1. Cardiac Arrest Incidents
February 2013 EMS Continuing Education 1

2. 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

3. Patient with no pulse or respirations exhibiting Dependent Lividity and/or Rigor Mortis3

4. Obviously Mortal Injuries4

5. DNR or Living Will 5

6. Chain of survival consist of :
Immediate recognition of cardiac arrest and activate of emergency response system.
Early CPR that emphasizes chest compressions
Rapid defibrillation if indicated.
Effective advanced life support.
Integrated post-cardiac arrest care.

7. Sequence of events: Don your PPE.
Determine responsiveness and breathing
Call for HELP
Check for a pulse, if none present
Start Chest Compressions

8. Hand positioning for Compressions and Ratio
Ages : ? To Puberty Puberty to 1 year year to Birth
Rate: at least 100 per minute at least 100 per minute at least 100 per minute
Depth: at least 2 inches at least 2 inches at least 1.5 inches
Ratio: 30:2 with 1 or 2 rescuer :2 with 1 or 15:2 with 2 rescuer :2 with 1 or 15:2 with 2 rescuer 8

9. Open the Airway

10. Each breath should be 1 second in duration
Ventilations
Pocket Mask
Bag-Valve -Mask
Each breath should be 1 second in duration 10

11. Cardiac Science G3 Pro 11

12. Cardiac 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.

13. The need no delay in getting to the Trauma center
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

14. After 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 Enforcement
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.
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.

15. QUESTIONS??
Then Let’s Play!