Introduction to Advanced Resuscitation Techniques
Description: Introduction to Advanced Resuscitation Techniques (ART)- The ART of improving outcomes in cardiac arrest Novel resuscitation techniques and high performance CPR Improving outcomes with advanced techniques and technology A paradigm shift in
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slide1. Introduction to Advanced Resuscitation Techniques (ART)- The ART of improving outcomes in cardiac arrest Novel resuscitation techniques and high performance CPR
Improving outcomes with advanced techniques and technology
A paradigm shift in the way we approach cardiac arrest<br>
slide2. Introduction to ART ART has three main goals:
Â
Improving the resuscitation response to drive greater survival.
Preventing arrests via analysis of the root causes of arrests.
Continuous Quality Improvement via use of data collection and analytics.<br>
slide3. Current Resuscitation Model Infrequent exposure to a standardized model of care for all patients and all care providers
Rigid and inflexible
Has not drastically changed outcomes
Does not take into account available technology and institutional needs<br>
slide4. Optimizing CPR Interruptions CPR Quality<br>
slide5. Perfect CPR – Real time feedback Rate , depth, compression rate AND recoil for each compression.
Seamless continuous CPR achieved with filtered ECG.
NO interruptions for rhythm check – Filtered ECG<br>
slide6. Ventilations? NO interruptions for ventilation – synchronous ventilation
Single ventilation inserted on the upstroke of every 10th compression. Although < 0.4 sec, animal studies have shown adequate TV and minimal gastric insufflation due to negative intrathoracic pressure during upstroke<br>
slide7. Upstroke Ventilation Breath Breath 1 2 3 4 5 6 7 8 9 10<br>
slide9. ETCO2 – information gained Confirmation of optimal CPR parameters – better CPR will produce better ETCO2 values
Prognostication – low ETCO2 < 12mmhg a/w poor prognosis
Predict success at defibrillation – Higher ETCO2 (>25mmhg) a/w significantly better shock success.
Detect ROSC – sharp and sustained rise in ETCO2<br>
slide10. The following chart shows the progress made in some hospitals and emergency response systems following implementation of ART Resuscitation.<br>
slide11. Before and after study.
Improved survival to hospital discharge, improved neurological outcomes.<br>
slide12. NTFGH & JCH Cardiac Activation (Reactive) –AUTOMATED CODE BLUE<br>
slide13. NTFGH & JCH Cardiac & Peri-Arrest Alert & Activation (Predictive)<br>
slide14. Cardiac Arrest Rate per 1000 patient admissions<br>
Improving outcomes with advanced techniques and technology
A paradigm shift in the way we approach cardiac arrest<br>
slide2. Introduction to ART ART has three main goals:
Â
Improving the resuscitation response to drive greater survival.
Preventing arrests via analysis of the root causes of arrests.
Continuous Quality Improvement via use of data collection and analytics.<br>
slide3. Current Resuscitation Model Infrequent exposure to a standardized model of care for all patients and all care providers
Rigid and inflexible
Has not drastically changed outcomes
Does not take into account available technology and institutional needs<br>
slide4. Optimizing CPR Interruptions CPR Quality<br>
slide5. Perfect CPR – Real time feedback Rate , depth, compression rate AND recoil for each compression.
Seamless continuous CPR achieved with filtered ECG.
NO interruptions for rhythm check – Filtered ECG<br>
slide6. Ventilations? NO interruptions for ventilation – synchronous ventilation
Single ventilation inserted on the upstroke of every 10th compression. Although < 0.4 sec, animal studies have shown adequate TV and minimal gastric insufflation due to negative intrathoracic pressure during upstroke<br>
slide7. Upstroke Ventilation Breath Breath 1 2 3 4 5 6 7 8 9 10<br>
slide9. ETCO2 – information gained Confirmation of optimal CPR parameters – better CPR will produce better ETCO2 values
Prognostication – low ETCO2 < 12mmhg a/w poor prognosis
Predict success at defibrillation – Higher ETCO2 (>25mmhg) a/w significantly better shock success.
Detect ROSC – sharp and sustained rise in ETCO2<br>
slide10. The following chart shows the progress made in some hospitals and emergency response systems following implementation of ART Resuscitation.<br>
slide11. Before and after study.
Improved survival to hospital discharge, improved neurological outcomes.<br>
slide12. NTFGH & JCH Cardiac Activation (Reactive) –AUTOMATED CODE BLUE<br>
slide13. NTFGH & JCH Cardiac & Peri-Arrest Alert & Activation (Predictive)<br>
slide14. Cardiac Arrest Rate per 1000 patient admissions<br>