ccr inovations

15
Call and Pump” Call and Pump”

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Continuous-Chest-Compression Cardiopulmonary Resuscitation for Cardiac Arrest. Also know as "Call and Pump" or CCC CPR

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Page 1: CCR Inovations

““Call and Pump”Call and Pump”

Page 2: CCR Inovations

Cardiac Arrest Program Improve neurologically intact survival

Target entire ‘chain of survival’ Community 911 dispatch Police EMT-basic Paramedics Emergency Departments ICU

Page 3: CCR Inovations

Why should I learn “Call and Pump” “Call and Pump”?

Because it works

It’s easy

It saves lives = SURVIVAL Neurologically intact survival Historically, survival has been dismal

Unchanged in 40 years

Page 4: CCR Inovations

Survival in Tucson AZ with Cardiocerebral Resuscitation(2.8x)

Hos

pita

l Dis

char

ge S

urvi

val 40%

30%

20%

10%

0%CPR CCR

9%28/314

25%34/136

Terry Valenzuela MD AHA Resuscitat ion Science Symposium 2006

11/03-8/06

1997-1999

Page 5: CCR Inovations

Survival in Kansas CityPre-Hospital ROSC

Pre-

Hos

pita

l RO

SC

100%

80%

60%

40%

20%

0%CPR CCR15%

52%

Bobrow and SHARE study group

Page 6: CCR Inovations

Survival in Southern ArizonaAdult OOH Witnessed VF in Arizona (2.6x)

Surv

ival

to H

ospi

tal D

isch

arge

af

ter O

OH

Witn

esse

d VF

40%

30%

20%

10%

0%CPR CCR

10.9%

28.1%

Bobrow and SHARE study group

Page 7: CCR Inovations

Neu

rolo

gica

lly In

tact

Sur

viva

l 40%

30%

20%

10%

0%CPR CCR

15%

40%

Survival in Rock-Walworth WIThree Year Results (2.7x)

Normal BrainsNormal Brains

Witnessed Collapse with Shockable Rhythm

Page 8: CCR Inovations

This is REALLY SIMPLE stuff Continuous Chest Compressions

Quality Chest Compressions

Uninterrupted Chest Compressions

You can ONLY stop CC for Switching pumpers (every minute)

Stopping compressions kills brains.

Page 9: CCR Inovations

Chest Compressions Continuous – don’t stop!

Two person job when possible

Switch pumpers every minute

Quality crucial Rate: 100/min Depth: 2 inches Recoil: hands off chest

Page 10: CCR Inovations
Page 11: CCR Inovations

Even Even seconds seconds

without CCwithout CC

are deadlyare deadly

Page 12: CCR Inovations

It takes time to build blood flow to heart & brain

Page 13: CCR Inovations

KB Kern, 1999

Deadly nature of Interruptions

Page 14: CCR Inovations

Our Our Goal Goal Should be Should be what is seen in animals - 60-70% survivalwhat is seen in animals - 60-70% survival

24-H

our

Go

od N

euro

Sur

viva

l

100

80

60

40

20

0

80%

13%Standard CPR CCC CPR

Kern , Hilwig , Berg, Sanders, Ewy. Circulation 2002

Page 15: CCR Inovations