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Thermal Angel Ultra Emergency Pack
The Thermal Angel Ultra Emergency Pack is organized to make it easier for the caregiver to have the components they need to serve their patients. The Ultra Emergency Pack contains the Thermal Angel and 9 Inch IV Extension Sets, as well as the Ultra Battery and accessories.
Nexterone Premixed Injection
In situations when every second counts, NEXTERONE (Amiodarone HCl) Premixed Injection is available at your fingertips.
ARS Needle Decompression Kit
This decompression kit features a strong, reliable 10-gauge needle and catheter combo that is 60% larger in diameter for those in need of a larger needle.
November 11, 2015
Continuous chest compressions vs. CPR for cardiac arrest: 3 takeaways
Since Sudden Cardiac Arrest (SCA) continues to be a major cause of death in the U.S., it makes sense that research that has been ongoing for more than 60 years should remain hot and heavy. The history of resuscitation can be traced by the treatments we provided.
Most of us will not remember when closed chest compressions, proposed by Dr. James Jude and colleagues, were a novelty, a research project that mandated further study. EMS dinosaurs will remember when CPR rates were 60 compressions per minute. Then rates increases to 80 beats per minute. And two-person ratios for CPR were 5 compressions for each ventilation given to the patient.
Sadly, over the second half of the 20th century most resuscitation efforts focused on the advanced portion of resuscitation — drugs, advanced airways and invasive procedures. Hindsight being 20/20, it is likely the resuscitation profession lost real progress by not focusing on the basics of ventilation and perfusion.
In the 1990s research began validating the effectiveness of high-quality chest compressions and prompt defibrillation. A Resuscitation Outcomes Consortium study comparing continuous chest compression and standard CPR, published this week in the New England Journal of Medicine, continues the tradition of looking for the next best resuscitation mousetrap.
Here are three key points to take away from this effort:
1. The number of patients enrolled is huge. Twenty-five thousand patients spread over large areas of the country make the results much less vulnerable to simple chance findings.
2. A prospective research design was used which means the researchers attempted to control for a variety of factors that could have affected the outcomes.
3. The authors point out that they could not control for what happened to the patients after EMS transferred the patient to the next level of care. Reaffirming that EMS is just one link in the resuscitation chain of survival. It's critical that all parts of that chain function well in order to give the patient the best chance for surviving neurologically intact. EMS can have a significant impact by delivering a viable patient to the next level of care.
We are moving into an era in which increasing cardiac arrest survival rates will be based on incremental fine tuning of effective procedures and techniques. We need to continue working with our lifesaving partners, bystanders and intensivists alike, to help reverse this major killer.
What are your key takeaways? Share your thoughts with other professionals in the comments.