Reminder: Our fifth and final episode of this series, 鈥淩eimagining Resuscitation: Behind the Scenes of Rialto鈥檚 Breakthrough鈥 will be a live webinar including a Q&A session on Dec. 8, 2020. Send your questions for Kevin Joles and Joe Powell to ACR@zoll.com and register for the webinar here.
The Rialto Fire Department, along with Lawrence-Douglas County Fire and Medical, have been on a journey to improve resuscitation rates and neurological survival by implementing a set of reproducible tools combining technology with behavior and culture as a driver.
The first episode of this special video/podcast series, 鈥Reimagining Resuscitation: Behind the Scenes of Rialto鈥檚 Breakthrough,鈥 brought to you by SA国际传媒 and Zoll, broke down the 7 steps in the ACR toolkit and the 4 acceptable pauses in CPR. Watch Episode 1 here and listen to the podcast recording here.
In this episode, Joe Powell, MICP, EMSC, relates how the ResQPOD 鈥 the second tool Rialto added in its ROSC journey 鈥 helps maintain circulation to the brain.
Joe Holley, MD, FACEP, FAEMS, medical director for the State of Tennessee Department of Emergency Medical Services, and the Memphis and Shelby County Fire Departments, explains how available research links increased cardiac output and reduced intracranial pressure to improved patient outcomes.
And Kevin Joles, NREMT-P, discusses how apneic oxygenation allows responders to secure an advanced airway while the AutoPulse provides high-quality compressions, preventing hypoxia.
Watch next: Reimagining Resuscitation - Episode 3: Reproducible results
References
Review the research cited by Dr. Holley:
1. Farkus J. (July 2, 2014). Preoxygenation and apneic oxygenation using a nasal cannula. PulmCrit (EMCrit).
2. Kjaergaard B, Bavarskis E, Manusdottir SO, et al. Four ways to ventilate during cardiopulmonary resuscitation in a porcine model: a randomized study. Scandinavian Journal Trauma Resuscitation Emergency Medicine. 2016; 24: 67.
3. Yannopoulos Demetris, Abella Benjamin, Duval Sue, & Aufderheide Tom. (2014). Abstract 9: The Effect of CPR Quality: A Potential Confounder of CPR Clinical Trials. Circulation, 130(suppl_2), A9鈥揂9.
4. Langhelle, A., Str酶mme, T., Sunde, K., Wik, L., Nicolaysen, G., & Steen, P. A. (2002). Inspiratory impedance threshold valve during CPR. Resuscitation, 52(1), 39鈥48.