Enhancing 4 th chain: Mechanical chest compression during transportation
|
|
|
- Milo Long
- 5 years ago
- Views:
Transcription
1 How to Implement New Resuscitation Guidelines Enhancing 4 th chain: Mechanical chest compression during transportation 한림대의료원강동성심병원응급의학과조영석
2 Contents The Present of Mechanical CPR Device Barriers of High Quality CPR during transportation Experience of Mechanical CPR Device in local community
3 Present 2015 AHA CPR Guidelines Mechanical CPR devices : No demonstrable benefit Considered in specific settings where the delivery of high-quality manual compressions may be challenging or dangerous - Limited rescuers available, prolonged CPR, during hypothermic cardiac arrest, in a moving ambulance in the angiography suite, during preparation for extracorporeal CPR (Class IIb, LOE C-EO). Use by properly trained personnel - limit interruptions in CPR during deployment and removal of the devices
4 Mechanical CPR Devices? Impedance Threshold Device (ITD) Active Compression-Decompression CPR/ITD Mechanical Piston Devices Load-Distributing Band CPR Devices Extracorporeal Techniques and Invasive Perfusion Devices : E-CPR
5 Mechanical Piston Device The Lund University Cardiac Arrest System (LUCAS 2) Chest compressions Sternal compressions Depth: 53±2 mm Rate : 102 strokes per minute Suction cup for full chest recoil Patient fit Sternum height of cm Maximum chest width of 44.9 cm Lightweight and small Weight (with battery) 7.8kg Dimensions (in bag) : 65x33x25cm(H x W x D) Battery operated Light weight(0.6 kg)/lipo battery Battery operation time : 45 min External power supply( v)
6 Cluster-randomized open-label clinical trial : EMS-treated non-traumatic OHCA, LUCAS 2, England Perkins GD. et al Lancet 2015
7 2 ambulances with a digital-video-recording system : EMS-treated OHCA, Thumper, Taipei Wang HC. et al Resuscitation 2007
8 Load-Distributing Band CPR Device (LDB-CPR) AutoPulse Non-invasive Cardiac Support Pump
9 Randomized open-label clinical trial, : EMS-treated cardiac-origin OHCA, AutoPulse,USA/Europe Wik L. et al Resuscitation 2014
10 Secondary Analysis of the CIRC trial : Control of the quality factor of CPR (chest compression duration) Olsen JA. et al Acta Anaesthesiol Scand 2016
11 Needs for Mechanical CPR Device Consistent depth/rate Easy transport Ensure chest recoil Decrease rescuer s stress No interruption Pre-hospital high-quality CPR
12 Barrier Chain of Survival : OHCAs Funeral ER High-Quality Basic Life Support ICU Pre-hospital EMS resuscitation Advanced Life Support
13 Rapid Defibrillation & High Quality CPR Compression fraction: 60~80% Compression rate: 100~120/min Rapid Defibrillation + High Quality CPR Compression depth: 5cm Full chest recoil Optimal Ventilation
14 Pre-hospital chest compression rate in OHCAs Resuscitation Outcome Consortium , EMS treated adult OHCAs (N=6,399) Observational cohort study with monitoring devices 54.2% low quality compression rate Idris AH. et al CCM 2015
15 Pre-hospital Compression depth in OHCAs Resuscitation Outcome Consortium (N=9,136) , EMS treated adult OHCAs (10min data) Mean compression depth 41.9mm, 18% > 51mm 41.5%, Compression depth < 40mm Stiell IG. et al Circulation 2014
16 Pre-hospital Chest Compression Fraction in OHCAs Resuscitation Outcome Consortium , EMS treated adult OHCAs (confirmed 506 VF/VT cases) 291/506 cases (57.5%), CCF < 61% Christenson J. et al Circulation 2009
17 Barriers of Pre-hospital HQCPR ER Pre-hospital BLS /ACLS More than 70% people : live in apartment house Home - most common place of OHCAs (57.1% from Korean CDC 2013) Level of collapse (non-ground floor) : possible barrier of HQCPR
18 Experience Kangdong Province EMS System Population : 470,000 persons 1 Fire station / 3 Regional EMS centers Annual OHCA events : 272 events/2005 yr 2-tiered ambulance system - 6 Ambulances, 1 Fire truck, 1 Motorcycle - 55 EMTs (paramedic, nurses, EMS personnel) -3 EMTs for a OHCA event Introduction of 6 mechanical CPR 25 Provinces of Seoul devices(autopulse ) to 6 ambulances ( )
19 Mechanical CPR Protocol at KD 1 st arrival ambulance : Scene arrival/recognize cardiac arrest Manual CPR (30:2 ratio with Bag-valve mask device) Apply a AED & Defibrillation 2 nd arrival ambulance : Apply a manual defibrillator Mechanical CPR (AutoPulse, LDB-CPR) Airway management (LMA/intubation) Continuous chest compression with BVM High-quality CPR/defibrillation & Transfer to hospital
20 Protocol : BLS + ALS Airway(leader) Drug Defibrillation Breathing Compression Equipement BLS team only BLS1 (1 급 ) BLS1 (1 급 ) BLS1 (1 급 ) 0:00 ~ 0:20 * 반응및호흡확인 * 기도확보 * 간단한병력청취 선발대도착 BLS2 (2 급 ) BLS3 (driver) * 가슴압박시작 BLS3 (driver) * 주차및물품가지고현장이동 0:20~0:40 * 간단한병력청취및보호자설명 * 해당없음 * AED 부착및적응증시제세동 * BVM 통한호흡보조 (30:2 에맞춰서 * ( 분당 100 회이상 5cm 이상, 30:2) * 현장도착 0:40 ~ 2:00 0:40 ~ 2:00 * 맥박확인 가능한가슴압박장치적용 장치미적용시 30:2 가슴압박시행 2:00 * 2분간격으로리듬확인 ~ 후발대도착시까 장치적용시 * 매 2분마다맥박확인및적응증일시제세동지속적가슴압박지 후발대도착 ALS2 (2급), BLS2 (2급), BLS team ALS1 (1급) ALS1 (1급) BLS1 (1급) BLS1 (1급) BLS3 (driver), ALS3 ALS3 (driver) + ALS team (driver) * 환자및현장처치상황 * 주차및물품후발대도착 ~ 0:20 인계받음 * 가슴압박장치가지고현장이동 * LMA 삽관미적용시적용 0:20 ~ 2:00 * BVM 통한호흡보조 * 현장도착 ( 기관삽관시도 ) 2:00 * 맥박확인및리듬확인 * 적응증일시제세동 2:00 ~ 4:00 정맥로확보 ( 필요시 ) * 지속적가슴압박 4:00 * 맥박확인및리듬확인 * 적응증일시제세동 4:00 ~ 6:00 * 적절한간격에맞춰 6:00 * 맥박확인및리듬확인 약물투여 * 적응증일시제세동 6:00 ~ * 모니터링장비유지하며이송지시 * 앱뷰백을통하여 8 회 / 분의호흡보조 - 기관삽관실패시, 30:2 에맞춰서 ) * 이송보조
21 Team CPR + Mechanical CPR BVM + LMA/I-gel AED & Defibrillation AutoPulse Manual CPR
22 Simulation Education in Kangdong EMS
23 Pre-hospital mechanical CPR device apply at Kangdong province, Seoul (6 months) Non-randomized retrospective medical record review EMS-treated OHCA events, adult, non-traumatic origin Primary end-result : ROSC : Manual CPR only versus Manual CPR + AutoPulse apply Preliminary unpublished data
24 Univariate & multivariate analyses for ROSC Variables Preliminary unpublished data Yes (n=31) ROSC (%) No (n=64) OR(95% CI) Univariate analyses Gender Male 22(36.1) 39(63.9) 1.0 Female 9(26.5) 25(73.5) 0.64( ) Age < 65 years 10(38.5) 16(61.5) years 21(30.4) 48(69.6) 0.70( ) Level of collapse Ground floor 20(42.6) 27(57.4) 1.0 Non-ground floor 11(22.9) 37(77.1) 0.40( ) Prehospital CPR methods Manual CPR 15(38.5) 24(61.5) 1.0 Mechanical CPR 16(28.6) 40(71.4) 0.64( ) Prehospital advanced airway Bag valve mask 2(16.7) 10(83.3) 1.0 Advanced airway 29(34.9) 54(65.1) 2.69( ) Call 119 to arrival time 4 minutes 4(30.8) 9(69.2) 1.0 > 4 minute, 8 minutes 23(37.1) 39(62.9) 1.68( ) > 8 minutes 4(20.0) 16(80.0) 0.77( ) Bystander CPR No 6(27.3) 16(72.7) 1.0 Yes 25(34.2) 48(65.8) 1.39( ) ECG rhythm on scene Non-shockable 25(30.9) 56(69.1) 1.0 Shockable 6(42.9) 8(57.1) 1.68( ) Multivariate analyses Level of collapse Ground floor 1.0 Non-ground floor 0.40( ) P
25 A retrospective cohort study in Singapore, EMS-treated OHCA events, all causes of cardiac arrest Goh ES et al. Ann Acad Med Singapore 2007
26 A retrospective observational study in Toroto, Canada, EMS-treated OHCA events, all causes of cardiac arrest < Floor 3(n=7842) versus Floor 3(n=1844) Drennan IR et al. CMAJ 2016
27 Survey of EMS personnel who used the mechanical CPR device in OHCA patients at Kangdong fire-station (n=54) Variables Category n(%) Gender, male 41(75.9) Age, year 35.0( ) Working career, month 49.50( ) Numbers of activation for OHCA in recent 6 months 12.0( ) Numbers of mechanical CPR device apply in recent 6 months 9.0( ) Locations of CPR interruption * Scene 4(7.4) Scene to ambulance 33(61.1) Ambulance 7(13.0) Ambulance to ER 26(48.1) Others 3(5.6) High floors interrupt HQCPR Yes 46(85.2) Usefulness of mechanical CPR device for HQCPR Useful 53(93.1) Barrier to use mechanical CPR device * Bulky and heavy device 34(63.0) Difficulty of taking over in ED 11(20.4) Difficult transport with device 9(16.7) Time-consuming for apply 4(7.4) Preliminary unpublished data OHCA, oust-of hospital cardiac arrest; CPR, cardiopulmonary resuscitation; HQCPR, high quality CPR *It allowed multiple responses.
28 Summary Vertical level of collapse : Possible barrier to high-quality EMS-CPR Pre-hospital use of mechanical CPR device : Until now, insufficient evidence to routine use BUT, May useful in specific setting (high-floored house/building, prolonged CPR duration, limited rescuers) Need more light & simple mechanical device A Well-designed RCT in these specific settings (like as Seoul)
29
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,
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
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
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
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
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
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
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
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
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
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)
Peter J. Kudenchuk, MD University of Washington
Peter J. Kudenchuk, MD University of Washington CPR-The Science Behind the Hands A/Prof Marcus Ong Senior Consultant, Clinician Scientist & Director of Research Department of Emergency Medicine Singapore
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
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
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
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
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
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
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?
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
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
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
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
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
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
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
COALINGA STATE HOSPITAL. Effective Date: August 31, 2006
COALINGA STATE HOSPITAL NURSING POLICY AND PROCEDURE MANUAL SECTION Emergency Procedures POLICY NUMBER: 702 Effective Date: August 31, 2006 SUBJECT: CARDIOPULMONARY RESUSCITATION (CPR) 1. PURPOSE: To provide
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
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
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
Basic Life Support in the Modern Era
The ALS in BLS TheRoleof of Basic Life Support in the Modern Era Raymond L. Fowler, MD, FACEP Professor of Emergency Medicine, Surgery, and Allied Health The University of Texas Southwestern at Dallas
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
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
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
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,
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
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 Hospital Scenario: You are working in a hospital or clinic, and you see a person who has suddenly collapsed in the
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
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
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
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 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
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
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,
bls guidelines B42EFDD89A9AB6A33D869587D2D61D4E Bls Guidelines 1 / 6
Bls Guidelines 1 / 6 2 / 6 3 / 6 Bls Guidelines Welcome to the Basic Life Support (BLS) algorithms and training by United Medical Education. Here we will discuss basic life saving interventions for patients
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
Basic Life Support. Based on UK Resuscitation Guidelines (2010)
Basic Life Support Based on UK Resuscitation Guidelines (2010) Clinical Skills and Simulation Team With acknowledgements also to Basic Life Support Faculty - SoNMS PowerPoint content last updated 26/05/2015
https://youtu.be/5r7havfzxek
CPR https://youtu.be/5r7havfzxek CPR Saves Lives Cardiopulmonary Resuscitation or CPR and defibrillation within 3-5 minutes can save over 50% of cardiac arrest victims CPR followed by AED saves thousands
CPR & ECC COURSE MATRIX
CPR & ECC COURSE MATRIX Course Content Audience Student Materials Instructor Materials Course Completion Card Type Estimated Time (Based on 6:1 Student to Instructor Ratio) Courses for Healthcare Professionals
Basic Life Support (BLS)
Basic Life Support (BLS) Basic Life Support (BLS) is the foundation for saving lives after cardiac arrest. Participant will learn the skills of high-quality cardiopulmonary resuscitation (CPR) for victims
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
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
Comparison of the Conventional and Hands-only Cardiopulmonary Resuscitation Skills Performance of Some Nigerian University Students
American Journal of Medicine and Medical Sciences 2018, 8(9): 235-240 DOI: 10.5923/j.ajmms.20180809.04 Comparison of the Conventional and Hands-only Cardiopulmonary Resuscitation Skills Performance of
DEFIBRILLATOR PROGRAM POLICY
DEFIBRILLATOR PROGRAM POLICY EPS Code: EBB-A An Automated External Defibrillator (AED) will be maintained on the premises of the Dodgeville High School. The AED shall be used in emergency situations warranting
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
COMMUNITY SAFETY CONSULTANTS AHA CPR COURSE RECORD SHEET
Revised 5-31-2018 CSC COURSE #: COMMUNTY SAFETY CONSULTANTS AHA CPR COURSE RECORD SHEET Organization: Address: ZP: Date: Start Time: End Time: Total Hours: Total Days: # of nitial students: # of Renewal
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
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
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
Abstract. Keywords. Kyoko Tsukigase 1, Hideharu Tanaka 1,2, Hiroshi Takyu 2
World Journal of Cardiovascular Diseases, 2017, 7, 185-194 http://www.scirp.org/journal/wjcd ISSN Online: 2164-5337 ISSN Print: 2164-5329 Mismatch between Sites of Incidence of Out-of-Hospital Cardiac
NWC EMSS Skill Performance Record Application & Use LUCAS CPR DEVICE
NWC EMSS Skill Performance Record Application & Use LUCAS CPR DEVICE Name: 1 st attempt: Pass Repeat Date: 2 nd attempt: Pass Repeat The NWC EMSS requires that LUCAS External Cardiac Compressor only be
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
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
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.
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
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
Cardio Pulmonary Resuscitation (CPR) 1
CETL 2008 Cardio Pulmonary Resuscitation (CPR) 1 Tracey Gibson, Elaine Cole & Anne McLeod Introduction This presentation has been designed to compliment the CPR lead lecture and seminar presentations within
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
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
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
EMERGENCY MEDICAL RESPONSE ACTION PLAN FOR AUTOMATIC EXTERNAL DEFIBRILLATOR (AED) IN THE SCHOOL SETTING
JHCE EMERGENCY MEDICAL RESPONSE ACTION PLAN FOR AUTOMATIC EXTERNAL DEFIBRILLATOR (AED) IN THE SCHOOL SETTING Introduction: The School District of Bonduel shall utilize Automated External Defibrillator(s)
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
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
Do Not Copy BLS American Heart Association BASIC LIFE SUPPORT PROVIDER MANUAL
BLS BASIC LIFE SUPPORT PROVIDER MANUAL BLS BASIC LIFE SUPPORT PROVIDER MANUAL ISBN 978-1-61669-407-4 Printed in the United States of America First American Heart Association Printing February 2016 15
CPR Professional Skills Notes
CPR Professional Skills Notes CPR = Cardiopulmonary Resuscitation AED = Automated external defibrillator (vs. manual defibrillator in a hospital) ERS = Emergency Response System BLS = Basic Life Support
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
COLUMBUS COUNTY SCHOOLS AUTOMATIC EXTERNAL DEFIBRILLATOR (AED) ADMINISTRATIVE PROCEDURES
COLUMBUS COUNTY SCHOOLS AUTOMATIC EXTERNAL DEFIBRILLATOR (AED) ADMINISTRATIVE PROCEDURES Revised 11/03/2014 Use of the AED is authorized for emergency response personnel trained and certified in CPR and
NHS. Blackpool Teaching Hospitals. NHS Foundation Trust. Basic Life Support. Page 1
Blackpool Teaching Hospitals NHS Foundation Trust NHS Basic Life Support Page 1 Page 2 Introduction Why do this course? Because it will help you save lives! It will help you: Assess a collapsed victim;
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
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
Adult, Child and Infant Exam
CPR Pro for the Professional Rescuer Adult, Child and Infant Exam Instructions: Read each of the following questions carefully and then place an X over the correct answer on the separate answer sheet provided.
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
PHYSIO-CONTROL TRAINING LUCAS. 2 Chest Compression System Instructor Guidebook Classroom and Hands-On Training
PHYSIO-CONTROL TRAINING LUCAS 2 Chest Compression System Instructor Guidebook Classroom and Hands-On Training 2 LUCAS 2 Chest Compression System Instructor Guidebook PHYSIO-CONTROL TRAINING LUCAS 2 Chest
Cardiac Arrest Report Guide
Cardiac Arrest Report Guide Documenting Vitals and Patient s Rhythm Vitals and Patient s ECG Rhythm during a full arrest should be documented every two minutes during CPR. NOTE: Use the baseline Vitals
What Every Manager should know about Automated External Defibrillators (AEDs) in the Workplace
What Every Manager should know about Automated External Defibrillators (AEDs) in the Workplace COL (Dr) Ng Yih Yng Chief Medical Officer Singapore Civil Defence Force Ministry of Home Affairs Visiting
CPR + AED Topic 6 TECS TECS FIRE & SAFETY TRAINING PTE LTD
CPR + AED Topic 6 1 Anatomy and physiology of the circulatory system 2 Principles of Resuscitation Principles of resuscitation / Determine if CPR is necessary by examining casualty, which include the following:
Emergency Life Support (ELS) Course
V1 Approved by Resuscitation Committee - July 2018 Course Resuscitation Services UK Ltd Topics The ABCDE Approach Handout, Podcast & Scenario teaching/assessment Medical Emergency conditions Slide set
TrueCPR COACHING DEVICE PRODUCT BROCHURE
TrueCPR COACHING DEVICE PRODUCT BROCHURE The best outcomes demand the best CPR. Simple enough to say, but in the heat of a cardiac resuscitation, accurately assessing CPR performance even knowing your
Avalanche Victim Resuscitation Checklist
Avalanche Victim Resuscitation Checklist Changing process for saving lives ICAR MEDCOM: Kottmann A, Blancher M, Boyd J, Spichiger T, Brugger H Dr A. Kottmann Avalanche Time Hazard Life or death Stressfull
Supplement Study Guide for. Basic Life Support (BLS) for Healthcare Providers
for Basic Life Support (BLS) for Healthcare Providers Table of Contents Objectives... 3 One Rescuer Adult CPR Sequence... 4 One Rescuer Child CPR Sequence (1 year to Puberty)... Error! Bookmark not defined.
Reading (6*%&-*/& 61%"5& $13 "/% &$$ "-(03*5). 1"$,"(& &TTFOUJBMT GPS )FBMUI 1SPGFTTJPOBMT
Reading Introduction On October 15th, 2015 the Heart and Stroke Foundation of Canada (HSFC) released the 2015 Guidelines for Cardio Pulmonary Resuscitation (CPR) and Emergency Cardiac Care (ECC). HSFC
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
2. Women may experience others signs/symptoms in addition to the common ones. What are the additional symptoms?
Name: Sports Medicine II Date: Block 3A Caring for Cardiac Emergencies CPR/AED for the Professional Rescuer Notes Questions/Main Ideas Notetaking Column 1. Name some signs and symptoms of a heart attack.
SIERRA-SACRAMENTO VALLEY EMS AGENCY PROGRAM POLICY REFERENCE NO. 474
SIERRA-SACRAMENTO VALLEY EMS AGENCY PROGRAM POLICY REFERENCE NO. 474 PURPOSE: To establish the requirements and responsibilities of an S-SV approved EMT / Public Safety Automatic External Defibrillation
City of Miami s Public Access Defibrillation Program
City of Miami s View on line at: www.miamigov.com/fire/pad E-Mail: PADcoordinator@MiamiGov.com Team For Life 53 PAD - Public Access Defibrillator Program Table of Contents Page Index 54 Program Overview
Evaluating the evidence using GRADE. Peter Morley E th October 2012
1 Evaluating the evidence using GRADE Peter Morley E3 2015 19 th October 2012 2 Conflict of interest disclosure Commercial/industry Evidence Evaluation Expert (ILCOR/AHA) Potential intellectual conflicts
CITY OF LIBERTY AED Utilization Program
CITY OF LIBERTY AED Utilization Program 1.0 POLICY AND PROCEDURES 1.1.1 Purpose The purpose of the AED Program is to rapidly deliver a controlled electrical shock to cardiac arrest victims who have a shockable
European EMS Championship Rules
Telegrafvej 5 DK-2750 Ballerup EMS2018@regionh.dk Follow us on Twitter: @European_EMS #EMS2018 Date: 5 September 2017 European EMS Championship Rules Location Tivoli Hotel & Congress Center, Copenhagen,
Ten Mistakes. Every AED Program Manager Should Avoid
Ten Mistakes Every AED Program Manager Should Avoid Ten Mistakes Every AED Program Manager Should Avoid 1 1 Consider your AED program a short-term project. Consider your AED program as a short-term project.
PHYSIO-CONTROL TRAINING LUCAS. 3 Chest Compression System Instructor Guidebook Classroom and Hands-On Training
PHYSIO-CONTROL TRAINING LUCAS 3 Chest Compression System Instructor Guidebook Classroom and Hands-On Training 2 LUCAS 3 Chest Compression System Instructor Guidebook PHYSIO-CONTROL TRAINING LUCAS 3 Chest