Martyn Box

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Martyn Box

• Clinical Support Officer
• SWAST

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Use of Data Downloads in Cardiac Arrest
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What is a Data Download

• Recording from any Defibrillator using
  manufactures own software

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What Does a Data Download Show

• Date of ECG Download
• Time of ECG Download
• Initial ECG Rhythm
• Chest Compression Start Time
• Chest Compression Rate
• Chest Compression Rate per Minute (Average)
• Ventilation Start Time
• Ventilation Rate

• Ventilation Rate per Minute (Average)
• Time of each Shock
• Pre and Post Shock Rhythm
• Total Number of Shocks per ECG Download
• Total Time Elapse of each ECG Download

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How can we use this Information to Improve Our
Cardiac Arrest Management
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VF Study

• 100 Cardiac Arrest Data Downloads
• All Paramedic/Technician Crews
• Use of the Impedance Channel

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What is the Impedance Channel
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Use of the Impedance Channel
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What did we Learn

• Compression rate to fast

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7 Seconds of CPR Rate 190
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The Solution

• Put a Metronome on each Defibrillator
• Set at 100 Beats Per Minute

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Metronome CPR 100 BPM
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What did we Learn

• Delay in Defibrillation in AED Mode

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15 Sec of VF No CPR
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The Solution

• Disable the AED Mode on each Defibrillator

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What did we Learn

• Delay in Defibrillation in Manual Mode

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26 Sec of VF No CPR
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The Solution

• Train Staff in Quick VF Recognition
• Train Staff to continue to compress chest while
  defibrillator charges

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4 Seconds Hands Free
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Conclusion

• How do you know your staff are doing a good job
• IF YOU DONT LOOK

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Questions