Improving Survival to Discharge following Out of Hospital Cardiac Arrest May 2016.

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Presentation transcript:

Improving Survival to Discharge following Out of Hospital Cardiac Arrest May 2016

YAS Cardiac Arrest Annual Report 2015 Resuscitation attempted on 2,970 patients (nationally: 28,000) Return Of Spontaneous Circulation in 22.6% (nationally: 25%) Survival to Discharge for all cardiac arrests was 10.6% (nationally: 7-8%) 281 patients were discharged from hospital alive

National strategy Cardiovascular Disease Outcomes Strategy for England (2013) Increase Survival to Discharge from Out of Hospital Cardiac Arrest by 50% = 1,000 lives saved per year

YAS findings >62% of patients were >65 years old Peak occurrences: January Saturday Between 08:00hr and 09:00hr Wide variation in Survival to Discharge rates

18.6% of patients presented with a shockable rhythm, i.e. amenable to defibrillation Bystander CPR performed on 49.6% (Norway: 73%)

Chain of Survival

Early CPR ‘Heartstart’ European Resuscitation Council ‘Lifesaver’ DVD to all secondary schools Primary aims: teach skills required to save a life improve bystander CPR rates

Restart a Heart day 2014 Visited approx. 50 schools Taught 11,500 students CPR in a day >200 clinical staff and CFR volunteers BHF provided manikins through launch of Nation of Lifesavers campaign

Why do it again?

Restart a Heart day Schools visited >20,000 children taught >400 volunteers from clinical and non-clinical staff, St John Ambulance, Community First Responders, Resuscitation training departments, Fire & Rescue Service

129 schools registered across Yorkshire 267 volunteers already registered Target to beat last year’s figure projection ~25,000 Partnership working

Spreading best practice Formed National Strategic Committee with RC(UK), BHF, BRC, SJA March Presented to Association of Ambulance Chief Executives April Presented to All Party Political Group at Westminster

National Restart a Heart day Commitment from all English ambulance trusts April Hosted webinar to share best practice Aim – to train as many young people as possible on that day in CPR Target >100,000

Early defibrillation PAD sitesMarch 2015March 2016Increase ABL CKW63428 Hull & ER NY SY Total (127%)

Post-resuscitation care Inotrope support Low dose adrenaline to support blood pressure Synchronised DC cardioversion To treat life-threatening tachyarrhythmias (fast heart rate) External cardiac pacing To manage life-threatening bradyarrhythmias (low heart rate)

Questions