Elective in CPR Instruction

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Elective in CPR Instruction

• Sam Keim, MD
• Emergency Medicine
• University of Arizona College of Medicine

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Why should we care?

• 700,000 cardiac arrests per year
• 250,000 die
• Survival to hospital discharge neurologically
  intact 3 - 8
• Substantial variation
• different geographical locations and
• initial cardiac rhythms
• bystander CPR or not

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Who survives Cardiac Arrest?

• Some things we know.
• Majority Do NOT have Myocardial Infarct
• Ventricular Fibrillation is most common and best
  initiating rhythm
• Bystander CPR by a witness is crucial to survival

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Who Survives Cardiac Arrest?Some things we
know...continued

• Citizens who witness frequently do NOT provide
  CPR (bummer..)
• Most occur at home without a witnessing bystander
  who knows CPR (bummer..)
• Continuous Chest Compressions are good (cool!)
• Early Defibrillation is the most crucial link in
  the chain of survival
• Survival of 59 in VF (Valenzuela, Casino
  project)
• But pretty much worthless if NO CPR was given
• Can be given effectively by AED by a 6th grader

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The Bottom line

• Citizens must learn CPR and how to activate 911
  and implement both
• Rapid Defibrillation must occur
• Advanced Cardiac Life Support must reach the
  patient relatively soon

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How can we do it

• Chain of Survival
• Early Access
• Bystander CPR
• Early Defibrillation
• Early ALS
• ECC - Emergency Cardiovascular Care
• Training Pyramid

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How can we do it

• Armed Services support, Biomedical, Citizen
  health and safety, disaster relief, international
  relief
• Courses
• CPR-AED
• First-Aid
• Sport injuries
• Workplace First-aid

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How can we do itSarver Heart Center

• Cardiocerebral Resuscitation
• Continuous Chest Compression
• Developed here
• Extremely important advance
• YOU can learn from source

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Gordon Ewy, MD

• Cardiac arrestGuideline changes urgently needed
  Gordon A Ewy. The Lancet, Volume 369, Issue
  9565, 17 March 2007-23 March 2007, Pages 882-884

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Elective in CPR-GOALS

• Become certified as CPR Instructor
• Teach CPR
• Learn the science behind and in front of current
  CPR strategies
• Learn about the educational issues
• Learn about the Ethical dilemmas
• Do something good for your community

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Elective in CPR

• EMD 816J Old course number for classes of 2009,
  2010
• EMD 816K First and second year students
• EMD 816L Third and fourth year students
• Final Grade - P/F

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EMED 816K

• Becoming a CPR Instructor
• You will need to become certified as a CPR
  instructor. You may do this via the American
  Heart Association pathway or the Red Cross.  
• Learn to teach Continuous Chest Compression-CPR
• Teach CPR (2 course credits)
• Each half-day CPR course 1 credit
• Each CCC-CPR course 1 credit
• You will be responsible for documenting your
  teaching credits by using the CPR Online
  Instruction Log. 
• Attend or View Didactic Sessions 
• Complete Critical Appraisal exercise (1) 
• Final exam (on line) 70 to pass.  
• Grade will be P/F  
• Registration
• Contact Student Affairs Office to sign up for
  this elective.

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EMED 816L

• Complete and pass EMD 816K 
• Teach CPR and CCC-CPR - 8 total credits
• Each half-day CPR course 1 credit
• Each CCC-CPR course 1 credit
• You will be responsible for documenting your
  teaching credits by using the CPR Online
  Instruction Log.
• Complete Critical Appraisal exercises (2)
• Final exam (on line) 70 to pass.
• Grade will be P/F
•  
• Registration
• Contact Student Affairs Office to sign up for
  this elective.

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EMED 816L

• Course website
• http//www.emergencymed.arizona.edu/EM_cpr/cpr816K
  .cfm