resuscitation science update 2014
TRANSCRIPT
-
8/10/2019 Resuscitation Science Update 2014
1/12
Resuscitation Best Practices
Dana Yost, Senior ParamedicRedmond Fire Department
Medic One Division
King County, WA
AHA National Faculty
-
8/10/2019 Resuscitation Science Update 2014
2/12
Disclosures and Biases
AHA National & Regional Faculty
Paid consultant on resuscitation and post event analytics
Resurgent Biomedical Consulting LLC
Published papers on Resuscitation and Mechanical CPR
19 years as a Paramedic in King County
Involved in Resuscitation Outcome Consortium Studies (ROC)
-
8/10/2019 Resuscitation Science Update 2014
3/12
More than 900 people per day
Courtesy of Robert Niskanen
Sudden Cardiac Arrest
-
8/10/2019 Resuscitation Science Update 2014
4/12
Fewer than 5 percent survive
Sudden Cardiac Arrest
-
8/10/2019 Resuscitation Science Update 2014
5/12
>20 percent survival
The Goal
-
8/10/2019 Resuscitation Science Update 2014
6/12
How do we get
there?
-
8/10/2019 Resuscitation Science Update 2014
7/12
Start End4050%
KramerJohansenResuscitation 2006
Chest Compression Fraction?
90%70%
-
8/10/2019 Resuscitation Science Update 2014
8/12
Kern (2002) Circulation
Coronary Perfusion Pressures
-
8/10/2019 Resuscitation Science Update 2014
9/12
Ventricular Fibrillation
Steen, S 2003
RightVentricle
Left
Ventricle
Septum
-
8/10/2019 Resuscitation Science Update 2014
10/12
2012 Resuscitation Science Symposium
Session Title: Session IV: Best Original Resuscitation Science Poster Session
Abstract 87: Duration of Longest Chest Compression Interruption Predicts Poor
Cardiac Arrest Survival Independent of Chest Compression Fraction
Tom F Brouwer1; Robert G Walker2; Fred W Chapman2; Rudolph W Koster3
2 minute CPR Period Pre Shock Period
19 sec
Yost et al Resuscitation 2012
Resusci ta t ion
-
8/10/2019 Resuscitation Science Update 2014
11/12
-
8/10/2019 Resuscitation Science Update 2014
12/12
Pauses are badso work to minimize them
Single longest pause can effect survivability
Unwitnessed collapse should get some compressions
Push Hard & Fastbut not to fast. Use a metronome
Summary of Science