Updates And Adjuncts In CPR
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Transcript of Updates And Adjuncts In CPR
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Adjuncts and Adjuncts and UpdateUpdate in CPR in CPRNalinas Khunkhlai, MD
Department of Emergency Medicine and Narenthorn EMS center,
Rajavithi hospital
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Objective Objective
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CPR Devices CPR Devices
Devices to Support CirculationDevices to Support Circulation
1. Active Compression-Decompression CPR
(ACD-CPR)
2. Impedance Threshold Device (ITD)
3. Mechanical Piston Device
4. Load-Distributing Band CPR (LDB-CPR)
or Vest CPR
5. Phased Thoracic-Abdominal
Compression-Decompression CPR (PTACD-
CPR)
Ref : Circulation Dec 2005 ; Guideline ACLS ECC
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Lund University Cardiopulmonary Assist System (LUCAS)Lund University Cardiopulmonary Assist System (LUCAS)
1. Automatic mechanical compression 1. Automatic mechanical compression and active decompression resuscitationand active decompression resuscitation
Suction cup to actively lift the anterior chest during decompression..
To enhance venous return to the heart.
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1. Automatic mechanical compression 1. Automatic mechanical compression and active decompression resuscitationand active decompression resuscitation
Lund University Cardiopulmonary Assist System (LUCAS)Lund University Cardiopulmonary Assist System (LUCAS)
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Active Compression - DecompressionActive Compression - Decompression
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2. Impedance Threshold Device2. Impedance Threshold Device
A valve to limit air entry into the lungs during chest recoil.
To reduce intrathoracic pressure And enhance venous return to the heart
ResQpodResQpod
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2. Impedance Threshold Device2. Impedance Threshold Device
ResQpodResQpod
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3.Mechanical Piston Device3.Mechanical Piston Device
Simultaneous Sterno-Thoracic Cardiopulmonary Resuscitation (SST-CPR)
Device depresses the sternum via
compressed gas-powered plunger
mounted on a backboard.
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Simultaneous Simultaneous
Sterno-Thoracic Sterno-Thoracic
Cardiopulmonary Cardiopulmonary
Resuscitation (SST-CPR)Resuscitation (SST-CPR)
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4.Load-Distributing Band CPR or Vest CPR4.Load-Distributing Band CPR or Vest CPR
Autopulse
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5. Phase chest and abdominal compression-decompression5. Phase chest and abdominal compression-decompression
Combines the concepts of ACD-CPR
device and Interposed Abdominal
Compression-CPR technique
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IAC-CPR : Interposed abdominal compression IAC-CPR : Interposed abdominal compression
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Other Gadget for non-chest compression part : King LTOther Gadget for non-chest compression part : King LT
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Other Gadget for non-chest compression : EtCO2 15-38 mmHg PCOOther Gadget for non-chest compression : EtCO2 15-38 mmHg PCO22
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Other Gadget for non-chest compression partOther Gadget for non-chest compression part
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Dent ER
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Ohhhhh…..Ohhhhh…..
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Jan 2008 : Jan 2008 :
Problem : Bystander CPR rates previously are too low
Recommendation :
1.Broaden CPR training ( Friend and Family CPR)
2.Reassurance (HIV not transmitted through performance of CPR.)
3.Improve EMS and CPR Quality
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Mar 2008 : Hands-Only CPR Mar 2008 : Hands-Only CPR
Recommendation :
1.When adult sudden collapse, trained or
untrained bystanders should – at a
minimum – activate their community EMS
and provide at least hand-only CPR (Class
IIa)
2.CC-only : continue until the AED arrives
or EMS .
3.Bystander who’s not confident , provide
CC-only.
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Apr 2008 : Essential feature of designating OHCAApr 2008 : Essential feature of designating OHCA
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Oct 2008 : Hands-Only CPR Oct 2008 : Hands-Only CPR
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Post-Cardiac Arrest Syndrome : Post-Cardiac Arrest Syndrome : Pathophysiology, Clinical manifestationPathophysiology, Clinical manifestation
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Post-Cardiac Arrest Syndrome : Post-Cardiac Arrest Syndrome : Pathophysiology, Clinical manifestationPathophysiology, Clinical manifestation
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โอ้�วว พอ้ที�....
Thank you For your attention.