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Antonius Freddy 17
Dept – SMF Emergency Medicine
FKUB – RSSA
• CPR Rate: 100 -120 cpm
• Fully release
1.5
0.5
0
<1 1-1.5 1.5-2 >2 Non-survivor Survivor
Compression Depth (in)
JAMA. 1990;263:1106-1113.
Chest Compression Rates
Idris et al .showed
that survival to
discharge
correlated with
chest compression
rates between 100 -
120
Rate compression
– New consensus statement puts an upper limit on rate because of
this.
Pre-Shock Pauses
Edelson further
demonstrated that pre-
shock pauses impact
shock success.
Research
demonstrated a near-
linear inverse
relationship between
pause time and shock
success.
Resuscitation. 2006;71;137-145
Pauses Impact Survival
More importantly,
hyperventilation resulted in
significant mortality.
Results:
Fast CCRV was associated with increased survival compared to
slow
Fast CCRV was also associated with improved favourable
neurologic outcome compared to slow
There was a 5.2% increase in the adjusted odds of survival for each
10 mm/s increase in CCRV
Conclusion: CCRV was independently associated with improved
survival and favorable neurologic out-come at hospital discharge
after adult OHCA.
Release Velocity
Kovacs et al studies release velocity
and demonstrated that survival and
good neural status correlated with
speed of release.
There is a strong
recommendation to debrief
resuscitation events.