Medical Director, Public Safety and Emergency Medical Services Dallas County (TX), USA Dallas, Texas
Disclosure(s):
Paul E. Pepe, MD, MPH, FAEMS, MACP, MCCM: No financial relationships to disclose
In this state-of-the-future session, the speaker, a renowned resuscitation-specialist, pulmonary-physiologist and cardiac arrest management pioneer, will:
• Review normal cardiopulmonary physiology, the differences between oxygenation and ventilation, and why that distinction becomes very important during resuscitation efforts -- and especially during CPR
• Provide a strategy to optimize and best ensure oxygenation, removal of CO2, and enhance trans-pulmonary blood flow --- without compromising cardiac output (and blood flow across the lungs) during CPR --- and do so in a most efficient/effective manner.
• Discuss the actual process of delivering breaths in terms of how much lung inflation should be provided, the timing of delivery, how fast to deliver that inflation and, quite importantly, how to quickly end the delivery and hasten expiration -- as well as when to adjust respiratory rates as circulation improves.
• Reinforce that, to effect “quality CPR”, one must also manage the various critical elements and components of “High-Performance Ventilation” during CPR (using physiological-sounder recommendations).
• Emphasize conditions that exacerbate detrimental effects of positive-pressure ventilation and how to manage them
• Why we all need to adopt this lifesaving approach now to avoid bad outcomes -- with good examples of how this has worked when implemented!
Learning Objectives:
Describe normal cardio-pulmonary physiology and heart-lung-circulatory interactions and, most importantly, the physiological differences between pulmonary-oxygenation and ventilation (removal of CO2) -- and why those distinctions becomes critical during resuscitation efforts
Detail the actual process of delivering breaths: the timing and degree of lung inflation, the rate of delivery and expulsion of positive-pressure breaths and how/when o adjust respiratory rates.
Provide examples of how adopting these techniques have saved lives, particularly in out-of-hospital pediatric cardiac arrest and recommend why we all can —and should -- Implement this lifesaving approach now.
