PSC - May/June 2017 Issue - 40

CDE #44542

Practical
application of
EMD-provided
CPR protocols
By Stephen H. Reichman, Sr.

H

igh Performance CPR is the combination of knowledge, skills
and abilities that allows the emergency medical dispatcher
(EMD) to engage a caller to rapidly interrogate the caller,
assess the status of the victim and then support the caller and
victim by providing lifesaving pre-arrival instructions and coaching. The
properly trained EMD has become the vanguard in the chain-of-survival by
being the first emergency responder to have access to the medical emergency
through the phone and one that can have an immediate positive effect on the
call. The end result we are looking for is an increase in survivability rates.
There are many medical and traumarelated reasons for Sudden Cardiac Arrest
(SCA), but the proliferation in heroin overdosing nationwide has dramatically added to
the number of SCA events, adding a new twist
for the EMD to navigate.
Several key points require our attention:

PSC | apcointl.org

TIME

40

Our greatest challenge will be to quickly
and accurately process this event because time
is quickly escaping us. A victim suffering SCA
only has minutes (from unconsciousness up
to four minutes) where remaining oxygen can
supply the brain without further damage.
After four minutes, oxygen is depleted and
brain damage will occur. We have no guarantee that we will receive the call as the person

has lapsed into SCA. In reality, we may not
have four minutes to act. This event requires
quick, accurate, decisive action.
FOLLOW YOUR ALL CALLERS
INTERROGATION SEQUENCE

The approved All Callers Interrogation is
designed to quickly and accurately question
the caller to identify key medical signs and/
or symptoms such as:
* level of consciousness, status and quality
of breathing
* other medical or trauma criteria to help the
EMD decide on an event code (or incident
type) that dispatches the correct level of care
* ruling out all other criteria, setting up the
event to provide CPR pre-arrival instructions (PAI)

Newly trained EMDs can find the prescripted questions cumbersome because they
do not have many calls under their belt. These
facts help them understand why the questions
are being asked:
* Tested and approved questions have been
determined to ensure the EMD is able to
obtain critical and pertinent information
quickly and accurately.
* Quick and accurate interrogation benefits
the caller and the victim requesting help.
It results in a rapid response, minimizing further deterioration and potentially
improving or saving a life.
* Compliance protects the EMD and the
agency from potential negligence claims.
ASSESSMENT GOALS FOR SCA

As outlined in the AHA 2015 CPR/ECC
Guidelines, rapid identification of SCA and/
or agonal breathing (agonal respirations) is
a skill that the EMD must attain. The caller
will present information in a variety of ways,
but there will be some consistent signs that
we need to focus on quickly:
* Level of consciousness (LOC) needs to be
confirmed to rule out a victim who could
be sleeping or having an altered LOC who
is not in cardiac arrest.
* Breathing quality needs to be established.
Having the caller "get next to the patient"


http://www.apcointl.org

Table of Contents for the Digital Edition of PSC - May/June 2017 Issue

President’s Channel
On Scene
Public Safety Communications Systems: The Future Is Smart
Evolution of the PSAP
E-Comm: A Model for Consolidated Emergency Communications and Public Safety Support
The Dos and Don’ts of Designing Your Communications Center on a Budget
When Germs Attack – Help Your PSAP Fight Back
How a Scheduling System Can Save Your Sanity
Advances in Quality Assurance and Improvement Software
9-1-1, Show Us Your Emergency
High Performance CPR & CDE Exam
Managing Peers in the PSAP & CDE Exam
Direct Channel With APCO
PSC - May/June 2017 Issue - Intro
PSC - May/June 2017 Issue - cover1
PSC - May/June 2017 Issue - cover2
PSC - May/June 2017 Issue - 3
PSC - May/June 2017 Issue - 4
PSC - May/June 2017 Issue - 5
PSC - May/June 2017 Issue - 6
PSC - May/June 2017 Issue - 7
PSC - May/June 2017 Issue - 8
PSC - May/June 2017 Issue - 9
PSC - May/June 2017 Issue - President’s Channel
PSC - May/June 2017 Issue - On Scene
PSC - May/June 2017 Issue - 12
PSC - May/June 2017 Issue - 13
PSC - May/June 2017 Issue - Public Safety Communications Systems: The Future Is Smart
PSC - May/June 2017 Issue - 15
PSC - May/June 2017 Issue - Evolution of the PSAP
PSC - May/June 2017 Issue - 17
PSC - May/June 2017 Issue - 18
PSC - May/June 2017 Issue - 19
PSC - May/June 2017 Issue - E-Comm: A Model for Consolidated Emergency Communications and Public Safety Support
PSC - May/June 2017 Issue - 21
PSC - May/June 2017 Issue - The Dos and Don’ts of Designing Your Communications Center on a Budget
PSC - May/June 2017 Issue - 23
PSC - May/June 2017 Issue - When Germs Attack – Help Your PSAP Fight Back
PSC - May/June 2017 Issue - 25
PSC - May/June 2017 Issue - 26
PSC - May/June 2017 Issue - 27
PSC - May/June 2017 Issue - 28
PSC - May/June 2017 Issue - 29
PSC - May/June 2017 Issue - How a Scheduling System Can Save Your Sanity
PSC - May/June 2017 Issue - 31
PSC - May/June 2017 Issue - Advances in Quality Assurance and Improvement Software
PSC - May/June 2017 Issue - 33
PSC - May/June 2017 Issue - 34
PSC - May/June 2017 Issue - 35
PSC - May/June 2017 Issue - 9-1-1, Show Us Your Emergency
PSC - May/June 2017 Issue - 37
PSC - May/June 2017 Issue - 38
PSC - May/June 2017 Issue - 39
PSC - May/June 2017 Issue - High Performance CPR & CDE Exam
PSC - May/June 2017 Issue - 41
PSC - May/June 2017 Issue - 42
PSC - May/June 2017 Issue - 43
PSC - May/June 2017 Issue - Managing Peers in the PSAP & CDE Exam
PSC - May/June 2017 Issue - 45
PSC - May/June 2017 Issue - 46
PSC - May/June 2017 Issue - 47
PSC - May/June 2017 Issue - 48
PSC - May/June 2017 Issue - 49
PSC - May/June 2017 Issue - Direct Channel With APCO
PSC - May/June 2017 Issue - cover3
PSC - May/June 2017 Issue - cover4
https://www.nxtbook.com/naylor/PSCS/PSCS0518
https://www.nxtbook.com/naylor/PSCS/PSCS0418
https://www.nxtbook.com/naylor/PSCS/PSCS0318
https://www.nxtbook.com/naylor/PSCS/PSCS0218
https://www.nxtbook.com/naylor/PSCS/PSCS0118
https://www.nxtbook.com/naylor/PSCS/PSCS0617
https://www.nxtbook.com/naylor/PSCS/PSCS0517
https://www.nxtbook.com/naylor/PSCS/PSCS0417
https://www.nxtbook.com/naylor/PSCS/PSCS0317
https://www.nxtbook.com/naylor/PSCS/PSCS0217
https://www.nxtbook.com/naylor/PSCS/PSCS0117
https://www.nxtbook.com/naylor/PSCS/PSCS0616
https://www.nxtbook.com/naylor/PSCS/PSCS0516
https://www.nxtbook.com/naylor/PSCS/PSCS0416
https://www.nxtbook.com/naylor/PSCS/PSCS0316
https://www.nxtbook.com/naylor/PSCS/PSCS0216
https://www.nxtbook.com/naylor/PSCS/PSCS0116
https://www.nxtbook.com/naylor/PSCS/PSCS0615
https://www.nxtbook.com/naylor/PSCS/PSCS0515
https://www.nxtbook.com/naylor/PSCS/PCSM0715
https://www.nxtbook.com/naylor/PSCS/PSCM0615
https://www.nxtbook.com/naylor/PSCS/PSCM0515
https://www.nxtbook.com/naylor/PSCS/PSCM0415
https://www.nxtbook.com/naylor/PSCS/PSCM0315
https://www.nxtbook.com/naylor/PSCS/PSCM0215
https://www.nxtbook.com/naylor/PSCS/PSCM0115
https://www.nxtbookmedia.com