www.instagram.com/p/B0TRCJYhGmZ/

• @the_resuscitationist .

AUTOMATIVE CPR MACHINES: to include “lucas” “autopulse” etc.

.

BOTTOM LINE: these do NOT increase rates of survival and out of hospital discharge neurointact. .

POLARIZING statement I know… but this isn’t just an emotional based opinion. Multiple studies over the years (I can send them to you or a quick search) shows no increased survival when compared to manual (hands on chest) CPR. There’s added concern for the delay in compressions during placement.

.

.

HOWEVER: there is added benefit for small pre-hospital crews that the use of these machine does keep crews more safe and “free’s up hands” to prevent task saturation. In the ER setting, I typically wont take the time to place one. They also cover the chest and make any needed chest procedures difficult (pericardiocentesis, chest tubes, central lines, needle decompressions etc)

.

.

NOTE: cost roughly $15k per unit. If you’re system does not have these, do not think your CPR is inferior.

.

MY MAIN POINT: quality CPR principles include early chest compressions and limited interruptions. Peds has a few subtleties, but keys below -Intubate while compressions take place. – hard and fast (100-120 bmp) -ribs will likely crack. This is normal.

-place patient on hard surface

– don’t hyperventilate. Even bystander compressions only without rescue breaths is acceptable – keep compressions after shocks given

– coronary perfusion pressure (CPP) is greatly impacted from above principles.

.

.

QUALITY CPR SAVES LIVES.

.

#cpr #heartattack #acls #bls #ems #paramedic #anesthesia #medicine #emergency #er #emergencymedicine #arrest #compressions #chest #pulse #medicine #medical #research #science #rn #medic #paramedic #nurse #crna #doctor #doc #discuss #hospital #education #teach #learn #help

About the Author
I am an experienced trauma nurse who has seen a lot of super tragic and gnarly things. On the flip side, I’ve have seen and done a lot of amazing things in my 20 years of nursing as well. I’ve saved lives for a living and I have had the privilege and the honor of holding patients hands as they take their last breath. I have seen SO many patients and their loved ones in their most fragile moments. I am proud of my profession, and for the fact that I have fought so valiantly to be here. Sometimes nurses get burnt out, but I have been blessed to be at the bedside all of my career. I have earned multiple degrees and certifications in nursing. I am the nurse you want at your bedside when you’re critically injured and dying. I put my blood, sweat and tears into being clinically astute & relevant. This blog is to help new nurses, nursing students, paramedics, experienced nurses, or whomever comes across my blogs path and think it is intriguing, educational or inspiring to them. In this career, we are all here to share and help one another grow. I believe in building others up, so they can reach the next level, whatever their goal may be. Carpe Diem & ENJOY!

Leave a Reply

This site uses Akismet to reduce spam. Learn how your comment data is processed.

%d bloggers like this: