Saving lives in the Chain of Survival When someone has a sudden cardiac arrest SCA what ultimately saves their life When someone has a sudden cardiac arrest SCA Calling the ambulance or emergency assistance ID: 928345
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Slide1
HeartSine samaritan PAD 500P
...Saving lives in the Chain of Survival
Slide2When someone has a sudden cardiac arrest (SCA)
what ultimately saves their life?
Slide3When someone has a sudden cardiac arrest (SCA
)
Calling the ambulance or emergency assistance?
Using an AED
?
CPR
?
Paramedics or hospital care?
Slide4HeartSine is
in the business of
saving lives
In the event of as SCA, what saves a life is ultimately a
combination
of
steps
that all must executed in order to maximise patient survival
This is universally known as
The Chain of Survival
Slide5Early
recognition and
activation
of the emergency response system
Early
and
effective
CPR with a focus on chest compressions
Early
and
rapid
defibrillation
Effective advanced post-cardiac arrest care
Slide6Chain of Survival
Any one break
in the chain drastically reduces the chance of survival and recovery from SCA…
The
HeartSine samaritan
®
PAD
500P
directly focuses on the first 3 links in the chain of survival
Slide7When a shock is not enough…
What happens if you have an AED and the patient has a non-shockable rhythm ?
Pulseless Electrical Activity (PEA) or asystole or a non-shockable rhythm?
CPR is the most important treatment they can be given
It is a key link in the Chain of Survival
Slide8DON’T NEED TREATMENT
TREATABLE WITH AED (and CPR)
TREATABLE WITH CPR
95%
Slide9The importance of CPR
If a patient requires CPR the
QUALITY
of the CPR they receive is directly related to the
patient outcome
What does Effective CPR do?
Prevents re-fibrillation (if a shock is successful)
Maintains a shockable rhythm – increases the number of shocks
Neurological outcome – helps prevent brain damage
Limits cardiac and vital organ damage
QUALITY CPR significantly increases the chance of survival
when a shock alone is not enough
Slide10Effective CPR
What
are the components of good CPR?
Hand position
Compression rate
Compression
depth
Minimising CPR “hand-off” (CPR fraction)
Ventilation's
Chest
recoil
Improvements in
any one of these improves the effectiveness of CPR
BUT……..
The
more
components you improve – the effect is
multiplied
Slide11CPR Advisor – helps maximise CPR
What
are the components of good CPR?
Hand
position
Compression rate
Compression
depth
Minimising CPR “hand-off” (CPR fraction)
Ventilation's
Chest
recoil
SAM 500P
CPR Advisor
How does CPR Advisor do this for each?
Slide12CPR Advisor – improving CPR
fraction -
minimising hands off time
No CPR being detected
CPR detected after voice prompt
Begin CPR!
ICG waveform
Slide13CPR Advisor – improving Compression
D
epth
Poor CPR force detected
“Good CPR” after voice prompt
Push Harder!
Slide14CPR Advisor – improving Compression Rate
Poor CPR rate detected
“Good CPR” after voice prompt
Push Faster!
Slide15So why
is CPR Advisor
better than
other CPR measurement systems
?
No additional sensors required
– detect all the CPR parameters through the attached electrodes
Accelerometers are uncomfortable
for the user
Loss of tactile response – it feels un-natural
Gives feedback on
both force and rate
Does not rely on a
fixed depth
like and accelerometer or force
tranducer
- does not take into account the size and shape of the patient
It
requires a much greater physical
effort for the rescuer
to perform CPR with
an accelerometer
Slide16Accelerometers have been shown to cause soft tissue damage!
1.
Cho
,
Resuscitation
;
80 (2009)
Skin and
soft tissue damage caused by use of
feedback-sensor during
chest
compressions
Slide17SAM 500P with CPR Advisor vs
Zoll
AED Plus
SAM 500P
Zoll
AED Plus
1.1 Kg
3.1 Kg
No Accelerometer
Accelerometer required
“Push Harder”
“Push Harder”
“Push Slower”
No
“Push Faster”
No
“Good Compressions”
“Good Compressions”
8 seconds time to
first shock
30 seconds time to first shock
IP56
IP55
Slide18SAM 500P with CPR Advisor vs
Cardiac Sciences
PowerHeart
G5
SAM 500P
Cardiac Sciences G5
1.1 Kg
2.6 Kg
No Accelerometer
Accelerometer required
Not required
Additional voice
prompts on where to place CPR sensor
“Push Harder”
“Push Harder”
“Push Slower”
No – just says “Press,
Press
“Push Faster”
No – just says “Press,
Press
“Good Compressions”
No – just says “Press,
Press
8 seconds time to
first shock
15 seconds time to first shock
IP56
IP55
Slide19SAM 500P with CPR Advisor vs
Philips FR3
SAM 500P
Philips FR3
1.1 Kg
1.6 Kg (without accelerometer)
No Accelerometer
Accelerometer required
“Push Harder”
Extra device – no audio
“Push Slower”
Extra device – no audio
“Push Faster”
Extra device – no audio
“Good Compressions”
Extra device – no audio
8 seconds time to
first shock
8 seconds time to
first shock
IP56
IP55
Slide201. All
defibrillators are the same
….they just give a
shock and then tell the rescuer how to do CPR and have a metronome to guide you to the right pace
But metronome gives NO indication of depth –
one of the most important components of CPR
Is it still easy to use once they get tired
?
CPR Advisor will
help ensure the quality of CPR does not deteriorate during the resuscitation period
CPR Advisor provides
reassurance
in an
stressful situation
that the rescuer is
providing the best CPR possible
Excuses not
to use
CPR Advisor
Slide212. The hospital/paramedics advised me to buy
Zoll
/Philips/Cardiac Sciences
Of course they did!
They are all extensively trained on how to use these devices!
But if you have minimal training
they are complicated to use
The minimally trained user may have
never
used this device before
Is the accelerometer in the right position?
It is un-natural to use an accelerometer
It can be painful to use an accelerometer
Excuses not
to use
CPR Advisor
Slide22Excuses not
to use
CPR Advisor
3
.
But we get training on how to do CPR – we don’t
need CPR
feedback
Published studies have shown that CPR quality - among trained in-hospital professionals – can decrease in as little as
3 months
This is why hospitals, typically have CPR refresher courses
every six months
Even trained professionals benefit from real-time CPR feedback
Slide23Key points to remember
A
shock on its own
is not always enough –
Chain of Survival
The
quality
of CPR directly relates to
survival outcomes
Competitor CPR feedback technologies require
additional sensors –
confuse the user if NOT EXTENSIVELY TRAINED
A
shock AND
high quality CPR
can lead to
survival rates of up to 75
%
Slide24So if you want something more than just a shock box…….
If you want a resuscitation defibrillator…….
Slide25HeartSine
samaritan
PAD
500P
……..not
just a defibrillator