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CPR - Cardiopulmonary Resuscitation
Rachel Kinser RVT, VTS(ECC)
VAT150 - Radiology
RECOVER
RECOVER
- Reassessment Campaign on Veterinary Resuscitation
- Survival Statistics
- Found that even among experts CPR recommendations were different
- Gathered Data
Team Work
Team Work
- Ideal teams 4-5
- Compressions - rotated between 2-4 staff
- Respiration - Intubation and ventilation
- Monitoring - recording/timing
- IV access - drug administration
- Team Lead - DVM or most senior technician
- Clear communication
- Post CPR - team meeting to discuss the code
CPA
CPA - Cardiopulmonary Arrest
- Unresponsiveness
- Absence of breathing
- Absence of palpable pulses or heart beat
- Start chest compression ASAP if CPA can not be ruled out
Chest Compressions
Chest
Compressions
- Start immediately!!!
- High quality compression = 25-35% cardiac output
- Compress chest by 1/3 to 1/2 its width with full recoil between compressions
Position
Position
- Hand over hand
- Elbows Locked
- Shoulders over hands
- Bend at the waist
- Engage your core muscles
Time & Tempo
Time & Tempo
- 100-120 compressions/min
- 2 minute cycles
- Staying Alive – Bee Gees, Sweet Home Alabama – Lynyrd Skynyrd, Rock Your Body – Justin Timerblake, MMMBop – Hansen, Work It – Missy Elliot
Ventilation
Airway Management
- Swipe back of mouth to check for a foreign body
- Intubation, inflate cuff and tie into place
- Ventilation at rate of 10 breaths/minute
Record Keeping
Record
Keeping
- 2 page form meant to be simple to use for any level hospital
- To be filled out both during CPR and after
- Can be submitted to the RECOVER registry and included in continued research in veterinary CPR
Patient
Information
Patient Information
- Record time Compressions started
- Record time ventilation started
- Can go back to add patient information and more details
Monitoring
Section
Monitoring Section
- Epinephrine, Atropine and Vasopressin are already on the chart.
- Space for additional drugs/testing
- Note time and route
- Make note of patient monitoring status
- Should correlate with your 2 minute timer
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