Resuscitation Best Practices

Dana Yost, Senior Paramedic

Redmond Fire Department
Medic One Division
King County, WA
AHA National Faculty

Disclosures and Biases

AHA National & Regional Faculty

Paid consultant on resuscitation and post event analytics

Resurgent Biomedical Consulting LLC

Published papers on Resuscitation and Mechanical CPR

19 years as a Paramedic in King County

Involved in Resuscitation Outcome Consortium Studies (ROC)

Sudden Cardiac Arrest

More than 900 people per day

Courtesy of Robert Niskanen

Sudden Cardiac Arrest

Fewer than 5 percent survive

The Goal
>20 percent survival

How do we get
there?

Chest Compression Fraction?

Start
KramerJohansen Resuscitation 2006

4050%

70%

90% End

Coronary Perfusion Pressures

Kern (2002) Circulation

Ventricular Fibrillation

Septum
Right
Ventricle
Left
Ventricle

Steen, S 2003

Resuscitation

19 sec

2 minute CPR Period

Pre Shock Period

Yost et al Resuscitation 2012

2012 Resuscitation Science Symposium

Session Title: Session IV: Best Original Resuscitation Science Poster Session
Abstract 87: Duration of Longest Chest Compression Interruption Predicts Poor
Cardiac Arrest Survival Independent of Chest Compression Fraction
Tom F Brouwer1; Robert G Walker2; Fred W Chapman2; Rudolph W Koster3

Summary of Science

Pauses are badso work to minimize them

Single longest pause can effect survivability

Unwitnessed collapse should get some compressions

Push Hard & Fastbut not to fast. Use a metronome