Cardiac Arrest Incidents

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Cardiac Arrest Incidents

• February 2013 EMS Continuing Education

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When do we not start CPR?

• Patient with no pulse or respirations exhibiting
  Dependent Lividity and/or Rigor Mortis
• Obvious Mortal Injuries
• An approved "Do Not Resuscitate" order or signed
  "Living Will
• ALS Units on the scene have assumed
  responsibility off patients care.

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Patient with no pulse or respirations exhibiting
Dependent Lividity and/or Rigor Mortis
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Obviously Mortal Injuries
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DNR or Living Will
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Chain of survival consist of

1. Immediate recognition of cardiac arrest and
   activate of emergency response system.
   
2. Early CPR that emphasizes chest compressions
3. Rapid defibrillation if indicated.
4. Effective advanced life support.
5. Integrated post-cardiac arrest care.

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Sequence of events

1. Don your PPE.
2. Determine responsiveness and breathing
3. Call for HELP
4. Check for a pulse, if none present
5. Start Chest Compressions

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Hand positioning for Compressions and Ratio
Ages ? To Puberty
Puberty to 1 year
1 year to Birth
Rate at least 100 per minute at
least 100 per minute at least 100
per minute
Depth at least 2 inches
at least 2 inches
at least 1.5 inches
Ratio 302 with 1 or 2 rescuer 302 with
1 or 152 with 2 rescuer 302 with 1 or
152 with 2 rescuer
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Open the Airway
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Ventilations
Pocket Mask
Bag-Valve -Mask
Each breath should be 1 second in duration
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Cardiac Science G3 Pro
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Cardiac Science G3 Pro

1. Use as Soon as Possible!!
2. Turn it on by opening the lid.
3. Apply the pads to chest.
4. Stand back and let it analyze.
5. STAND CLEAR If shock advised press the red
   button.
6. Start CPR immediately after the shock is
   delivered.

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Trauma Codes

• Are we as BLS responders going to treat the
  trauma arrest patient any differently?

NO!
They Need CPR
The need no delay in getting to the Trauma center
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After the Cardiac Arrest

1. Ensure the patient and their family are cared
   for.
2. Ensure all sharps and bio waste are properly
   disposed of.
3. IF a coroner is to be requested that must be
   done by Law Enforcement
4. Plug in a new set of pads in the AED and ensure
   it is Rescue Ready. Put it back in service,
   download will occur later.
5. Ensure EMS Bag is restocked and operationally
   ready.
6. Notify the Duty Chief that the AED has be
   deployed on a cardiac arrest patient. They will
   facilitate getting the data downloaded.

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QUESTIONS??
Then Lets Play!