Preventing hypoxia with apneic oxygenation
The Rialto Fire Department, along with Lawrence-Douglas County Fire and Medical, have been on a journey to improve resuscitation rates and neurological survival by implementing a set of reproducible tools combining technology with behavior and culture as a driver.
The first episode of this special video/podcast series, “Reimagining Resuscitation: Behind the Scenes of Rialto’s Breakthrough,” brought to you by EMS1 and Zoll, broke down the 7 steps in the ACR toolkit and the 4 acceptable pauses in CPR. Watch Episode 1 here and listen to the podcast recording here.
In this episode, Joe Powell, MICP, EMSC, relates how the ResQPOD – the second tool Rialto added in its ROSC journey – helps maintain circulation to the brain.
Joe Holley, MD, FACEP, FAEMS, medical director for the State of Tennessee Department of Emergency Medical Services, and the Memphis and Shelby County Fire Departments, explains how available research links increased cardiac output and reduced intracranial pressure to improved patient outcomes.
And Kevin Joles, NREMT-P, discusses how apneic oxygenation allows responders to secure an advanced airway while the AutoPulse provides high-quality compressions, preventing hypoxia.
Our fifth and final episode of this series, “Reimagining Resuscitation: Behind the Scenes of Rialto’s Breakthrough” will be a live webinar including a Q&A session on Dec. 8, 2020. Send your questions for Dr. Holley, Kevin Joles and Joe Powell to ACR@zoll.com.
Review the research cited by Dr. Holley:
1. Farkus J. (July 2, 2014). Preoxygenation and apneic oxygenation using a nasal cannula. PulmCrit (EMCrit).
2. Kjaergaard B, Bavarskis E, Manusdottir SO, et al. Four ways to ventilate during cardiopulmonary resuscitation in a porcine model: a randomized study. Scandinavian Journal Trauma Resuscitation Emergency Medicine. 2016; 24: 67.
3. Yannopoulos Demetris, Abella Benjamin, Duval Sue, & Aufderheide Tom. (2014). Abstract 9: The Effect of CPR Quality: A Potential Confounder of CPR Clinical Trials. Circulation, 130(suppl_2), A9–A9. https://doi.org/10.1161/circ.130.suppl_2.9
4. Langhelle, A., Strømme, T., Sunde, K., Wik, L., Nicolaysen, G., & Steen, P. A. (2002). Inspiratory impedance threshold valve during CPR. Resuscitation, 52(1), 39–48. https://doi.org/10.1016/s0300-9572(01)00442-7