Rowan County EMS. I m p r o v i n g C a r d i a c A r r e s t S u r v i v a l. Christopher Warr NREMT-P Lieutenant.
|
|
|
- Neal Tate
- 5 years ago
- Views:
Transcription
1 Rowan County EMS I m p r o v i n g C a r d i a c A r r e s t S u r v i v a l Christopher Warr NREMT-P Lieutenant Rowan County EMS christopher.warr@rowancountync.gov
2 September 9, :44 11:44:00 Mr. Taylor suffers a sudden cardiac arrest while stopped at an intersection after leaving PetSmart. 11:44:34 Cell phone caller calls Rowan 911 communications 11:44:53 Caller states a black truck ran up on the sidewalk and hit a telephone pole 11:45:41 Cell phone caller reports he has been pulled from the truck and they are doing CPR 11:46:35 EMD process completed. Rowan communications asks if there is an AED available. 11:46:44 Medic 851 and SFD Quint 1 dispatched
3 September 9, :40 26:00 35:00 11:50:32 Medic 851 Arrives 11:51:25 SFD Quint 1 Arrives 11:51:40 Intubation and First Defibrillation 11:53 IV access 11:54 ACLS pharmacological interventions begin 12:08 Ventricular Fibrillation terminated on 6th shock 12:10 Return of spontaneous circulation (ROSC) 12:11 Return of spontaneous respirations 12:12 Sedation and Hypothermia Protocol initiated Transport to hospital 12:19 Arrive at Rowan Regional Medical Center ED
4 Background Sudden Cardiac Arrest occurrence US 300,000 last year Rowan County worked arrests Survival Rates Sea le / King Co Washington 50% Wake County NC 20% Detroit Mi <1% Rowan County 2011 Approx 10 ROSC to the hospital Survival to discharge unknown < 3% ROSC
5 The Players 130,000 Residents 21 First Responder Agencies 47 Departments 7 Paramedic Ambulances 2 Hospitals
6 Changes and Challenges Documentation improvements QA/QI process Data should be systematically reviewed and compared internally to prior performance and externally to similar systems. Existing cardiac arrest registries can facilitate this benchmarking effort; examples include the Cardiac Arrest Registry to Enhance Survival (CARES) Medical Direction Protocol / Policy changes Staff Training First Responder Training Feedback loop to all involved
7 Protocol & Policy changes
8 Protocol & Policy changes
9 Protocol & Policy changes
10 Changes Philips MRx monitors with Q-CPR integration King LT-d airway vs ET Tube New Policy & protocols Intensive one on one crew training First responder training Revised documentation standards
11 Individual proficiency Technical skills protocols, procedures, rotating compressors Emotional skills dealing with family, bystanders Organizational skills new team dynamics Stress management A itude
12 Team Dynamics Dispatcher recognition / instructions First responder effectiveness Post resuscitation care Hospital continuum of care
13 The Pit Crew Approach First responder officer coordinates and provides report to EMS Concentrate on CPR CPR rate of 100 Full chest recoil AED placement by 2 min mark Airway management Avoid hyperventilation Rotate clockwise every 2 minutes Continuous femoral pulse palpation
14 Motivate don t mandate Resuscitation is yours; We are there to assist. Effective CPR and early defibrillation are the only proven treatments. These are BLS skills Paramedics are there for post resuscitation care and management
15 EMS Post Arrest care Optimize cardiopulmonary function and vital organ perfusion Transport patient to an appropriate hospital Acute Coronary interventions Neurological care Goal-directed critical care Hypothermia.
16 Hospital Post Arrest care Control body temperature to optimize survival and neurological recovery Identify and treat acute coronary syndromes (ACS) Optimize mechanical ventilation to minimize lung injury Reduce the risk of multi-organ injury and support organ function if required Objectively assess prognosis for recovery Assist survivors with rehabilitation services when required
17 Our Results March 1st - October 31st Cardiac Arrests 102 Treated with ALS interventions 44 Return of spontaneous circulation (ROSC from all rhythms) 43% 13 Discharged from the hospital 29.5%
18 Rowan County EMS I m p r o v i n g c a r d i a c A r r e s t S u r v i v a l Christopher Warr NREMT-P Lieutenant Rowan County EMS christopher.warr@rowancountync.gov
Science Behind Resuscitation. Vic Parwani, MD ED Medical Director CarolinaEast Health System August 6 th, 2013
Science Behind Resuscitation Vic Parwani, MD ED Medical Director CarolinaEast Health System August 6 th, 2013 Conflict of Interest No Financial or Industrial Conflicts Slides: Drs. Nelson, Cole and Larabee
Four Important Factors
It s Simple but It s not Easy! Death circa the 14 th century Implementing Change to Improve Survival from Cardiac Arrest Credit to the Baltimore Sun for this image Kevin G. Seaman, M. D., FACEP Medical
The evidence behind ACLS: the importance of good BLS
The evidence behind ACLS: the importance of good BLS Benjamin S. Abella, MD, MPhil, FACEP CRS Center for Resuscitation Science Clinical Research Director Center for Resuscitation Science Vice Chair of
Science Behind CPR Update from Darrell Nelson, MD, FACEP Emergency Medicine Wake Forest University Health Sciences
Science Behind CPR Update from 2010 Darrell Nelson, MD, FACEP Emergency Medicine Wake Forest University Health Sciences FRAMING THE DISCUSSION NO ONE SURVIVES CARDIAC ARREST, EXCEPT ON TV Conflicts of
Overview and Latest Research on Out of Hospital Cardiac Arrest
L MODULE 1 Overview and Latest Research on Out of Hospital Cardiac Arrest Jamie Jollis, MD Co PI RACE CARS 2 Out of Hospital Cardiac Arrest in U.S. 236 000 to 325 000 people in the United States each year
Hanna K. Al-Makhamreh, M.D., FACC Interventional Cardiologist
Hanna K. Al-Makhamreh, M.D., FACC Interventional Cardiologist Introduction. Basic Life Support (BLS). Advanced Cardiac Life Support (ACLS). Cardiovascular diseases (CVDs) are the number one cause of death
GETTING TO THE HEART OF THE MATTER. Ritu Sahni, MD, MPH Lake Oswego Fire Department Washington County EMS Clackamas County EMS
GETTING TO THE HEART OF THE MATTER Ritu Sahni, MD, MPH Lake Oswego Fire Department Washington County EMS Clackamas County EMS TAKE HOME POINTS CPR is the most important thing Train like we fight Measure
Sooner to the Ballooner: Going Straight to the Cath Lab with Refractory VF/VT
Sooner to the Ballooner: Going Straight to the Cath Lab with Refractory VF/VT Marc Conterato, MD, FACEP Office of the Medical Director NMAS and the HC EMS Council/Minnesota Resuscitation Consortium DISCLOSURE
Checklist 3: Transporting a Patient in Cardiac Arrest
Checklist 3: Transporting a Patient in Cardiac Arrest The procedures surrounding the transport of a patient in cardiac arrest are complex and it is important for Paramedics to understand the impact on
Management of Cardiac Arrest Based on : 2010 American Heart Association Guidelines
Management of Cardiac Arrest Based on : 2010 American Heart Association Guidelines www.circ.ahajournals.org Elham Pishbin. M.D Assistant Professor of Emergency Medicine MUMS C H E S Advanced Life Support
SUMMARY OF MAJOR CHANGES 2010 AHA GUIDELINES FOR CPR & ECC
SUMMARY OF MAJOR CHANGES 2010 AHA GUIDELINES FOR CPR & ECC The following is a summary of the key issues and changes in the AHA 2010 Guidelines for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiac
The 2015 BLS & ACLS Guideline Updates What Does the Future Hold?
The 2015 BLS & ACLS Guideline Updates What Does the Future Hold? Greater Kansas City Chapter Of AACN 2016 Visions Critical Care Conference Nicole Kupchik RN, MN, CCNS, CCRN, PCCN, CMC Independent CNS/Staff
Update on Sudden Cardiac Death and Resuscitation
Update on Sudden Cardiac Death and Resuscitation Ashish R. Panchal, MD, PhD Medical Director Center for Emergency Medical Services Assistant Professor Clinical Department of Emergency Medicine The Ohio
Supplementary Online Content
Supplementary Online Content Hasegawa K, Hiraide A, Chang Y, Brown DFM. Association of prehospital advancied airway management with neurologic outcome and survival in patients with out-of-hospital cardiac
Pediatric Cardiac Arrest General
Date: November 15, 2012 Page 1 of 5 Pediatric Cardiac Arrest General This protocol should be followed for all pediatric cardiac arrests. If an arrest is of a known traumatic origin refer to the Dead on
Regionalization of Post-Cardiac Arrest Care
Regionalization of Post-Cardiac Arrest Care David A. Pearson, MD, FACEP, FAAEM Department of Emergency Medicine Disclosures I have no financial interest, arrangement, or affiliations and no commercial
Cardiac Arrest January 2017 CPR /3/ Day to Survival Propensity Matched
Cardiac Arrest January 217 Corey M. Slovis, M.D. Vanderbilt University Medical Center Metro Nashville Fire Department Nashville International Airport Nashville, TN CPR 217 Used data based on protocol that
CPR Cardio Pulmonary Resuscitation
CPR Cardio Pulmonary Resuscitation CPR = sequence of immediate actions to sustain flow of oxygenated blood unconsciousness and not breathing normally > start CPR! vital functions: Consciousness Breathing
Update on Sudden Cardiac Death and Resuscitation
Update on Sudden Cardiac Death and Resuscitation Ashish R. Panchal, MD, PhD Medical Director Center for Emergency Medical Services Assistant Professor Clinical Department of Emergency Medicine The Ohio
Don t let your patients turn blue! Isn t it about time you used etco 2?
Don t let your patients turn blue! Isn t it about time you used etco 2? American Association of Critical Care Nurses National Teaching Institute Expo Ed 2013 Susan Thibeault MS, CRNA, APRN, CCRN, EMT-P
SYSTEMS BASED APPROACH TO OUT-OF-HOSPITAL CARDIAC ARREST
SYSTEMS BASED APPROACH TO OUT-OF-HOSPITAL CARDIAC ARREST Kenneth A Scheppke, MD Chief Medical Officer Palm Beach County Fire Rescue State EMS Medical Director Florida Department of Health CASE REPORT 42
Michigan Pediatric Cardiac Protocols. Date: November 15, 2012 Page 1 of 1 TABLE OF CONTENTS
Date: November 15, 2012 Page 1 of 1 TABLE OF CONTENTS Pediatric Asystole Section 4-1 Pediatric Bradycardia Section 4-2 Pediatric Cardiac Arrest General Section 4-3 Pediatric Narrow Complex Tachycardia
2015 Interim Training Materials
2015 Interim Training Materials ACLS Manual and ACLS EP Manual Comparison Chart Assessment sequence Manual, Part 2: The Systematic Approach, and Part BLS Changes The HCP should check for response while
Skills: Recall the incidence of seizures Recall the causes of seizures Describe types of seizures List signs and symptoms of seizure patients
Medical 1 Resuscitation Describe the morbidity and mortality associated with sudden cardiac arrest List the chain of survival for sudden cardiac arrest as identified by the American Heart Association Discuss
Supplemental Digital Content 1. Simulation scenarios and critical action checklist for debriefing
Supplemental Digital Content 1. Simulation scenarios and critical action checklist for debriefing Simulation Scenario #1 I. Title (ACS)-VF-Asystole-ROSC II. Target learner 6-7 medical students per team
MICHIGAN. State Protocols. Pediatric Cardiac Table of Contents 6.1 General Pediatric Cardiac Arrest 6.2 Bradycardia 6.
MICHIGAN State Protocols Protocol Number Protocol Name Pediatric Cardiac Table of Contents 6.1 General Pediatric Cardiac Arrest 6.2 Bradycardia 6.3 Tachycardia PEDIATRIC CARDIAC PEDIATRIC CARDIAC ARREST
Introduction To ACLS,1 18 April 2011 INTRODUCTION TO ACLS
Introduction To ACLS,1 INTRODUCTION TO ACLS EPIDEMIOLOGY In Singapore, every year about 2,400 people suffer from an acute myocardial infarction. Of these about 900 die as a result of sudden cardiac arrest,
Michigan Pediatric Cardiac Protocols. Date: November 15, 2012 Page 1 of 1 TABLE OF CONTENTS
Date: November 15, 2012 Page 1 of 1 TABLE OF CONTENTS Pediatric Asystole Section 4-1 Pediatric Bradycardia Section 4-2 Pediatric Cardiac Arrest General Section 4-3 Pediatric Narrow Complex Tachycardia
THE FOLLOWING QUESTIONS RELATE TO THE RESUSCITATION COUNCIL (UK) RESUSCITATION GUIDELINES 2005
THE FOLLOWING QUESTIONS RELATE TO THE RESUSCITATION COUNCIL (UK) RESUSCITATION GUIDELINES 2005 1. The guidelines suggest that in out-of-hospital cardiac arrests, attended but unwitnessed by health care
Regional Approach to Cardiovascular Emergencies Cardiac Arrest Resuscitation System A Regional Approach: Developing Continuity From Scene to CCU
Regional Approach to Cardiovascular Emergencies Cardiac Arrest Resuscitation System A Regional Approach: Developing Continuity From Scene to CCU R. Darrell Nelson, MD, FACEP Emergency Medicine Wake Forest
Helping you save more lives. Philips HeartStart Resuscitation Solutions Leading the way in quality resuscitation
Helping you save more lives Philips HeartStart Resuscitation Solutions Leading the way in quality resuscitation The link between early defibrillation and quality As a worldwide leader in defibrillation
Epinephrine Cardiovascular Emergencies Symposium 2018
Epinephrine Cardiovascular Emergencies Symposium 218 Corey M. Slovis, M.D. Vanderbilt University Medical Center Metro Nashville Fire Department Nashville International Airport Nashville, TN High Quality
The ARREST Trial: Amiodarone for Resuscitation After Out-of-Hospital Cardiac Arrest Due to Ventricular Fibrillation
The ARREST Trial: Amiodarone for Resuscitation After Out-of-Hospital Cardiac Arrest Due to Ventricular Fibrillation Introduction The ARREST (Amiodarone in out-of-hospital Resuscitation of REfractory Sustained
EPIDEMIOLOGY AND TREATMENT OF CARDIOVASCULAR EMERGENCIES IN URBAN VS. REMOTE AREAS
EPIDEMIOLOGY AND TREATMENT OF CARDIOVASCULAR EMERGENCIES IN URBAN VS. REMOTE AREAS Andrea Semplicini Medicina Interna 1 Ospedale SS. Giovanni e Paolo - Venezia Azienda ULSS 12 Veneziana Dipartimento Medicina
But unfortunately, the first sign of cardiovascular disease is often the last. Chest-Compression-Only Resuscitation Gordon A.
THE UNIVERSITY OF ARIZONA Sarver Heart Center 1 THE UNIVERSITY OF ARIZONA Sarver Heart Center 2 But unfortunately, the first sign of cardiovascular disease is often the last 3 4 1 5 6 7 8 2 Risk of Cardiac
AED Therapy for Sudden Cardiac Arrest: Focus on Exercise Facilities
AED Therapy for Sudden Cardiac Arrest: Focus on Exercise Facilities Richard L. Page, M.D. University of Wisconsin School of Medicine and Public Health Disclosures I have no conflict of interest related
Sudden Cardiac Arrest
Sudden Cardiac Arrest Amit Sharma, MD, FACP, FACC Interventional Cardiologist Rockledge Regional Medical Center Assistant Professor of Medicine University of Central Florida Disclosures No relevant financial
All under the division of cardiovascular medicine University of Minnesota
The Team 1) Demetris Yannopoulos M.D. Medical Director, 2) Kim Harkins, Program Manager 3) Lucinda Klann, CARES Data Manager 4) Esther Almeida, Administrative Assistant All under the division of cardiovascular
Advanced Cardiac Life Support (ACLS) Science Update 2015
1 2 3 4 5 6 7 8 9 Advanced Cardiac Life Support (ACLS) Science Update 2015 What s New in ACLS for 2015? Adult CPR CPR remains (Compressions, Airway, Breathing Chest compressions has priority over all other
ADVANCED LIFE SUPPORT
ANSWERS IN ITALICS WITH REFERENCES 1. The guidelines suggest that in out-of-hospital cardiac arrests, attended but unwitnessed by health care professionals equipped with a manual defibrillator, the providers
Aiming for high quality CPR: why it matters and how we can get there. Benjamin S. Abella, MD, MPhil, FACEP
Aiming for high quality CPR: why it matters and how we can get there Benjamin S. Abella, MD, MPhil, FACEP Clinical Research Director Center for Resuscitation Science Department of Emergency Medicine University
WORKSHEET for Evidence-Based Review of Science for Veterinary CPCR
RECOVER 2011 1 of 7 WORKSHEET for Evidence-Based Review of Science for Veterinary CPCR 1. Basic Demographics Worksheet author(s) Kate Hopper Mailing address: Dept Vet Surgical & Radiological Sciences Room
WORKSHEET for Evidence-Based Review of Science for Veterinary CPCR
RECOVER 2011 1 of 6 WORKSHEET for Evidence-Based Review of Science for Veterinary CPCR 1. Basic Demographics Worksheet author(s) James Barr Mailing address: 4474 TAMU Texas A&M University College Station,
Disclosures. Extra-Corporeal Membrane Oxygenation During Cardio- Pulmonary Resuscitation ECPR April 22, 2016 ECG. Case. Case. Case Summary 4/22/2016
Extra-Corporeal Membrane Oxygenation During Cardio- Pulmonary Resuscitation ECPR April 22, 2016 Nothing to disclose. Disclosures Ivan J Chavez MD Case ECG History 60 y/o male No prior history of CAD In
18% Survival from In-Hospital Cardiac Arrest Ways we can do better! National Teaching Institute Denver, CO Class Code: 149 A
18% Survival from In-Hospital Cardiac Arrest Ways we can do better! National Teaching Institute Denver, CO Class Code: 149 A Nicole Kupchik RN, MN, CCNS, CCRN, PCCN Independent CNS/Staff Nurse Objectives
ACLS Prep. Preparation is key to a successful ACLS experience. Please complete the ACLS Pretest and Please complete this ACLS Prep.
November, 2013 ACLS Prep Preparation is key to a successful ACLS experience. Please complete the ACLS Pretest and Please complete this ACLS Prep. ACLS Prep Preparation is key to a successful ACLS experience.
Answer: It s ALL Hot!
Answer: It s ALL Hot! What s Hot in Resuscitation? Ben Bobrow, MD FACEP Chair BLS Subcommittee Associate Professor Maricopa Medical Center Emergency Medicine Department System measurement Bystander Dispatch-assisted
MORE HEARTBEAT THAN A. Enhanced CPR. Better neurologic outcomes. Steve Dunn, Ph.D., Professor, University of Wisconsin Oshkosh
MORE THAN A HEARTBEAT Enhanced CPR. Better neurologic outcomes. Steve Dunn, Ph.D., Professor, University of Wisconsin Oshkosh Thanks to the ResQPOD and a dedicated EMS team, Steve survived sudden cardiac
Consider Treatable Underlying Causes Early
Page 1 of 8 Cardiac Arrest Timeout Checklist Assign roles for Pit Crew CPR o Compressors x 2 o Airway o Lead responsible for coordinating team, making decisions o Medications Continuous compressions at
1 Pediatric Advanced Life Support Science Update What s New for 2010? 3 CPR. 4 4 Steps of BLS Survey 5 CPR 6 CPR.
1 Pediatric Advanced Life Support Science Update 2010 2 What s New for 2010? 3 CPR Take no longer than seconds for pulse check Rate at least on per minute (instead of around 100 per minute ) Depth change:
Portage County EMS Patient Care Guidelines. Cardiac Arrest
Portage County EMS Patient Care Guidelines Cardiac Arrest Note: These guidelines are based on (or adapted from) the current American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency
DSED: Is It Real? Brent Myers, MD MPH FACEP CMO and EVP of Medical Operations, Evolution Health Associate CMO, American Medical Response
DSED: Is It Real? Brent Myers, MD MPH FACEP CMO and EVP of Medical Operations, Evolution Health Associate CMO, American Medical Response However beautiful the strategy, you should occasionally look at
Cardiopulmonary Resuscitation in Adults
Cardiopulmonary Resuscitation in Adults Fatma Özdemir, MD Emergency Deparment of Uludag University Faculty of Medicine OVERVIEW Introduction Pathophysiology BLS algorithm ALS algorithm Post resuscitation
Manual Defibrillation. CPR AGE: 18 years LOA: Altered HR: N/A RR: N/A SBP: N/A Other: N/A
ROC AMIODARONE, LIDOCAINE OR PLACEBO FOR OUT OF HOSPITAL CARDIAC ARREST DUE TO VENTRICULAR FIBRILLATION OR TACHYCARDIA (ALPS) STUDY: MEDICAL CARDIAC ARREST MEDICAL DIRECTIVE An Advanced Care Paramedic
Cardiac Arrest Registry Database Office of the Medical Director
Cardiac Arrest Registry Database 2010 Office of the Medical Director 1 Monthly Statistical Summary Cardiac Arrest, September 2010 Western Western Description Division Division % Totals Eastern Division
Out-Of-Hospital Management and Outcomes of Sudden Cardiac Death Abdelouahab BELLOU, MD, PhD
Out-Of-Hospital Management and Outcomes of Sudden Cardiac Death Abdelouahab BELLOU, MD, PhD Professor of Internal Medicine, Emergency Medicine, Therapeutics. Past President of the European Society for
Cardiac Arrest Registry Database Office of the Medical Director
Cardiac Arrest Registry Database 2010 Office of the Medical Director 1 Monthly Statistical Summary Cardiac Arrest, December 2010 Western Western Description Division Division % Totals Eastern Division
CARDIAC ARREST RESEARCH STUDIES. Frequently Asked Questions. Why are these studies being conducted in Milwaukee County?
CARDIAC ARREST RESEARCH STUDIES Frequently Asked Questions Why are these studies being conducted in Milwaukee County? For the past 20-30 years, Milwaukee County Emergency Medical Services (EMS) System
CENTRAL CALIFORNIA EMERGENCY MEDICAL SERVICES A Division of the Fresno County Department of Public Health
CENTRAL CALIFORNIA EMERGENCY MEDICAL SERVICES A Division of the Fresno County Department of Public Health Manual Subject Emergency Medical Services Administrative Policies and Procedures Table of Contents
The ALS Algorithm and Post Resuscitation Care
The ALS Algorithm and Post Resuscitation Care CET - Ballarat Health Services Valid from 1 st July 2018 to 30 th June 2020 2 Defibrillation Produces simultaneous mass depolarisation of myocardial cells
Department of Paediatrics Clinical Guideline. Advanced Paediatric Life Support. Sequence of actions. 1. Establish basic life support
Advanced Paediatric Life Support Sequence of actions 1. Establish basic life support 2. Oxygenate, ventilate, and start chest compression: - Provide positive-pressure ventilation with high-concentration
2015 AHA Guidelines: Pediatric Updates
2015 AHA Guidelines: Pediatric Updates Advances in Pediatric Emergency Medicine December 9, 2016 Karen O Connell, MD, MEd Associate Professor of Pediatrics and Emergency Medicine Emergency Medicine and
What works? What doesn t? What s new? Terry M. Foster, RN
What works? What doesn t? What s new? Terry M. Foster, RN 2016 Changes Updated every 5 years Last update was 2010 All recommendations have been heavily researched with studies involving large number of
San Benito County EMS Agency Section 700: Patient Care Procedures
Purpose: To outline the steps EMTs & paramedics will take to manage possible life threats in any child or adult patient they encounter. This policy is in effect for all treatment protocols & is to be referred
Simulation 15: 51 Year-Old Woman Undergoing Resuscitation
Simulation 15: 51 Year-Old Woman Undergoing Resuscitation Flow Chart Flow Chart Opening Scenario Section 1 Type: DM Arrive after 5-6 min in-progress resuscitation 51 YO female; no pulse or BP, just received
OTHER FEATURES SMART CPR
SMART CPR Philips has augmented the HeartStart AED s well proven patient analysis logic with SMART CPR, a feature that provides a tool for Medical Directors and Administrators to implement existing or
Bone Voyage Administrating ALS Medications via the Intra- Osseous Route. Jon Jui MD, MPH
Bone Voyage Administrating ALS Medications via the Intra- Osseous Route Jon Jui MD, MPH Do ALS Medications lead to Improved Survival in Out of Hospital Cardiac Arrest? Intravenous drug administration during
Portage County EMS Annual Skills Labs
Portage County EMS Annual Skills Labs Scope: Provide skills labs for all Emergency Medical Responders and First Response EMTs to assure proficiency of skills and satisfy the Wisconsin State approved Operational
Scene Safety First always first, your safety is above everything else, hands only CPR (use pocket
BLS BASICS: Scene Safety First always first, your safety is above everything else, hands only CPR (use pocket facemask or AMBU bag) Adults call it in, start CPR, get AED Child CPR First, Phone call second
Johnson County Emergency Medical Services Page 23
Non-resuscitation Situations: Resuscitation should not be initiated in the following situations: Prolonged arrest as evidenced by lividity in dependent parts, rigor mortis, tissue decomposition, or generalized
HIGH QUALITY CPR: IS IT TIME FOR MECHANICAL ASSISTANCE?
HIGH QUALITY CPR: IS IT TIME FOR MECHANICAL ASSISTANCE? EMERGENCY NURSES ASSOCIATION - 2018 Nicole Kupchik MN, RN, CCNS, CCRN-K, PCCN-CMC Objectives Discuss issues with CPR performance in hospitals Describe
Out-of-Hospital Cardiac Arrest In North Carolina. Christopher Granger, M.D. Director, Duke CCU
Out-of-Hospital Cardiac Arrest In North Carolina Christopher Granger, M.D. Director, Duke CCU Disclosure Research contracts: AstraZeneca, Novartis, GSK, Sanofi-Aventis, BMS, The Medicines Company, Astellas,
Strengthening the Chain of Survival in Sudden Cardiac Arrest
Strengthening the Chain of Survival in Sudden Cardiac Arrest Katie Talk CCEMTP AHA Faculty/ Instructor for ACLS, BLS & PALS Clinical Educator for ACSI Employed by Advanced Circulatory Systems, Inc. (manufacture
Out-of-hospital Cardiac Arrest. Franz R. Eberli MD, FESC, FAHA Cardiology Triemli Hospital Zurich, Switzerland
Out-of-hospital Cardiac Arrest Franz R. Eberli MD, FESC, FAHA Cardiology Triemli Hospital Zurich, Switzerland Conflict of Interest I have no conflict of interest to disclose regarding this presentation.
Developments in Cardiopulmonary Resuscitation Guidelines
Developments in Cardiopulmonary Resuscitation Guidelines Bernd W. Böttiger Seite 1 To preserve human life by making high quality resuscitation available to all Outcome after CPR in Germany ROSC ( Return
June 2011 Bill Streett-Training Section Chief
Capnography 102 June 2011 Bill Streett-Training Section Chief Terminology Capnography: the measurement and numerical display of end-tidal CO2 concentration, at the patient s airway, during a respiratory
POTENTIAL UTILITY OF NEAR-INFRARED SPECTROSCOPY IN OUT-OF-HOSPITAL CARDIAC ARREST: AN ILLUSTRATIVE CASE SERIES
POTENTIAL UTILITY OF NEAR-INFRARED SPECTROSCOPY IN OUT-OF-HOSPITAL CARDIAC ARREST: AN ILLUSTRATIVE CASE SERIES Adam Frisch, MD, Brian P. Suffoletto, MD, MS, Rachel Frank, EMT, Christian Martin-Gill, MD,
ILCOR Evidence Review
ILCOR Evidence Review Task Force BLS 19-Apr-13 Question Status Pending Evidence Collection Short Title Dispatch CPR instructions PICO Question Evidence Reviewers ;#34;#Christian Vaillancourt;#177;#Manya
Any man s death diminishes me, because I am involved in mankind. - John Donne
Any man s death diminishes me, because I am involved in mankind - John Donne Cardiac Arrest in 2011 Where are we? Or where should we be? Michael W. Dailey, MD FACEP Associate Professor of Emergency Medicine
New Therapeutic Hypothermia Techniques
New Therapeutic Hypothermia Techniques Joseph P. Ornato, MD, FACP, FACC, FACEP Professor & Chairman, Emergency Medicine Virginia Commonwealth University Health System Richmond, VA Medical Director Richmond
Disclosures. Overview. Cardiopulmonary Arrest: Quality Measures 5/29/2014. In-Hospital Cardiac Arrest: Measuring Effectiveness and Improving Outcomes
Disclosures In-Hospital Cardiac Arrest: Measuring Effectiveness and Improving Outcomes Research support from UCOP CHQI award J. Matthew Aldrich, MD Anesthesia & Critical Care UCSF Overview Epidemiology
Therapeutic hypothermia
INDUCED HYPOTHERMIA Dr. Attilla Kiss M.D. Acting Medical Director Emergency Services EMS Medical Director St. John Medical Center OBJECTIVES Define and explain Induced Hypothermia Discuss both pre-hospital
Adult Advanced Cardiovascular Life Support 2015 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular
Adult Advanced Cardiovascular Life Support 2015 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care 1 DR. Alireza Abootalebi Assistant Professor Of
Minnesota Resuscitation Consortium
Minnesota Resuscitation Consortium Dedicated to reducing deaths due to cardiac arrest in all of Minnesota How will we benchmark our success? What means will we pursue to reach this goal? American Heart
INSIGHTS AND BEST PRACTICES FOR EMS AGENCIES
2018 ESO EMS INDEX: INSIGHTS AND BEST PRACTICES FOR EMS AGENCIES AUTHORS DR. BRENT MYERS, CHIEF MEDICAL OFFICER, ESO ALLEN JOHNSON, VICE PRESIDENT FOR HEALTH DATA EXCHANGE, ESO CONTEXT AND OVERVIEW FOR
Victorian Ambulance Cardiac Arrest Registry (VACAR)
Victorian Ambulance Cardiac Arrest Registry (VACAR) Dr Karen Smith (PhD) VACAR Chair Manager Research and Evaluation Ambulance Victoria Smith K, Bray J, Barnes V, Lodder M, Cameron P, Bernard S and Currell
Routine Patient Care Guidelines - Adult
Routine Patient Care Guidelines - Adult All levels of provider will complete an initial & focused assessment on every patient, and as standing order, use necessary and appropriate skills and procedures
ACLS. Advanced Cardiac Life Support Practice Test Questions. 1. The following is included in the ACLS Survey?
1. The following is included in the ACLS Survey? a. Airway, Breathing, Circulation, Differential Diagnosis b. Airway, Breathing, Circulation, Defibrillation c. Assessment, Breathing, Circulation, Defibrillation
Future of Cardiac Arrest Management for Paramedics
Future of Cardiac Arrest Management for Paramedics EMS TODAY 2013 Mark Whitbread Consultant Paramedic London Ambulance Service London Ambulance Service NHS Trust 620 sq miles 8.2 million population 2011/12
CPR Guidelines - Update
CPR Guidelines - Update This Guidelines Highlights publication summarizes the key issues and changes in the 2010 American Heart Association (AHA) Guidelines for Cardiopulmonary Resuscitation (CPR) and
Resuscitation Guidelines update. Dr. Luis García-Castrillo Riesgo EuSEM Vice president
Resuscitation Guidelines update Dr. Luis García-Castrillo Riesgo EuSEM Vice president There are no COIs to disclose in this presentation. CPR Mile Stones 1958 -William Kouwenhoven, cardiac massage. 1967
Incorporating Waveform Capnography into Resuscitation Practice: Why & How!
Incorporating Waveform Capnography into Resuscitation Practice: Why & How! NTI 2014 CLASS CODE: 150 NICOLE KUPCHIK RN, MN, CCRN, CCNS INDEPENDENT CLINICAL NURSE SPECIALIST STAFF NURSE, SWEDISH MEDICAL
Improving Outcome from In-Hospital Cardiac Arrest
Improving Outcome from In-Hospital Cardiac Arrest National Teaching Institute San Diego, CA Nicole Kupchik RN, MN, CCNS, CCRN, PCCN, CMC Independent CNS/Staff Nurse Objectives 1. Discuss the AHA in-hospital
HigHligHts of the 2018 Focused In 2015 Updates to the American Heart Association Guidelines for CPR and ECC: Advanced Cardiovascular Life
Highlights of the 2018 Focused Updates to the American Heart Association Guidelines for CPR and ECC: Advanced Cardiovascular Life Support and Pediatric Advanced Life Support - Heart and Stroke Foundation
Out-of-Hospital Cardiac Arrest In North Carolina. James G. Jollis, MD, FACC Co-Medical Director Regional Approach to Cardiovascular Emergencies
Out-of-Hospital Cardiac Arrest In North Carolina James G. Jollis, MD, FACC Co-Medical Director Regional Approach to Cardiovascular Emergencies Disclosure Research funding from Medtronic Foundation, Medicines
Chain of Survival. Highlights of 2010 American Heart Guidelines CPR
Highlights of 2010 American Heart Guidelines CPR Compressions rate of at least 100/min. allow for complete chest recoil Adult CPR depth of at least 2 inches Child/Infant CPR depth of 1/3 anterior/posterior
Advanced Resuscitation - Child
C02C Resuscitation 2017-03-23 1 up to 10 years Office of the Medical Director Advanced Resuscitation - Child Intermediate Advanced Critical From PRIMARY ASSESSMENT Known or suspected hypothermia Algorithm
Advanced Life Support
Standard Operating Procedure 2.1 Advanced Life Support Position Responsible: Head of Operations CGC Approved: October 2017 Related Documents Further Information 1.0 Background Magpas Resuscitation Policy
Pediatric Advanced Life Support Essentials
chapter 14 Pediatric Advanced Life Support Essentials Sharon E. Mace, MD, FACEP, FAAP 1Discuss the new developments in resuscitation science. Review new 2010 2 American Heart Association Guidelines for
Advanced Resuscitation - Adult
C02A Resuscitation 2017-03-23 17 years & older Office of the Medical Director Advanced Resuscitation - Adult Intermediate Advanced Critical From PRIMARY ASSESSMENT Known or suspected hypothermia Algorithm