WHERE You Live Shouldnâ€™t Determine IF You Live: EMS Strategies for Improving...
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- 1.Where You Live Shouldnt DetermineIf You Live:EMS Strategies for Cardiac Arrest SurvivalMonday May 21st 1 pm EDT 1
2. Rod Kimble EMT-P Sr. Account Manager CPR & ECC Programs 23 yrs in Fire Service and EMS Flight Paramedic - HealthNet Aeromedical Services, Morgantown, WV Passion in curriculum development and systems of care improvement. 3. David Hiltz, NREMT-P 14 years as Account Manager for CPR & ECC Programs Special interest in emergency medicine and resuscitation Implementation of AHA initiatives such as Operation Heartbeat and Operation Stroke. 4. 4 5. You Will Learn Strategies for increasing survival rates for out-of-hospital cardiac arrest AHA programs and products for use by theEmergency Medical Services community Development of localized action plan toimprove outcomes 6. Survival Not Optimized 7. Poll QuestionIs the EMS Community best suited for ownershipof localized efforts to improve the systemof care and outcomes for Out-of-Hospital CardiacArrest? 8. Approach to Improving Outcomes Many Systems Ideal System No DataData Collected No PlanQuality ImprovementPlan Fragmented Efforts Holistic Approach PartiallyFully Implemented ImplementedGuidelines Guidelines 9. A Systems Approach 9 10. IssuesCPR Component Challenges to Improving QualityRecognition Failure to recognize gasping as sign,unreliable Pulse DetectionInitiation of CPR Low Bystander CPR response Rate,Incorrect Dispatch instructionsCompression RateSlow compression RateCompression Depth Shallow compression DepthChest Wall Recoil Rescuer Leaning on Chest10 11. Issues (contd)CPR Component Challenges to Improving QualityCompression Interruptions Excessive interruptions for pulse check, Ventilations,defibrillation, intubation, IV access, otherVentilationsIneffective ventilations, prolonged interruptions incompressions , excessive ventilations (especially withairway)DefibrillationProlonged time to defibrillator avail, prolongedinterruptions in chest compressions pre- and postshocksTeam PerformanceDelayed rotation, leading to rescuer fatigue and decayin compression quality, poor communication amongrescuers leading to unnecessary interruptions incompressions 11 12. Guideline Implementation 13. Guideline Implementation IMPROVED SURVIVAL 14. Tale of Two Communities14 15. Tools and ResourcesHeart.org/cprguidelines 16. Call to Action Emergency Medical Services should developlocalized plans to optimize survival. These plans will be based on data and address individuallinks in the chain of survival, as well as all the links together. 17. Link 1: Immediate Recognition andActivation Failure to recognize gasping Unreliable pulse detection Delayed 9-1-1 activation 18. Tools and Resources>>insert banner fromhttp://www.heart.org/HEARTORG/News/PublicServiceAnnouncements/Public-Service-Announcements_UCM_312002_SubHomePage.jsp#