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Diastole
DEATH
BY HYPERVENTILATION
A COMMON EXPERIENCE
IN CARDIAC ARREST
THE PAINFUL TRUTH
•Perceived performance does not always match observed performance.
•Aufderheide et al. showed that duty cycle, chest compression depth and
complete recoil were performed significantly less well when directly observed
than EMT perceptions of their performance.
•Wik et al. showed that chest compression rate and depth were both
significantly below AHA guidelines by trained EMS providers, and no flow time
(when there was neither a pulse nor CPR being given) was almost 50% in
directly observed performance evaluations.
VENTILATIONS………..
C
DATA
COLLECTION…..D
Fatigue and poor crew resource management (CRM)
Paramedic
Intubation IV Advanced Life
placement
Support
Rapid
rhythm Minimize Administer
analysis pauses drugs
Prioritize
Switch compressions
compressor C-A-B
s every 2 Hover hands
min.
Rate between
Compress Minimize Full recoil 100 and
interruptions 120/min
> 2 inches
4 BOSS
2
1
6 5 3
AIRWAY
ASSISTANT CPR 2 ACCESS
MEDS
MONITOR
Compressions
Ventilations