Paris Hotel and Casino  Las Vegas, Nevada
TAKE10 CPR: A Community
Centered Approach
Paul R. Hinchey, MD, MBA, FACEP
Medical Director
The City of Austin/Travis Co. EMS System
Disclosure Information
Paul R. Hinchey, MD, MBA, FACEP
TAKE10 CPR: A Community Centered Approach
FINANCIAL DISCLOSURE:
 No relevant financial relationships to disclose
UNLABELED/UNAPPROVED USES DISCLOSURE:
 No unlabeled/unapproved uses will be discussed
Our Plan
What we know about bystander CPR
What is TAKE10 CPR
What makes TAKE10 CPR innovative
How well has it worked
Challenges & Recommendations
Bystander CPR – What we know
We all agree bystander CPR
– directly impacts survival
– is infrequently performed
– rates need to increase
Bystander CPR - Our Challenge
How do we increase
bystander CPR
rates?
Bystander CPR - Our Challenge
Resus
Centers
Healthcare
Providers
Work Requirement
Specific Risk or Interest
General Population – Everyone!!!
Compression Only CPR Training
Bystander CPR - Our Challenge
After 50 years and clear evidence of
the importance of bystander CPR,
why do most Communities continue
to have poor bystander CPR rates?
We need a change to a Community
centered delivery model
TAKE10 CPR Targets
• Build the community’s CPR foundation
• Ensure simple to learn really means simple
• Use the multiplier effect to efficiently
number trained
• Accept TAKE10 is not seeking perfect CPR
TAKE10 CPR Characteristics
•
•
•
•
•
•
•
Simple – no jargon
Brief – 10 minutes
Affordable - free
Build confidence
Remove fear
Use active learning
Target highest risk areas
• Provide tools to trainers
at no charge
• Creative
implementation
• Create multiplier effect
• Community trains the
community
Centered on the Community
Multiplier effect is efficient &
effective
• Identify community cheerleaders
• Capitalize on enthusiasm
• Community members
then teach their own
Cardiac Arrest Incidence per 10K pop
(Travis County)
Cardiac Arrest Count by Zip Code
Bystander CPR Prevalence
High Risk Neighborhoods & Low
Bystander CPR
Low & High Bystander CPR
Low TAKE10 Training
High & Low TAKE10 Training
Count of TAKE10 Training
TAKE10 – Successes
Community engagement
Targeted segments of the community
Gained capability to measure
Viable option to traditional approaches
TAKE10 – Successes
Multiplier Effect
19,000 / 404 = 47 trained per trainer
Cost Effectiveness
$25,000 / 19,000 = $1.32 per person trained
TAKE10 – Successes
Community engagement
High School Service Projects
High School HOSA
Eagle Scout Projects
Texas DPS
Austin PD
Junior League New Member Service
TAKE10 – Successes
Leadership
TAKE10 – Successes
Creativity
TAKE10 –Challenges
Fear of leaving the traditional approach
Fixation on “the card”
Making connections in the Community
Recruitment is labor intensive
Lower SES areas are most challenging
Resources for coordination
Success in target areas
Take Home Points
If CPR really is simple, then why
does it take hours to learn, cost
so much, require specialized
trainers and hasn’t been done
well in most communities
Take Home Points
Allow the community to teach each other
Assess/Measure
Be open to multiple approaches
Take Home Points
Focus resources
On what matters
Where the greatest impact is possible
Identify a champion & let them lead
Get others to share the vision
Our thanks to
Office of the Medical Director
Jose Cabanas, MD
Louis Gonzales
American Heart Association
Comilla Sasson, MD
Cara Bergamo
Quan Bui
For More Info
takeheartaustin.org
take10cpr@gmail.com or 512-978-0022