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EMR
EMT
AEMT
Paramedic
Extended
CCR
Indication
: Cardiopulmonary resuscitation with passive insufflation for sudden cardiac arrest
Contraindications
: Trauma, Overdose, Children, Drownings, Respiratory Arrest, Obstetrical
Steps
Performed?
Yes No
Component
Recommendations
Recognition
Unresponsive Adults
No breathing or no normal breathing (i.e., gasping)
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No palpated pulse within 5-10 seconds
CCR
Circulation to the brain takes several compressions to initiate
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Compression Rate
100-120/minute
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Compression Depth
2-2.4 inches
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Chest Wall Recoil
Allow complete recoil between compressions
Rotate compressors every 2 minutes
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Compression
Interruptions
Minimize interruptions in chest compressions
Attempt to limit interruptions to < 10 seconds
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Airway
Passive oxygen insufflation with NRB at 100% FiO2
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Compression to
Ventilation Ratio
(until advanced airway is
placed)
200 continuous compressions x 4 cycles
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Ventilation with
Advanced Airway
Withheld until 4 CCR cycles are complete
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Defibrillation
Performed between cycles of compressions if indicated.
Minimize interruptions in chest compressions before and after
shock. Resume compressions immediately after each shock.
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Drugs
IO Epinephrine 1:10,000 1mg between compression cycles.
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CCR