Comments on: Advances in Resuscitation – CCR If you’re not doing it now, you will be

By: The EMT Spot » The October EMS Round-Up

The EMT Spot » The October EMS Round-Up — Sat, 31 Oct 2009 12:46:49 +0000

[...] about a forgotten veteran in “Where’s home?” Ckepmt brings us up to speed on continuous compression CPR. The Happy Medic ha some interesting insight into EMS as a profession. Firegeezer put the quarter [...]

By: Ckemtp

Ckemtp — Tue, 20 Oct 2009 03:23:26 +0000

Or the tune “Staying Alive”. Let's not forget that song!

Funny story, I've been on at least 5 codes where people have started singing the “Da da dump dump dump” bass line to that song and have gotten my “Funny look”

By: Fire Daily

Fire Daily — Tue, 20 Oct 2009 02:34:42 +0000

Great post. Having been off the box for a bit of time, I wasn't aware that a 50% Vfib save rate was even attainable. Amazing!

With changes coming seemingly every 18 months, makes me wonder how much more differently we might be treating the arrest patient in say, 5 years…

By the way, you may have heard another tune to compress to, although best to keep it to yourself- “Another One Bites the Dust” also gets that 100 per minute rate….

By: Ckemtp

Ckemtp — Mon, 19 Oct 2009 23:23:26 +0000

Or the tune “Staying Alive”. Let's not forget that song!

Funny story, I've been on at least 5 codes where people have started singing the “Da da dump dump dump” bass line to that song and have gotten my “Funny look”

By: Fire Daily

Fire Daily — Mon, 19 Oct 2009 22:34:42 +0000

Great post. Having been off the box for a bit of time, I wasn't aware that a 50% Vfib save rate was even attainable. Amazing!

With changes coming seemingly every 18 months, makes me wonder how much more differently we might be treating the arrest patient in say, 5 years…

By the way, you may have heard another tune to compress to, although best to keep it to yourself- “Another One Bites the Dust” also gets that 100 per minute rate….

By: the Happy Medic

the Happy Medic — Sun, 18 Oct 2009 05:11:07 +0000

Metronome. Love it. We sing. Well, not sing so much as hum the stayin' alive song like AHA teaches the school moms. Works great. We're also working on that macho mentality of "No I'm good for another cycle" instead of swapping out compressors.
Stopping for a tube or a line was foolish of us, but we didn't know any better. We always wondered why BLS was doing so much better than ALS in these "complex" patients.

I am a believer in pulse checking at rhythm change however. Back in school we learned that the ejection fraction during compressions is an average of 16% of capacity. That said, a rate of 40 at 80% is better than a rate of 100 at 16%, and if the heart and compressions are out of step we're making it worse.
That's when the pediatrician teaching CPR in neonates with a rate under 60 paused and said, "never thought of that."
The key here is artificial circulation until mechanical and chemical means can be established to continue our original efforts. What you are doing is working, let's keep doing it!

And, if we add in therapeutic hypothermia, which is showing promise over a 12-24 hour period (neuro intact discharge home of VF with ROSC pre-hospital from 26% to 57% in one study) we could start having a major impact on this population.

Keep us up to date CK! And bravo to your proactive Medical Director.

By: Ckemtp

Ckemtp — Sat, 17 Oct 2009 22:58:11 +0000

I’ll send ya a copy of my protocols over e-mail. Maybe tomorrow or the next day I’m going to post up some tips that medics who aren’t blessed with an awesome medical director can use to increase their resuscitation success. It may be frustrating, but you can make a change today and still be in the good graces.

Anyone else who wants a copy of the protocols can e-mail me too

By: Medic999

Medic999 — Sat, 17 Oct 2009 22:47:05 +0000

You know what?
Its so frustrating being a paramedic in the UK, who has done so much reading about CCR. I first heard about it about 5-6 months ago and have been telling everyone who I can about it and the reported amazing benefits that this technique is getting, but I cant do anything about it until the European Resus Council implements the changes (which I know will come, but its just a matter of when!).
All I can do at the moment is ensure that when I am doing CPR and when me colleagues are doing compressions, the hands are off the chest as little as possible.

By: MCMAID Resuscitation Protocol – Life Under the Lights

MCMAID Resuscitation Protocol – Life Under the Lights — Sat, 17 Oct 2009 21:03:17 +0000

[...] This post is a stub, and is a supplement to “Advances in Resuscitation – CCR, if you’re not doing it now you will be” [...]