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Online CPR Certification Blog

Improve The quality of CPR

Sep
22

Date: September 22nd, 2013

New advice with the incentive of increasing CPR qualityAccording to a recent consensus statement that came from the American Heart Association, over half a million children and adults get cardiac attacks annually. The figures further states that only 15% or less of persons affected make it through the fatal experience. This alone made it one of the deadliest public health issues being faced by people in the United States.

CPR quality and its effectiveness

Despite CPR being one of the most common procedures used, its efficiency mostly relies upon the standard or quality. This has been noted to differ in various hospitals and EMS departments with each having a variety of standards and procedures. The is a belief that was even published in ‘Circulation’ online by Peter A. Meaney, from Children’s Hospital of Philadelphia. It sums up the belief that there is a huge void existing in between CPR implementation and CPR knowledge.

The writers of the book referred to research stating the rates of survival which were ranged from 12% to 22% for hospital victims and 3% to 16% for field victims. They didn’t fail to mention that low CPR quality is a harm that can be prevented easily.

Mr. Meaney, one of the authors, said that a lot of lives can be saved if people shift their attention on raising the standards in which CPR is administered to cardiac arrest victims. He was also of the belief that the public could do considerably better if this was to be implemented.

Recommendations suggested by the authors

Citing evaluations from various studies and the views of professionals, the official account of facts from the book coincide with guidelines used in CPR. Some of the various suggestion and advice given include

  • Person administering procedure should seize from leaning in between compressions
  • Utilization of more than one technique to follow up on the reaction or response of the victim once the CPR is administered. Its highly advised that one utilizes ETCO2 values if there are no venous or arterial lines visible, diastolic pressure whenever an arterial line exists and coronary perfusion when the central and arterial venous
  • The depth of chest compression should be greater or equal to 50mm for grownups. It should on the other hand be at least 1/3 of the anterior posterior size of the chest for young kids.
  • Ventilations should be reduced or limited to a low of 12 breaths for every minute
  • Administered CCF (Chest Compression fraction) should be more the 80%
  • The rate of chest compression should be between 100 and 120 every minute

The group also advised that there should be a leader in the team or group who should supervise the work. There is also the need to have several techniques of following up on the performance of team during the procedure.

There was the suggestion that a CQI (continuous quality Improvement) tactic would be convenient in enhancing the level of CPR quality. This can be achieved only if the process is consists checklists, continuous training, debriefing and finally a system that gives a response back to providers, managers and directors.

There is huge list of directions for the future which could come in handy when increasing the quality of CPR. It’s inclusive of a method to adopt quality CPR reporting and increasing level of research.

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