Who should use CPR Assist?
CPR Assist may be useful in the training of nurses, paramedics, and doctors, as well as in a range of clinical environments where they may be called upon to provide CPR. It may also assist many non-professionals undertaking first-aid and resuscitation training. The prompts and other features of CPR Assist are consistent with the latest ILCOR guidelines.
Why CPR Assist?
The complexity and pressured environment that usually surrounds a
resuscitation event often leads to difficulties in achieving the
appropriate timing of the interventions.
The primary aim of “CPR Assist” is to provide assistance in the achieving accurate timing of interventions such as chest compressions, breaths, defibrillation and drug dosing.
The theoretical knowledge and practical skills of life support should only be learnt in an appropriately credentialed course or professional training. CPR Assist may be useful during this training, in professional simulation exercises, and may increasingly become part of clinical practice. As stated in the 2010 ILCOR guidelines: “CPR prompt and feedback devices may be useful for training rescuers and may be useful as part of an overall strategy to improve the quality of CPR for actual cardiac arrests.” Circulation 2010;122;S640-S656
FeaturesSpecific features of “CPR Assist” in basic life support modes:
- Auditory & visual prompts for chest compressions at a rate of 100 per minute.
- Prompts for breaths after every 30 compressions.
- Modes for both compression-only and CPR (30:2).
- Visual prompt to use automatic defibrillator when available.
- Facility to switch to advanced modes when professional help arrives.
- Advanced modes for Adults (30:2) and Child (15:2).
- Facility to switch from mask ventilation to intubated.
- Compressions without pause for breaths after intubation.
- Prompt to assess rhythm every 2 minutes.
- Epinephrine/Adrenaline dosing prompted every 4 minutes.
- Amiodarone for VT/VF prompted after the third defibrillation.
- Pause of compressions to allow defibrillation, with immediate recommencement after the shock is notified.
- List for exploring causes of an arrest – 5 H’s and 5 T’s.
- Advice for post-resuscitation care.