1. HIGH PERFORMANCE CPR 2014

2. KEEP IN MIND…….

3. GOOD SHOULD NEVER BE GOOD ENOUGH Mantra #1

4. EVERYONE SURVIVES Everyone in VF that is Mantra #2

5. IT’S NOT COMPLICATED But it’s NOT EASY Mantra #3

6. PERFORMANCE, NOT PROTOCOL Mantra #4

7. IF YOU’VE SEEN ONE EMS AGENCY……. You’ve seen ONE EMS agency. Mantra #5

8. IT TAKES A “SYSTEM” To save a victim Mantra #6

12. Training Focus CPR Fraction 95% Coordination of 2 minute intervals with an ALS Manual Defibrillator Airway management’s proper place in resuscitation Adequate ventilation (avoid hyperventilation)

13. Micro- resuscitation Ensuring High Performance CPR

14. Improving Compressions Increased rate: at least 110/min Use of a metronome Ensuring full compression Using a pulse monitor in the “waiting” position Ensuring full recoil (decompression) Focus on good CPR form

15. Improving Ventilation Avoid Hyperventilation Volume control (300-400 ml breaths) Pinky Pose Better coordination with compressor 13-14-15 compressor count

16. Defibrillation Improved safety and communication Ensure use of hand signals Decreased hands off time KNOW YOUR MACHINE!

17. Minimizing Interruptions Finding ways to shave off SECONDS Better communication Better teamwork More consistency Early ALS

18. Macro- resuscitation Integration of ALS

19. Paramedic Integration BLS Owns CPR Proper timing of placing the manual defibrillator Proper timing of advanced airway placement Minimize Interruptions