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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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““Call and Pump”Call and Pump”
Cardiac Arrest Program Improve neurologically intact survival
Target entire ‘chain of survival’ Community 911 dispatch Police EMT-basic Paramedics Emergency Departments ICU
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
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
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
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
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
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.
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
Even Even seconds seconds
without CCwithout CC
are deadlyare deadly
It takes time to build blood flow to heart & brain
KB Kern, 1999
Deadly nature of Interruptions
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