Several areas of the country have been doing 200 for a few years as part of a long term study. The modified hand position has also been in practice for the last 3 years or so. It too, is expected to be among the minor changes coming up. We started teaching it here in 2007 or 2008...I forget which.
New AHA protocol?
- Thread starter Ped101
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Several areas of the country have been doing 200 for a few years as part of a long term study. The modified hand position has also been in practice for the last 3 years or so. It too, is expected to be among the minor changes coming up. We started teaching it here in 2007 or 2008...I forget which.
public service announcement
over the last couple of years there have been international reports of Chinese grad students and organizations of falsifying research or presenting research that never existed. There has also been considerable plagiarism of other resources.
I would hold any study coming out of China as highly suspect.
Here is one story on it. Google turns up an extensive list.
http://www.economist.com/blogs/asiaview/2010/07/academic_fraud_china
"CHINA’S president, Hu Jintao, speaks often and forcefully of the need to foster innovation."
"Yet doing so will be hard, not least because of the country’s well-earned reputation for pervasive academic and scientific misconduct. Scholars, both Chinese and Western, say that fraud remains rampant and misconduct ranges from falsified data to fibs about degrees, cheating on tests and extensive plagiarism."
over the last couple of years there have been international reports of Chinese grad students and organizations of falsifying research or presenting research that never existed. There has also been considerable plagiarism of other resources.
I would hold any study coming out of China as highly suspect.
Here is one story on it. Google turns up an extensive list.
http://www.economist.com/blogs/asiaview/2010/07/academic_fraud_china
"CHINA’S president, Hu Jintao, speaks often and forcefully of the need to foster innovation."
"Yet doing so will be hard, not least because of the country’s well-earned reputation for pervasive academic and scientific misconduct. Scholars, both Chinese and Western, say that fraud remains rampant and misconduct ranges from falsified data to fibs about degrees, cheating on tests and extensive plagiarism."
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YoungMedic
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Currently using CCR as well as AHA guildlines.
The Cardiocerebral Resuscitation Demonstration Project was initiated in January, 2005, after approval by the Bureau of EMS & Trauma System and the EMS Council of Arizona.
This protocol is specifically for trained EMS providers after training and approval by their Administrative Medical Director. The training is provided by the Bureau of EMS & Trauma System.
The CCR protocol is designed for adult cardiac arrest. Patients less than 8 years of age, drowning patients, drug overdose patients, trauma patients, and respiratory arrest patients are excluded.
The CCR protocol focuses on providing the optimal timing for defibrillation, minimizing interruptions to chest compressions, minimizing pauses between chest compressions and defibrillation, early administration of intravenous epinephrine, and minimizing over-ventilation during cardiac arrest.
http://www.azshare.gov/documents/CCR_Poster.pdf
The Cardiocerebral Resuscitation Demonstration Project was initiated in January, 2005, after approval by the Bureau of EMS & Trauma System and the EMS Council of Arizona.
This protocol is specifically for trained EMS providers after training and approval by their Administrative Medical Director. The training is provided by the Bureau of EMS & Trauma System.
The CCR protocol is designed for adult cardiac arrest. Patients less than 8 years of age, drowning patients, drug overdose patients, trauma patients, and respiratory arrest patients are excluded.
The CCR protocol focuses on providing the optimal timing for defibrillation, minimizing interruptions to chest compressions, minimizing pauses between chest compressions and defibrillation, early administration of intravenous epinephrine, and minimizing over-ventilation during cardiac arrest.
http://www.azshare.gov/documents/CCR_Poster.pdf
FreezerStL
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ECC Guidelines 2010 Released
http://www.emtlife.com/showthread.php?t=20236
a shortcut to the 2010 .pdf
http://www.emtlife.com/showthread.php?t=20236
a shortcut to the 2010 .pdf
mikie
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TransportJockey
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Denver metro guidelines state 200 compressions before ventilating, then continue in the standard 30:2 rate
DV_EMT
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yes, they switched it from ABC to CAB because of a few studies that came out about lay rescuers being focused on compression only CPR. That in turn fueled the change from ABC to CAB.
But yes... it should be interesting to see the change!
But yes... it should be interesting to see the change!
zmedic
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Not sure how I feel about no pulse check for BLS providers. I can agree that lay rescuers probably can't find pulses reliably but I think an EMT-B should be expected to.
TransportJockey
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Studies show that providers of all levels have a difficult time finding a carotid pulse while under stress, so it makes sense to me
EDIT: I'm trying to find that study's web address now.
zmedic
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If they can't find it, start CPR. No worse than starting it because they aren't breathing. It also bothers me that patients who may be unresponsive for another reason like head trauma who may not be breathing because their airway is obstructed are going to get a round of compressions before they get a jaw thrust.
I understand that the AHA feels that the benefit of getting a large group compressions faster outweighs the risk of the fewer who are just in respiratory arrest. But it still bothers me.
AnthonyM83
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Uh, guys...look through the material provided in the various links (including link to the other thread).
CAB wasn't put in effect because of what lay rescuers were doing. Pulse check was not eliminated. If anything lay rescuers for past few years have been doing better...by not messing around with A and B.
CAB was changed due to what WE (healthcare providers) were doing...taking too long from arrival to first chest compression. The A and B steps were delaying compressions (finding, assembling BVM, getting a good C-E grip) all the while this person was in cardiac arrest...in a situation where every minute/second to first compression counts.
If you only have 4-6 minutes before brain damage, even one minute from arrival to first compression is WAY too long.
Additionally, there's also the idea that if a patient does have depleted oxygen upon arrival, chances of him still having a shockable rhythm are very low...so this subset of patients have poor outcomes anyway. And for the ones who DO have oxygen remaining, at least we're circulating that right away and increasing survival chances for those who HAVE a chance. At least that's ONE of the thoughts behind it.
I'd love to have a protocol like the 200 compressions that some people posted about. That's shown incredible promise in several studies.
CAB wasn't put in effect because of what lay rescuers were doing. Pulse check was not eliminated. If anything lay rescuers for past few years have been doing better...by not messing around with A and B.
CAB was changed due to what WE (healthcare providers) were doing...taking too long from arrival to first chest compression. The A and B steps were delaying compressions (finding, assembling BVM, getting a good C-E grip) all the while this person was in cardiac arrest...in a situation where every minute/second to first compression counts.
If you only have 4-6 minutes before brain damage, even one minute from arrival to first compression is WAY too long.
Additionally, there's also the idea that if a patient does have depleted oxygen upon arrival, chances of him still having a shockable rhythm are very low...so this subset of patients have poor outcomes anyway. And for the ones who DO have oxygen remaining, at least we're circulating that right away and increasing survival chances for those who HAVE a chance. At least that's ONE of the thoughts behind it.
I'd love to have a protocol like the 200 compressions that some people posted about. That's shown incredible promise in several studies.
JPINFV
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Wait? No outrage over not administering supplemental oxygen in ACS yet minus signs of hypoxia or shortness of breath?
Smash
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Give it time... The true enormity of removing the most holy of EMS sacraments will eventually sink in...
FreezerStL
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Yeah, it has only been a week since the new guideline was released. Wait until the curriculum actually starts being taught... :blink:
Outrage!
Melclin
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Damn it feels good to be a gangsta! *smashes photo copier with baseball bat*
Imma enjoy the fact that I've been trying this in scenarios for two years and may now get something other than distain from the instructor when I try a strange new thing.