TAKE10 CPR: A Community Centered Approach Paris Hotel and Casino  Las Vegas, Nevada 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 or