What are the essential elements of High Performance CPR?
Adult High Performance CPR (HP-CPR) Demo at the South Carolina Resuscitation Academy!
Hilton Head Island Fire Rescue: Tim Santini, Jon Ceiply, Shane Marstiller, Sean Kavlick
What is High Performance CPR?
High Performance CPR typically consists of expertly performed BLS with strict attention to:
Minimally interrupted chest compressions
Ensuring optimal rate (100-120)
Ensuring adequate depth (2 – 2.4″ or 5 – 6 cm)
Allowing full chest recoil (avoid leaning)
Rotate rescuer on compressions every 2 minutes
Controlled ventilations
Only enough for chest rise (300 – 400 ml)
Pausing only 2-3 seconds to ventilate during 30:2
Asynchronous ventilations every 6 seconds once advanced airway is in place or every 10th compression
Defibrillation
Shocking on a 2-minute cycle
Pre-charging the monitor at 1:45
Minimize perishock pause to less than 5 seconds
Change out rescuer on chest compressions during perishock pause
This is essentially “The Seattle Way” but there are variations even within the Medic One system. They also practice what is called “BLS Continuous” which consists of continuous chest compressions with a ventilation interposed every 10th chest compression.
The 2015 AHA ECC Guidelines state: “For adults in cardiac arrest who receive CPR without an advanced airway, it may be reasonable to perform CPR with the goal of a chest compression fraction as high as possible, with a target of at least 60%.” This figure is surpri...
Source: EMS 12-Lead - Category: Cardiology Authors: Tom Bouthillet Tags: Cardiac Arrest Training videos High Performance CPR SCRA2017 South Carolina Resuscitation Academy Source Type: research