course Study Guide and Agenda 772-781-9249 office 772-382-0607 fax Email: treasurecoastcpr@gmail.com
Canadian Red Cross Summary First Aid Technical Changes for 2011 Implementation
Canadian Red Cross Summary First Aid Technical Changes for 2011 Implementation Wound Care Second part of a SFA course On the first day and included in EFA To meet legislative requirements Assessment and
Cardiac Arrest Cases and Automated External Defibrillator Use in Railroad Stations in Tokyo
International Journal of Clinical Medicine, 214, 5, 1328-1336 Published Online November 214 in SciRes. http://www.scirp.org/journal/ijcm http://dx.doi.org/1.4236/ijcm.214.5217 Cardiac Arrest Cases and
Rescuer Fatigue: Standard versus Continuous Chest-Compression Cardiopulmonary Resuscitation
Rescuer Fatigue: Standard versus Continuous Chest-Compression Cardiopulmonary Resuscitation Joseph W. Heidenreich, MD, Robert A. Berg, MD, Travis A. Higdon, MD, Gordon A. Ewy, MD, Karl B. Kern, MD, Arthur
Development of Android Based Chest Compression Feedback Application Using the Accelerometer in Smartphone
Proceedings of the International Conference on Biomedical Engineering and Systems Prague, Czech Republic, August 14-15, 2014 Paper No. 130 Development of Android Based Chest Compression Feedback Application
Prof. dr. P. Calle Emergency physician Ghent University Hospital, Belgium No conflict of interests
Interactions between advanced life support (ALS) providers and automated external defibrillators (AEDs) Prof. dr. P. Calle Emergency physician Ghent University Hospital, Belgium No conflict of interests
County of Henrico Verification Originator Revised Issued Human Resources Initials Risk
Human Resources Initials Area of Application: Document Location: County of Henrico General Government & Schools http://employees.henrico.us/info/safety-manual/ Revisions Rev. No. Date Description 001 03/31/17
Stratégie ventilatoire pendant la RCP Pr Jean-Christophe M Richard
Stratégie ventilatoire pendant la RCP Pr Jean-Christophe M Richard Pôle SAMU 74 Urgence et Réanimation Centre Hospitalier Annecy Genevois CONFLICTS OF INTEREST - Air Liquide Medical Systems (part time)
PPL 10 CPR & AED TRAINING & CERTIFICATION
PPL 10 CPR & AED TRAINING & CERTIFICATION Knowing CPR means knowing how to save lives. The ACT Foundation is working to set up the lifesaving CPR program in every Canadian high school, so that all youth
Guidelines 2005 for Basic Life Support
Guidelines 2005 for Basic Life Support Anthony J Handley MD FRCP Chief Medical Adviser RLSS UK Honorary Medical Adviser ILSE Honorary Secretary, Medical Committee ILS Honorary Consultant Physician & Cardiologist,
A Turbine-Driven Ventilator Improves Adherence to Advanced Cardiac Life Support Guidelines During a Cardiopulmonary Resuscitation Simulation
A Turbine-Driven Ventilator Improves Adherence to Advanced Cardiac Life Support Guidelines During a Cardiopulmonary Resuscitation Simulation Scott G Allen MD RRT, Lara Brewer PhD, Erik S Gillis, Nathan
THIS STUDY WAS approved by the ethics committee
Acute Medicine & Surgery 2017; : doi: 10.1002/ams2.315 Original Article Quality of dispatch-assisted cardiopulmonary resuscitation by lay rescuers following a standard protocol in Japan: an observational
Save a life CPR Practice. CPR and AED practice for general public
Save a life CPR Practice CPR and AED practice for general public Connect with the number 92% 25% 1% Percentage of people know how to do CPR in Chinese public Percentage of people know how to do CPR in
LUCAS CHEST COMPRESSION SYSTEM PRODUCT BROCHURE
LUCAS CHEST COMPRESSION SYSTEM PRODUCT BROCHURE Your Partner in Life Support Effective Compressions, Good Blood Flow Lead to Lifesaving CPR Effective chest compressions deliver vital oxygen to the brain
Use of an inspiratory impedance threshold valve during cardiopulmonary resuscitation: a progress report
Resuscitation 44 (2000) 219 230 www.elsevier.com/locate/resuscitation Short communication Use of an inspiratory impedance threshold valve during cardiopulmonary resuscitation: a progress report Keith Lurie
E C C. American Heart Association. Basic Life Support for Healthcare Providers. Written Examinations. March 2011
E C C American Heart Association Basic Life Support for Healthcare Providers Written Examinations Contents: Examination Memo Student Answer Sheet Version A Exam Version A Answer Key Version A Reference
Bystander s bravery and action can rescue a life of victims. Guideline Training Course
Guideline 2005 Training Course What can we do for him/her? Sudden Cardiac Arrest (SCA) Recent studies indicate that nearly 20,000 30,000 people each year die of SCA in Japan. (250,000 people in USA) Immediate
Q: When was CPR invented? Was anyone credited with bringing CPR to life?
News Q & A Published: Monday, June 6, 2011, paper edition, p.2 Q: When was CPR invented? Was anyone credited with bringing CPR to life? A: Modern cardiopulmonary resuscitation was developed in the late