1. David B. Hiltz, NREMT-P AHA National ECC Program RESUSCITATION UPDATE

2. Pictures are for presentation purposes only.The American Heart Association does not endorse any particular products, models or manufacturers . 3. 4. Pictures are for presentation purposes only.The American Heart Association does not endorse any particular products, models or manufacturers. 5. THE STORY OF BOB 6. ISSUE: SUB-OPTIMAL SURVIVAL RATES Pictures are for presentation purposes only.The American Heart Association does not endorse any particular products, models or manufacturers. 7. OUR JOB: SAFETY NET 8. REAL PEOPLE BEHIND THE STATS 9. ISSUE:RECOGNITION AND ACTION! 10. THE "FIX" GROUP DISCUSSION 11. ISSUE:HEART ATTACK GRILLS Pictures are for presentation purposes only.The American Heart Association does not endorse any particular products, models or manufacturers. 12. THE "FIX" GROUPDISCUSSION 13. ISSUE: UNSATISFACTORY RATES OF BYSTANDER CPR 14. THE "FIX" GROUPDISCUSSION 15. DID YOU KNOW? 16. 17. 18. ISSUE:INCONSISTENT EMD Pictures are for presentation purposes only.The American Heart Association does not endorse any particular products, models or manufacturers. 19. THE "FIX" GROUP DISCUSSION 20. ISSUE: QUALITY OF CPR 21. THE "FIX" GROUP DISCUSSION 22. DID YOU KNOW? 23. ISSUE: UNDERUTILIZATION OF LEA Pictures are for presentation purposes only.The American Heart Association does not endorse any particular products, models or manufacturers . 24. THE "FIX" GROUP DISCUSSION THE "FIX" 25. ISSUE:ALL ALS SYSTEMS? Pictures are for presentation purposes only.The American Heart Association does not endorse any particular products, models or manufacturers. 26. THE "FIX" GROUP DISCUSSION 27. ISSUE:INCIDENT COMMAND DURING CARDIAC ARREST Pictures are for presentation purposes only.The American Heart Association does not endorse any particular products, models or manufacturers. 28. THE "FIX" GROUP DISCUSSION 29. ISSUE:DISTRACTIONS! Pictures are for presentation purposes only.The American Heart Association does not endorse any particular products, models or manufacturers. 30. THE "FIX" GROUP DISCUSSION 31. ISSUE:REPROGRAMMING?Pictures are for presentation purposes only.The American Heart Association does not endorse any particular products, models or manufacturers. 32. AIRWAYS ON VACATION? Pictures are for presentation purposes only.The American Heart Association does not endorse any particular products, models or manufacturers . 33. THE "FIX" GROUP DISCUSSION 34. ISSUE:TRANSPORT? Pictures are for presentation purposes only.The American Heart Association does not endorse any particular products, models or manufacturers. 35. THE "FIX" GROUP DISCUSSION 36. ISSUE:BRRR!ITS COOL TO BE COOL Pictures are for presentation purposes only.The American Heart Association does not endorse any particular products, models or manufacturers. 37. THE "FIX" GROUP DISCUSSION 38. ISSUE:CARDIAC ARREST CENTERS 39. THE "FIX" GROUP DISCUSSION 40. ISSUE:TAKE TO CATH LAB? Pictures are for presentation purposes only.The American Heart Association does not endorse any particular products, models or manufacturers. 41. THE "FIX" GROUP DISCUSSION 42. 43. 44. 45. DID YOU KNOW? 46. QUALITY IMPROVEMENT? 47. 48. 49. 50. TECHNOLOGY AND CPR 51. TIME FOR AN UPGRADE? Pictures are for presentation purposes only.The American Heart Association does not endorse any particular products, models or manufacturers. 52. Pictures are for presentation purposes only.The American Heart Association does not endorse any particular products, models or manufacturers. IMPEDANCE THRESHOLD 53. COACHING AND FEEDBACK Pictures are for presentation purposes only.The American Heart Association does not endorse any particular products, models or manufacturers. 54. PISTON CPR DEVICE Pictures are for presentation purposes only.The American Heart Association does not endorse any particular products, models or manufacturers. 55. LOAD DISTRIBUTING BAND Pictures are for presentation purposes only.The American Heart Association does not endorse any particular products, models or manufacturers. 56. Pictures are for presentation purposes only.The American Heart Association does not endorse any particular products, models or manufacturers. 57. Pictures are for presentation purposes only.The American Heart Association does not endorse any particular products, models or manufacturers. 58. 59. CPR 60. GOOD CPR 61. EVEN BETTER CPR 62. AND EARLY SHOCK GOOD CPR 63. CPR, EARLY SHOCK , SMART ACLSHYPOTHERMIA 64. CPR, EARLY SHOCK , SMART ACLS, HYPOTHERMIA AND CARDIAC ARREST CENTER 65. EVERTHING DONEVERY WELL 66. LUCKY! 67. LUCKIER! 68. Pictures are for presentation purposes only.The American Heart Association does not endorse any particular products, models or manufacturers. 69. 70. 71. http://www.youtube.com/watch?v=NcwK1QVxfXU Pictures are for presentation purposes only.The American Heart Association does not endorse any particular products, models or manufacturers. 72. 73. HANDS ONLY CPR? 74. HANDS ONLY CPR? 75. Pictures are for presentation purposes only.The American Heart Association does not endorse any particular products, models or manufacturers. 76. 77. 78. CHANGING GUIDELINES 79. WE WONT ASK! 80. EVALUATE CONFIRM ACKNOWLEDGE RECOMMEND GUIDELINES 2010 81. 82. URBAN LEGEND 83. NO SACRED COWS 84. THERE SURE AREA LOT OF QUESTIONS 85.

ILCOR

Systematic reviews of scientific evidence worksheets

2010 International CoSTR Conference

CoSTR statement by the end of 2010

Individual Council Guidelines for ECC and CPR

REVISION PROCESS 86. 87. REVISION SEQUENCE Determine class of recommendation Assess quality of evidenceGather relevant evidence Define, refine question/hypothesis 88.

1. Positive randomized controlled trials

2. Neutral randomized controlled trials

3. Prospective, non-random studies

4. Retrospective, non-random studies

5. Case series

6. Animal studies

7. Extrapolations

8. Rational conjecture, common sense

LEVELS OF EVIDENCE 89. GUIDELINE CLASSES 90.

If and Why CoSTR

Why and What G2010

What and How Training Materials

IF, WHY, WHAT, and HOW 91. WARNING! 92. Due to the ongoing nature of the evidence evaluation process, it is not possible to predict what changes, if any, may occur to current resuscitation guidelines. As draft evidence evaluation worksheets are made available for public review and comment Id encourage anyone interested in a particular topic to actively participate in this public portion of the process. 93.

• Clear, Unbiased Judgment

The International Liaison Committee on Resuscitation (ILCOR)and the AHA consider conflict of interest of the utmost importance in maintaining the integrity of the evidence evaluation process. Every good faith effort is taken toresolve any real or perceived conflicts of interest during the entire science review process. The conference is freeof any financial support from commercial entities.

94. 95. http:// www.americanheart.org/ilcor 96. 97. LIFE is the ULTIMATE Goal 98. D 99. 100.