Grays Harbor amp North Pacific County Version September 2015 Basic Mechanics of CPR Focus on High Quality CPR gt 2 Compression Depth Full chest Recoil at least 100 compressions per minute ID: 468018
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Slide1
Continuous CPR
Grays Harbor & North Pacific County
Version
:
September
2015Slide2
Basic Mechanics of CPR
Focus on High Quality CPR:
> 2” Compression Depth
Full chest Recoil
at least 100 compressions per minute
Minimize interruptions - <10 seconds
A
t least three rescuers would be idealSlide3
Steps of Continuous CPR
BSI/ Scene Safety – locate the patient to a workable area
Evaluate the need for CPR
- Assess Unresponsiveness
- Assess Carotid Pulse for approximately 10 seconds
- Assess
Respirations:
Absent/Agonal/Gasping
Note: the provider can assesses respirations while assessing carotid pulse, the provider does not perform a manual airway and “look listen feel” is eliminated from the steps
Slide4
Steps of Continuous CPR
3. Rule outs – No advanced directives or obvious signs of death
4. Defibrillator/AED – place defibrillator at the feet, turn on machine and
apply patches to patient
Note: Its important to turn the defibrillator on immediately to capture the time stamp when compressions have been initiated, however, do not delay compressions to apply patches these steps can be completed simultaneously
Slide5
Steps of Continuous CPR
5. Continuous Chest Compressions (CCC)6. Interposed Ventilations - 10 compression to 1 Ventilation ratio
Note: The compressor does not hesitate for ventilations. Compressions continue at a rate 100/min and ventilations at 1 breath every 10 compressionsSlide6
Steps of Continuous CPR
7. Compressor Calls Out “180” to ready other providers
8. Compressor Calls Out
“190”
– at this point another provider will
“CHARGE”
or press the
“ANALYZE”
button on the LP/AED
Note: The compressions continue while the unit is charging or analyzingSlide7
Steps for continuous cpr
9. Compressor Calls Out “200”
Unit charged
Analyze underlying rhythm
Deliver shock if indicated or “dump” charge in not indicated
Switch positions
Immediately resume compressions after each shockSlide8
ALS Considerations
Focus on high quality CPR – BLS “owns the code”IV Administration:
1 minute to find IV route
No access after 1 minute move to EZ IO
Advanced Airway
Delay of ETT placement for 4-6 minutes
Continue with compressions while ETT is placed if possibleSlide9
Consideration for termination of Efforts
Termination of efforts may be considered after the patient has been effectively ventilated with ET tube, two rounds of ACLS pharmacology has been given and Medical Control has given approval.
Document appropriatelySlide10
Summary
Focus on High Quality CPR:
> 2” Compression Depth
Full chest Recoil – no “camping” on the chest
at least 100 compressions per minute
Minimize interruptions - < 10 seconds
Resume Chest compressions Immediately after each Shock
BLS “owns the code”
Consider termination of efforts