2015 Trumbull Memorial Hospital Demo

CCR

CCR

Indication : Cardiopulmonary resuscitation with passive insufflation for sudden cardiac arrest Contraindications : Trauma, Overdose, Children, Drownings, Respiratory Arrest, Obstetrical

Steps

Performed? Yes No

Component

Recommendations

Unresponsive Adults

No breathing or no normal breathing (i.e., gasping)

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Recognition

No palpated pulse within 5-10 seconds

Circulation to the brain takes several compressions to initiate

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CCR

100-120/minute

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Compression Rate

2-2.4 inches

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Compression Depth

Allow complete recoil between compressions Rotate compressors every 2 minutes Minimize interruptions in chest compressions Attempt to limit interruptions to < 10 seconds

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Chest Wall Recoil

Compression Interruptions

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Passive oxygen insufflation with NRB at 100% FiO2

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Airway

Compression to Ventilation Ratio (until advanced airway is placed)

200 continuous compressions x 4 cycles

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Ventilation with Advanced Airway

Withheld until 4 CCR cycles are complete

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Performed between cycles of compressions if indicated. Minimize interruptions in chest compressions before and after shock. Resume compressions immediately after each shock.

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Defibrillation

IO Epinephrine 1:10,000 1mg between compression cycles.

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Drugs

119

EMR

EMT

AEMT

Paramedic

Extended