7. Facts on Sudden
Cardiac Arrest
⢠Approximately 359,400 out of hospital
cardiac arrests annually
⢠90.5% mortality rate=325,257 deaths
⢠This would equal the death toll of the
titanic sinking 4 times every week
⢠*Data according to AHA
9. How can we Improve
⢠CCR
⢠Automated Compression Devices
⢠Team Approach
⢠Capnography
⢠Data
⢠Pre Arrival CPR
10.
11. Importance of Data
⢠Is what we are doing working?
⢠Are we spending money where it should be
spent?
⢠Do we really make a difference?
⢠Does staffing matter?
⢠Does getting there one minute faster really
help?
12. How to Keep Cardiac
Arrest Data
⢠Wausau Fire has maintained cardiac arrest
data since 2012
⢠The CARES data set is used
⢠The only person that sees it is me!!!
13. Changes in Our Cardiac
⢠CPRA tor CrCeRs t Protocols
⢠Change from Combi to King for backup
airway
⢠Addition of automated compression device
after trial
⢠Addition of induced Hypothermia
⢠Addition of capnography
15. Automated
Compression
Device
**During a trial an increase to
out of hospital survival of 6%
was found with the use of a
compression device**
16. Some of our Data
⢠In 2010/2011 the approximate cardiac
arrest survival rate was 12%-18%
⢠In 2012 after protocol changes and
equipment upgrades our overall survival
rate was 33%; of those 93% had a CPC
score of 1 or 2.
17. Maybe it was Just a
Lucky Year???
⢠In 2013 the overall survival rate was 26%;
of those 100% had a positive neurological
outcome!!
18. Lets be more Specific
⢠2012
⢠42 total arrests
⢠13 VF/VT
⢠8 VF/VT ROSC=61.5% (all survived)
⢠29 PEA/Asystole
⢠7 PEA/Asystole ROSC=24% (3 survived)
21. The Big Picture
⢠Total VF/VT arrests 2012-2014=23
⢠Total VF/VT ROSC=15 (65%)
⢠Total PEA Asystole Arrests=70
⢠Total PEA/Asystole ROSC=15 (21%)
⢠VF/VT survival to discharge 61%
⢠Asystole/PEA survival to discharge 11%
23. Data Tracking
⢠Use of the CARES data set
⢠Using 52 data points
⢠Great data but very underused
24. Data Bank
⢠Statewide cardiac arrest data bank
⢠Each service data submitted quarterly
⢠All data would be complied and returned
to each participating service
⢠Service names would be kept confidential
25. Benefits
⢠A larger pool of data
⢠Ability to determine what works and what
doesn't without trying it for yourself
⢠Ability to increase cardiac arrest survival
across Wisconsin
26. Possibilities
⢠Normal cardiac arrest ratio 1 for every
1,000 population annually
⢠Wisconsin population=5,726,000 or
approximately 5,726 cardiac arrests
statewide
⢠90% mortality rate=5,153 deaths
⢠76% mortality rate=4,351 deaths
27. ⢠Over 800 more lives saved!!!
⢠This would be equal to saving the entire
Village of Crystal Lake WI every year