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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……. - PowerPoint PPT Presentation
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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