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Martyn Box

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Ventilation Rate per Minute (Average) Time of each Shock. Pre and Post ... Set at 100 Beats Per Minute. SWAST. Metronome CPR 100 BPM. SWAST. What did we Learn ... – PowerPoint PPT presentation

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Title: Martyn Box


1
Martyn Box
  • Clinical Support Officer
  • SWAST

2
Use of Data Downloads in Cardiac Arrest
3
What is a Data Download
  • Recording from any Defibrillator using
    manufactures own software

4
What Does a Data Download Show
  • Date of ECG Download
  • Time of ECG Download
  • Initial ECG Rhythm
  • Chest Compression Start Time
  • Chest Compression Rate
  • Chest Compression Rate per Minute (Average)
  • Ventilation Start Time
  • Ventilation Rate
  • Ventilation Rate per Minute (Average)
  • Time of each Shock
  • Pre and Post Shock Rhythm
  • Total Number of Shocks per ECG Download
  • Total Time Elapse of each ECG Download

5
How can we use this Information to Improve Our
Cardiac Arrest Management
6
VF Study
  • 100 Cardiac Arrest Data Downloads
  • All Paramedic/Technician Crews
  • Use of the Impedance Channel

7
What is the Impedance Channel
8
Use of the Impedance Channel
9
What did we Learn
  • Compression rate to fast

10
7 Seconds of CPR Rate 190
11
The Solution
  • Put a Metronome on each Defibrillator
  • Set at 100 Beats Per Minute

12
Metronome CPR 100 BPM
13
What did we Learn
  • Delay in Defibrillation in AED Mode

14
15 Sec of VF No CPR
15
The Solution
  • Disable the AED Mode on each Defibrillator

16
What did we Learn
  • Delay in Defibrillation in Manual Mode

17
26 Sec of VF No CPR
18
The Solution
  • Train Staff in Quick VF Recognition
  • Train Staff to continue to compress chest while
    defibrillator charges

19
4 Seconds Hands Free
20
Conclusion
  • How do you know your staff are doing a good job
  • IF YOU DONT LOOK

21
Questions
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