Cardiac Arrest Survival - PSOW

1. Cardiac Arrest Survival
Josh Finke
Josh Finke

2. Disclaimer

7. Facts on Sudden
Cardiac Arrest
• Approximately 359,400 out of hospital
cardiac arrests annually
• 90.5% mortality rate=325,257 deaths
• This would equal the death toll of the
titanic sinking 4 times every week
• *Data according to AHA

8. We Can Do Better!!!

9. How can we Improve
• CCR
• Automated Compression Devices
• Team Approach
• Capnography
• Data
• Pre Arrival CPR

11. Importance of Data
• Is what we are doing working?
• Are we spending money where it should be
spent?
• Do we really make a difference?
• Does staffing matter?
• Does getting there one minute faster really
help?

12. How to Keep Cardiac
Arrest Data
• Wausau Fire has maintained cardiac arrest
data since 2012
• The CARES data set is used
• The only person that sees it is me!!!

13. Changes in Our Cardiac
• CPRA tor CrCeRs t Protocols
• Change from Combi to King for backup
airway
• Addition of automated compression device
after trial
• Addition of induced Hypothermia
• Addition of capnography

14. Capnography????

15. Automated
Compression
Device
**During a trial an increase to
out of hospital survival of 6%
was found with the use of a
compression device**

16. Some of our Data
• In 2010/2011 the approximate cardiac
arrest survival rate was 12%-18%
• In 2012 after protocol changes and
equipment upgrades our overall survival
rate was 33%; of those 93% had a CPC
score of 1 or 2.

17. Maybe it was Just a
Lucky Year???
• In 2013 the overall survival rate was 26%;
of those 100% had a positive neurological
outcome!!

18. Lets be more Specific
• 2012
• 42 total arrests
• 13 VF/VT
• 8 VF/VT ROSC=61.5% (all survived)
• 29 PEA/Asystole
• 7 PEA/Asystole ROSC=24% (3 survived)

19. • 2013
• 34 total arrests
• 7 VF/VT
• 4 VF/VT ROSC=57% (all survived)
• 27 PEA/Asystole
• 7 PEA/Asystole ROSC=26% (4 survived)

20. • 2014 (Jan-Jun)
• 17 total arrests
• 3 VF/VT
• 3 VF/VT ROSC=100% (2 survived 66%)
• 14 PEA/Asystole
• 1 PEA/Asystole ROSC=7% (1 survived)
100%)

21. The Big Picture
• Total VF/VT arrests 2012-2014=23
• Total VF/VT ROSC=15 (65%)
• Total PEA Asystole Arrests=70
• Total PEA/Asystole ROSC=15 (21%)
• VF/VT survival to discharge 61%
• Asystole/PEA survival to discharge 11%

22. • Overall survival rate 2012-2014=23.6%
• Overall survival 2010-2011=12-18%

23. Data Tracking
• Use of the CARES data set
• Using 52 data points
• Great data but very underused

24. Data Bank
• Statewide cardiac arrest data bank
• Each service data submitted quarterly
• All data would be complied and returned
to each participating service
• Service names would be kept confidential

25. Benefits
• A larger pool of data
• Ability to determine what works and what
doesn't without trying it for yourself
• Ability to increase cardiac arrest survival
across Wisconsin

26. Possibilities
• Normal cardiac arrest ratio 1 for every
1,000 population annually
• Wisconsin population=5,726,000 or
approximately 5,726 cardiac arrests
statewide
• 90% mortality rate=5,153 deaths
• 76% mortality rate=4,351 deaths

27. • Over 800 more lives saved!!!
• This would be equal to saving the entire
Village of Crystal Lake WI every year

29. I’m on the Trail of
Better Outcomes

30. Contact Info
joshua.finke@ci.wausau.wi.us
joshua.finke@ci.wausau.wi.us