Fall 2007 CME.pptVIP

Fall 2007 CME Presented by: SOCPC TOPICS Presentations: Witnessed cardiac arrest – the importance of rapid defibrillation Atypical chest pain presentations and ASA administration Airway Management of the Burned Patient Stations: CVAD access, new IV tubing, safety syringe and D50W administration for Level II Cardiac Arrest Pediatric case presentations Post Knowledge Assessment Tool Toronto Cardiac Arrest Stats To Shock or Not to Shock Cardiac Arrest 3 Phases Phase One: Electrical from onset to 4 minutes Phase Two: Circulatory from 4 minutes to about 10 minutes Phase Three: Metabolic about 10 minutes after onset of arrest Phase One: Electrical From onset of arrest to about 4 minutes after arrest Defibrillation has the greatest effect during this phase Includes all Paramedic witnessed arrest patients AED’s in casinos have a better then 70% success rate Phase One: Electrical Studies show a 10% drop in survival rate with each minute that defibrillation is delayed In Paramedic witnessed arrest rapid defibrillation has a very high conversion rate Phase Two: Circulatory Patient has been in VF for at least 4 minutes Many patients who are shocked in this phase prior to any CPR tend to go into a refractory asystole Performance of CPR prior to shocking these patients drastically improves their chances of survival Phase Three: Metabolic In this phase patients need medications and other techniques to resuscitate them Survival is generally poor 10 minutes post arrest Induction of hypothermia in this phase may exhibit some improvement in survival rates Paramedic Witnessed VF Arrest In a Paramedic witnessed VF arrest the best chance for the patient to survive is to shock right away The longer the delay the lower the survival rate Some patients who are shocked without delay are conscious within a short time after arrest Unwitnessed Cardiac Arrest Any patient who is in cardiac arrest prior to paramedic arrival will have some CPR performed prior to defibrillation CPR prior to