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2023 Ways to Resuscitate Cardiac Arrest Patients: Lifesaving Actions That EMS and Fire Services Should Now Be Providing

Thursday, April 27
Part 1: There's No High-Performance CPR Without High-Performance Ventilation: What Are the Appropriate Physiological Approaches to Respiratory Support? Conventional approaches to ventilation during CPR have been misunderstood and misapplied for decades. The instructor, an award-winning respiratory-physiology scientist with track records for advances in ventilatory management during resuscitation, will review the nuances of pulmonary anatomy/physiology during circulatory arrest and then recommend a sounder management approach that has already worked to improve outcomes in many EMS systems. Part 2: What's Neuroprotective CPR and How Does It Work? Mitigating the Physiological Limitations of Conventional CPR! Performed early and properly, basic CPR has a true capacity to miraculously save lives in conditions like drowning incidents and ventricular fibrillation cases. Nonetheless, the great majority (80%) of cardiac arrests are non-shockable cases (PEA/asystole) with typically poor prognoses. Much of this is largely due to the physiological limitations of conventional supine chest compressions, which can create back-pressure on the venous side, raising intracranial pressure and diminishing venous return to the heart. The instructor will explain how any first-in responder can now mitigate those physiological challenges of conventional CPR; normalize blood flow; and, in turn, achieve compelling survival results.
Paul E. Pepe, MD, MPH, FAEMS, MACP, MCCM, EMS/Public Safety Medical Director; Coordinator - Dallas County (TX); Metropolitan EMS Medical Directors (Eagles) Global Alliance