Elective in CPR EMED 816J

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Elective in CPREMED 816J

• Sam Keim, MD
• Emergency Medicine
• University of Arizona College of Medicine

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Why should we care?

• 700,000 Cardiac arrests per year
• Sudden Cardiac Death claims 250,000 lives per
  year
• Survival to hospital discharge neurologically
  intact varies 3 - 8
• Substantial variation among
• different geographical locations and
• initial cardiac rhythms

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Who survives Cardiac Arrest?

• Some things we know.
• Majority Do NOT have Myocardial Infarct
• Ventricular Fibrillation is most common (and
  best) initiating rhythm
• Bystander CPR by a witness is crucial to survival
• Citizens who witness frequently do NOT provide CPR

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Who Survives Cardiac Arrest?Some things we
know...continued

• Most occur at home without a witnessing bystander
  who knows CPR (bummer..)
• Continuous Chest Compressions is a good thing
• Early Defibrillation is the most crucial link in
  the chain of survival and
• Pretty much worthless if NO CPR was given
• Can be given by an AED by a 6th grader

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The Bottom line

• Citizens must learn CPR and how to activate 911
• Rapid Defibrillation must occur
• Advanced Cardiac Life Support must reach the
  patient relatively soon

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How can we do it

• Chain of Survival
• Early Access
• Bystander CPR
• Early Defibrillation
• Early ALS
• ECC - Emergency Cardiovascular Care
• Training Pyramid

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How can we do it

• Armed Services support, Biomedical, Citizen
  health and safety, disaster relief, international
  relief
• Courses
• CPR-AED
• First-Aid
• Sport injuries
• Workplace First-aid

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Elective in CPR-GOALS

• Become certified as CPR Instructor
• Teach CPR
• Learn the science behind and in front of current
  CPR strategies
• Learn about the Ethical dilemmas
• Do something good for your community

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Elective in CPR

• EMED 816J
• Registration
• Final Grade - P/F/H
• 3 Credits (3 weeks)

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EMED 816J - Expectations

• Become a CPR instructor
• Find courses to teach
• Attend or View Didactic Sessions

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EMED 816JExpectations

• Become a CPR Instructor
• American Heart Association
• American Red Cross
• Class credit
• Teach CPR
• Multiple sites throughout state
• 1 class session 1 CPR Credit
• 16 Credits to Pass

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EMED 816JExpectations

• Attend or View Didactic Sessions
• Senior Year Requirements
• Complete 4 CPR teaching credits

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EMED 816JExpectations

• Honors
• 20 or more CPR credits

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