Search This Blog

Tuesday, July 10, 2012

It is time to re-think how we're trying to deal with SCA's.

I believe that if the BLS curriculum were changed to teach what current resuscitation science teaches, many tens of thousand more people in North America would survive cardiac arrests than currently do. ("Survive" means "Get discharged from the hospital with major brain functions intact - i.e., with a CPC score of 1 or 2.")

Very few people perform CPR properly: the rate is too slow, the interruptions are too frequent and too long, and the compression depth is too shallow.

The imposition of a limit on compression interruptions didn't do much more than promote the documentation of five- and ten-second intubations and intubations without interruptions.

The CARES data shows us that two-thirds of all out-of-hospital sudden cardiac arrests occur in the home. Survival data shows that two percent of OOHSCA's occurring in the home have a survival outcome.

The Pheonix, AZ Airport has averaged a 75% survival rate for ten years.

Perhaps it's time to re-think what we take on faith as being the solution to the problem.