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Philips in CPR. 2 Philips Resuscitation Technology Solutions Our goal is to relate Philips in CPR directly to the 2005 AHA guidelines –Quick Shock –SMART.

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Presentation on theme: "Philips in CPR. 2 Philips Resuscitation Technology Solutions Our goal is to relate Philips in CPR directly to the 2005 AHA guidelines –Quick Shock –SMART."— Presentation transcript:

1 Philips in CPR

2 2 Philips Resuscitation Technology Solutions Our goal is to relate Philips in CPR directly to the 2005 AHA guidelines –Quick Shock –SMART CPR –Q-CPR TM

3 Quick Shock Only from Philips

4 4 AHA Guidelines 2005 Effective chest compressions are essential for providing blood flow during CPR Blood flow delivers small but critical amount of oxygen to brain and myocardium CPR increases the likelihood that a shock will be successful (i.e. will terminate VF and the heart will resume an effective rhythm and perfusion) When shock is indicated, it is critical it be delivered as soon as possible after chest compressions are stopped Reduction in interval between compressions and shock delivery by as little as 15 seconds can increase predicted shock success

5 5 What is Quick Shock? Ability to deliver a shock in less than 10 seconds after CPR pause Unique feature offered only on Philips AEDs Available on all HeartStart OnSite, FRx and FR2+ AEDs Competitive devices take between 13 and 27 seconds to deliver a shock

6 6 HeartStart FR s 100% 80%60%20% % Survival Time to shock in seconds after CPR is stopped 40% 30 Survival data: Swine; 7 minutes of VF Yu T, et al. Circulation. 2002; 106: Survival Linked to Speed of Shock Delivery After CPR Times measured from end of Stop-CPR prompt, with AEDs at maximum energy HeartStart HS1 & FRx 8.1s & 8.4s

7 7 Cardiac Science G3 & Zoll AED+ Medtronic LP500 HeartStart FR s 100% 80% 60% 20% % Survival Time to shock in seconds after CPR is stopped 40% 30 Defibtech Lifeline Medtronic CR+ & Welch Allyn AED20 Medtronic CR+ Auto Times measured from end of Stop-CPR prompt, with AEDs at maximum energy Cardiac Science G3 Auto Survival Linked to Speed of Shock Delivery After CPR Survival data: Swine; 7 minutes of VF Yu T, et al. Circulation. 2002; 106: HeartStart HS1 & FRx 8.1s & 8.4s Welch Allyn AED10

8 8 Why is Quick Shock Important? Relates directly back to the guidelines; a reduction in interval between end of compressions and shock delivery can increase predicted shock success Using Philips AEDs with Quick Shock, the chance of survival is 80% or higher In 8 out of 9 competitive AEDs, survival rate is 40% or lower

9 SMART CPR Only from Philips

10 10 AHA Guidelines 2005 Recommend EMS providers consider CPR before shock for un-witnessed events, particularly when arrival time is > 4-5 minutes When EMS call-to-arrival time > 4-5 minutes, victims who receive 1½ – 2 minutes CPR before defibrillation showed increased survival rates compared with those who received immediate defibrillation: –An increase in survival due to initial resuscitation –An increase in survival-to-hospital discharge –An increase in 1 year survival rate

11 11 Defibrillating VF Doesn’t Always Restore Circulation A patient with a coarse, spiky rhythm typical of short-duration VF may still have an energetic heart & may benefit from an immediate shock A patient with a weaker, flatter rhythm typical of long-duration VF has a depleted heart and is unlikely to return to circulation with a shock Other contributors besides VF duration: Diseased heart, cause of arrest –CPR first showed improved survival rates

12 12 What is SMART CPR? Technology that analyzes the patient’s rhythm for you and determines whether to shock first or perform CPR first Reinforces Guidelines 2005 recommendation of CPR before shock for un-witnessed events, particularly when arrival time is > 4-5 minutes Takes the guesswork out of determining length of victim downtime especially for un-witnessed events Available only on the Philips HeartStart FR2+

13 13 Why is SMART CPR Important? The Survival Curve Ambulance Response Time (Minutes) Probability Of Survival (%) CPR first Wik, et al. JAMA, 2003, 289; Shock first (traditional AED behavior) At 4+ minutes of downtime, chance of survival decreases with traditional shock first therapy

14 Q-CPR TM Only from Philips

15 15 AHA Guidelines 2005 Methods needed to improve quality of CPR Increased emphasis on importance of chest compressions - “push hard, push fast” Components of quality CPR include ventilation rate & duration, compression depth, compression rate & number, complete chest recoil, and hands-off time Hyperventilation, including too many breaths or too large a volume, diminishes cardiac output and survival

16 16 What is Q-CPR? Q-CPR is the first and only CPR measurement and feedback tool integrated into an ALS monitor/defibrillator Q-CPR promotes high-quality CPR delivery

17 17 Why is Q-CPR Important? Q-CPR measures the exact items specified by the AHA Guidelines Compressions: Compression depth Compression rate Leaning (incomplete release) Duty cycle (duration ) No flow time (inactivity timer) Ventilations: Volume low Frequency high or low Inflation time fast or slow

18 18 Philips Resuscitation Technology Solutions… Leading the Way Quick Shock on all HeartStart AEDs SMART CPR for trained first responders Q-CPR; CPR Measurement and Feedback for ALS professionals

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