Improving CPR Field Performance

1. Paris Hotel and Casino  Las Vegas, Nevada Improving CPR Field Performance Presented by: J. Travis Carricato Division Chief, Columbia (SC) Fire Dept.

2. Presenter Disclosure Information J. Travis Carricato; Division Chief, Columbia Fire Department Improving CPR Field Performance FINANCIAL DISCLOSURE: • Philips Healthcare and Zoll Medical/ Authorized AED Sub-distributor • Owner of E-Med Training Services – EC training provider • National Safety Council Contract Instructor-Trainer UNLABELED/UNAPPROVED USES DISCLOSURE: • No relevant financial relationship(s) exist

3. Is your CPR good? Or Great. . . This interactive class will focus on systematically improving CPR performance one responder at a time. CPR is a skill that must be practiced to maintain proficiency. Does your CPR meet or exceed the 2010 AHA guidelines? Today we will focus on improvements that can be made to your response SCA incidents. After all, you can’t improve what you don’t measure.

4. Surviving by Chance? Responding to Sudden Cardiac Arrests (SCA) should not be seen as a lost cause. Communities with high SCA survival rates employ many similar techniques, not leaving anything to chance (King County Washington / Seattle >62%*).

6. Why Improve Performance? • Research showing connections between CPR quality and better patient outcomes • Many healthcare professionals unaware that CPR is poor • AHA 2010 Guidelines increased focus on chest compressions

7. An Issue of Awareness • Practitioners’ perceptions of their own skills are misaligned with reality, yet only 15% reported using real-time feedback technology to monitor CPR performance. • 76% of healthcare professionals would participate in additional training, but less than half of organizations offer training beyond requirements. Source: Multi-national Attitudinal Survey Among Healthcare Professionals Concerning CPR, presented concurrently with the American Heart Association’s 2009 Annual Meeting, Orlando, Fla.

8. BLS CPR “Experts”? • Research has shown that performing chest compressions at the proper rate and depth is a key determinant of survival from cardiac arrest. • Compression rates and depth have been shown to be inconsistent and often don’t comply with published recommendations, even when performed by well-trained personnel.

9. CPR Training and Feedback • Numerous studies have shown that increased training and CPR assistance/feedback devices can greatly improve CPR skill and performance • Metronome-type devices flash, click, or beep to guide rescuers to the right rate • Newer, more advanced devices offer real-time feedback on depth, rate, and recoil

11. CPR Improvement Take-aways • Improve Effectiveness of CPR Compressions • Chest Compression Fraction >80% • Reduce Hyperventilation • Minimize Delays in Defibrillation • Script Team CPR Responses / Pit Crew CPR • Monitor CPR performance • Coordinated Resuscitation teams

12. CPR Improvement Take-aways

13. Thank You!