HIGH PERFORMANCE CPRHIGH PERFORMANCE CPR2014

KEEP IN MIND…….KEEP IN MIND…….

GOOD SHOULD NEVER BE GOOD SHOULD NEVER BE GOOD ENOUGHGOOD ENOUGH

Mantra #1Mantra #1

EVERYONE SURVIVESEVERYONE SURVIVESEveryone in VF that isEveryone in VF that is

Mantra #2Mantra #2

IT’S NOT COMPLICATEDIT’S NOT COMPLICATEDBut it’s NOT EASYBut it’s NOT EASY

Mantra #3Mantra #3

PERFORMANCE, PERFORMANCE, NOT PROTOCOLNOT PROTOCOL

Mantra #4Mantra #4

IF YOU’VE SEEN ONE EMS IF YOU’VE SEEN ONE EMS AGENCY…….AGENCY…….

You’ve seen ONE EMS agency.You’ve seen ONE EMS agency.Mantra #5Mantra #5

IT TAKES A “SYSTEM”IT TAKES A “SYSTEM”To save a victimTo save a victim

Mantra #6Mantra #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 hands off time

• KNOW YOUR MACHINE!

Minimizing Interruptions

• Finding ways to shave off SECONDS

• Better communication

• Better teamwork

• More consistency

• Early ALS

Macro-resuscitation

Integration of ALS

Paramedic Integration

• BLS Owns CPR

• Proper timing of placing the manual defibrillator

• Proper timing of advanced airway placement

• Minimize Interruptions