Cardiac
Arrest
Incidents
February 2013 EMS Continuing Education
1
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.
2
Patient with no pulse or respirations
exhibiting Dependent Lividity
and/or Rigor Mortis
3
Obviously Mortal Injuries
4
DNR or Living Will
5
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.
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
Hand positioning for
Compressions and Ratio
Ages : ? To Puberty
Rate:
Depth:
Puberty to 1 year
at least 100 per minute
at least 2 inches
Ratio: 30:2 with 1 or 2 rescuer
at least 100 per minute
1 year to Birth
at least 100 per minute
at least 2 inches
at least 1.5 inches
30:2 with 1 or 15:2 with 2 rescuer
30:2 with 1 or 15:2 with 2 rescuer
8
Open the Airway
Ventilations
Pocket Mask
Bag-Valve -Mask
Each breath should
be 1 second in
duration
10
Cardiac Science G3 Pro
11
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.
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
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.
QUESTIONS??
Then Let’s
Play!