Forgetting the Basics of CPR: Do Cognitive Aids Really Help?

Do Cognitive Aids Really Help? If you have been in healthcare for fifteen or more years, you may recall attending an ACLS that ended with one or more learners running out of the classroom crying because they failed to take the correct action at the correct time. Fast forward to todays' BLS, ACLS and PALS classes and new learners might not appreciat...
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CPR Is A System Effort

I have visited hundreds of facilities and every hospital has a "Code Team", "Code Blue", or "Dr. Heart" (aka we don't want to tell visitors someone is dying in our hospital because no one dies here ) team. It is not important what the team is called, just so long as the team functions well. Enter the American Heart Association's Taxonomy of Sy...
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Pulse Check in Isle 2 Please

Should a code team member check for a pulse while providing CPR? This question or some version of it (checking a pulse during CPR) is asked in just about every class the CPR Training Company offers. But is the presence of a palpable pulse, during chest compressions, a good indicator for the quality of chest compression?  So far my research has...
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Major Nationwide Shortage of Epinephrine

Recently several news services have reported shortages in essential medications. One of those medications is called Epinephrine. This leads many to wonder how this drug shortage impacts patient safety and care. Many studies report that when a new (or changed) approach/tool enters the emergency care environment, the anxiety of staff drastically...
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American Heart Association eCards

In October 2014 the American Heart Association launched its version of electronic certification cards or eCards. Per the AHA, eCards will be available to all training providers by March 2015. While not yet fully replacing the decades old paper card system, the new American Heart Association eCard system will gradually replace paper cards ...
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RQI Nuts and Bolts - Why RQI?

What is RQI? The RQI Program or Resuscitation Quality Improvement Program is part of a newly emerging training platform from the American Heart Association. In fact the RQI program represents a paradigm shift in CPR training and future training center development and implementation. RQI's stated goals are to improve Basic Life Support (BLS) an...
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eCPR – A Replacement for CPR? Part I

Extracorporeal Cardiopulmonary Resuscitation or eCPR is argued by some to be superior to ACLS protocols. Let's dive into this topic just a bit more. Two Facts It's important to note two facts. First this CPR Blog post is focused on CPR in hospitals and the outcomes shown here are actually a lot worse in the community setting. Second eCPR is not abo...
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Team Training Approach Yields Significant Improvement in Pediatric Code Outcomes

Thanks to a new training approach, researchers at the Stanford University School of Medicine and the Lucile Packard Children's Hospital Stanford have seen pediatric code event survival rates jump from 40 percent to 60 percent. The key? Training all staff, not just doctors and nurses. "In the new study, we involved the entire code team, from attendi...
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