Cardiac Arrest Survival with Joe Powell

Course overview

Objectives Describe the changes in cardiac arrest management and how they affect survival following the arrest Identify how to use cardiac arrest data to help positively affect change in your agency Describe the various pieces of equipment being utilized in cardiac arrest management and how they can improve patient outcome Explain the Wheel of Survival steps and how they are implemented during cardiac arrest Content Summary In this episode Steve Dan and Holly talk about cardiac arrest response with the EMS coordinator at Rialto Fire Joe Powell After looking at Rialto Fire Department stats Joe realized they had to do something different At Rialto Fire they have committed to the steps laid out in the wheel of survival which means continuous compressions no matter what for 25 to 30 minutes on scene so they can achieve ROSC as often as possible Their stats on cardiac survivability have improved significantly since implementing this approach and they have multiple studies published in JEMS Learning Points Wheel of survival steps 1 Manual CPR 2 CPR continued with stat pads placing pads anterior posterior versus anterior anterior 3 Airway management 4 Auto pulse continuous compressions 5 Heads up sitting the patient up 30 degrees 6 Apneic oxygenation 7 Intubation capnography rescuepod 8 Nasogastric tube 9 Intravenous line 10 Transport decision based on end tidal CO2 Post ROSC care Heads up CPR decreases ICP increases cerebral perfusion and increases coronary perfusion Alternatives to epinephrine Utstein criteria witness cardiac arrest shockable rhythm CPR prior to arrival Four acceptable pauses of compressions and what it buys the patient 1 Feedback device 2 Placing pads posterior 3 Place mechanical CPR device 4 Starting a mechanical device