Presentation on theme: "Cardiac Arrest Incidents"— Presentation transcript:
1Cardiac Arrest Incidents February 2013 EMS Continuing Education1
2When do we not start CPR?Patient with no pulse or respirations exhibiting Dependent Lividity and/or Rigor MortisObvious Mortal InjuriesAn approved "Do Not Resuscitate" order or signed "Living Will“ALS Units on the scene have assumed responsibility off patients care.2
3Patient with no pulse or respirations exhibiting Dependent Lividity and/or Rigor Mortis 3
6Chain of survival consist of : Immediate recognition of cardiac arrest and activate of emergency response system.Early CPR that emphasizes chest compressionsRapid defibrillation if indicated.Effective advanced life support.Integrated post-cardiac arrest care.
7Sequence of events: Don your PPE. Determine responsiveness and breathingCall for HELPCheck for a pulse, if none presentStart Chest Compressions
8Hand positioning for Compressions and Ratio Ages : ? To Puberty Puberty to 1 year year to BirthRate: at least 100 per minute at least 100 per minute at least 100 per minuteDepth: at least 2 inches at least 2 inches at least 1.5 inchesRatio: 30:2 with 1 or 2 rescuer :2 with 1 or 15:2 with 2 rescuer :2 with 1 or 15:2 with 2 rescuer8
12Cardiac Science G3 Pro Use as Soon as Possible!! Turn it on by opening the lid.Apply the pads to chest.Stand back and let it analyze.“STAND CLEAR” If shock advised press the red button.Start CPR immediately after the shock is delivered.
13The need no delay in getting to the Trauma center Trauma CodesAre we as BLS responders going to treat the trauma arrest patient any differently?NO!They Need CPRThe need no delay in getting to the Trauma center
14After the Cardiac Arrest Ensure the patient and their family are cared for.Ensure all sharps and bio waste are properly disposed of.IF a coroner is to be requested that must be done by Law EnforcementPlug in a new set of pads in the AED and ensure it is “Rescue Ready”. Put it back in service, download will occur later.Ensure EMS Bag is restocked and operationally ready.Notify the Duty Chief that the AED has be deployed on a cardiac arrest patient. They will facilitate getting the data downloaded.