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Elective in CPR

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					Elective in CPR Instruction



Sam Keim, MD
Emergency Medicine
University of Arizona College of
Medicine
Why should we care?
• 700,000 cardiac arrests per year
• 250,000 die
• Survival to hospital discharge
  neurologically intact 3 - 8%
• Substantial variation:
  – different geographical locations and
  – initial cardiac rhythms
  – bystander CPR or not
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
Who Survives Cardiac Arrest?
Some things we know...continued

      • Citizens who witness frequently do NOT provide
        CPR (bummer…..)
      • Most occur at home without a witnessing bystander
        who knows CPR (bummer…..)
      • Continuous Chest Compressions are good (cool!)
   – Early Defibrillation is the most crucial link in
     the ―chain of survival‖
      • Survival of 59% in VF (Valenzuela, Casino project)
      • But pretty much worthless if NO CPR was given
      • Can be given effectively by AED by a 6th grader
The Bottom line
• Citizens must learn CPR and how to
  activate 911 and implement both
• Rapid Defibrillation must occur
• Advanced Cardiac Life Support must reach
  the patient relatively soon
How can we do it
                   • Chain of Survival
                      –   Early Access
                      –   Bystander CPR
                      –   Early Defibrillation
                      –   Early ALS
                   • ECC - Emergency
                     Cardiovascular Care
                   • Training Pyramid
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
How can we do it
Sarver Heart Center
Cardiocerebral Resuscitation
          Continuous Chest Compression

              Developed here
              Extremely important advance
              YOU can learn from source
Gordon Ewy, MD
•   Cardiac arrest—Guideline changes urgently needed
    Gordon A Ewy. The Lancet, Volume 369, Issue 9565, 17 March 2007-23
    March 2007, Pages 882-884
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 educational issues
• Learn about the Ethical dilemmas
• Do something good for your community
Elective in CPR
• EMD 816J – Old course number for classes
  of 2009, 2010
• EMD 816K – First and second year students
• EMD 816L – Third and fourth year students
• Final Grade - P/F
EMED 816K
•  Becoming a CPR Instructor
•  You will need to become certified as a CPR instructor. You may do this via
   the American Heart Association pathway or the Red Cross.
• Learn to teach Continuous Chest Compression-CPR
• Teach CPR (2 course credits)
• Each half-day CPR course = 1 credit
• Each CCC-CPR course = 1 credit
• You will be responsible for documenting your teaching credits by using the
   CPR Online Instruction Log.
• Attend or View Didactic Sessions
• Complete Critical Appraisal exercise (1)
• Final exam (on line): 70% to pass.
• Grade will be P/F
Registration
Contact Student Affairs Office to sign up for this elective.
EMED 816L
•   Complete and pass EMD 816K
•   Teach CPR and CCC-CPR - 8 total credits
•   Each half-day CPR course = 1 credit
•   Each CCC-CPR course = 1 credit
•   You will be responsible for documenting your teaching credits by using the
    CPR Online Instruction Log.
•   Complete Critical Appraisal exercises (2)
•   Final exam (on line): 70% to pass.
•   Grade will be P/F

Registration
Contact Student Affairs Office to sign up for this elective.
EMED 816L
Course website:

http://www.emergencymed.arizona.edu/EM_cpr/cpr
   816K.cfm

				
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posted:8/9/2011
language:English
pages:14