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HIGH PERFORMANCE CPR

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…….

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HIGH PERFORMANCE CPR

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  1. HIGH PERFORMANCE CPR • 2014

  2. KEEP IN MIND…….

  3. GOOD SHOULD NEVER BE GOOD ENOUGH • Mantra #1

  4. EVERYONE SURVIVES • Everyone in VF that is • Mantra #2

  5. IT’S NOT COMPLICATED • But it’s NOT EASY • Mantra #3

  6. PERFORMANCE, NOT PROTOCOL • Mantra #4

  7. IF YOU’VE SEEN ONE EMS AGENCY……. • You’ve seen ONE EMS agency. • Mantra #5

  8. IT TAKES A “SYSTEM” • To save a victim • Mantra #6

  9. 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)

  10. Micro-resuscitation • Ensuring • High Performance CPR

  11. 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

  12. Improving Ventilation • Avoid Hyperventilation • Volume control (300-400 ml breaths) • Pinky Pose • Better coordination with compressor • 13-14-15 compressor count

  13. Defibrillation • Improved safety and communication • Ensure use of hand signals • Decreased hands off time • KNOW YOUR MACHINE!

  14. Minimizing Interruptions • Finding ways to shave off SECONDS • Better communication • Better teamwork • More consistency • Early ALS

  15. Macro-resuscitation • Integration of • ALS

  16. Paramedic Integration • BLS Owns CPR • Proper timing of placing the manual defibrillator • Proper timing of advanced airway placement • Minimize Interruptions

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