highperformancecpr.ppt

Metronome gives immediate feedback Pulse monitor allows you to have CPR feedback, and you also are able to feel if the pulse stops when compressions stop very easily, so if “no shock advised” you know if you are dealing with a pulseless patient or not. Good CPR form helps keep compressors from “leaning” on the chest. Clear - Hover - GO! Compressions during charge sequence? Early ALS allows for a quicker transition to a manual defibrillator/monitor, allowing for less hands off time and an increased CPR fraction. AED’s have limitations. If the AED is in the analyze mode, leave it until the shock is delivered. Otherwise, replace it with a manual defibrillator immediately. Advanced airway placement at the beginning of the 2 minute interval Considering alternative airway options if unable to place ETT without interruption to compressions, or if resource allocation does not allow ETT placement. Placement of IV/IO access prior to placement of ETT? HIGH PERFORMANCE CPR 2014 KEEP IN MIND……. GOOD SHOULD NEVER BE GOOD ENOUGH Mantra #1 EVERYONE SURVIVES Everyone in VF that is Mantra #2 IT’S NOT COMPLICATED But it’s NOT EASY Mantra #3 PERFORMANCE, NOT PROTOCOL Mantra #4 IF YOU’VE SEEN ONE EMS AGENCY……. You’ve seen ONE EMS agency. Mantra #5 IT TAKES A “SYSTEM” To save a victim Mantra #6 Training Focus CPR Fraction 95% Coordination of 2 minute intervals with an ALS Manual Defibrillator Airway management’s proper place in resuscitation Adequate ventilation (avoid hyperventilation) Micro-resuscitation Ensuring High Performance CPR Improving Compressions Increased rate: at least 110/min Use of a metronome Ensuring full compression Using a pulse monitor in the “waiting” position Ensuring full recoil (decompression) Focus on good CPR form Improving Ventilation Avoid Hyperventilation Volume control (300-400 ml breaths) Pinky Pose Better coordination with compressor 13-14-15 compressor count Defibrillation Improved safety and communication Ensure use of hand signals Decreased han