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ACD-CPR with an ITD: Teaching Concepts

ACD-CPR with an ITD: Teaching Concepts. Presenter Disclosure. Terry Provo, EMT-P, BA Director of Clinical Marketing Advanced Circulatory Systems ResQPOD ® ITD ResQPUMP ® ACD-CPR Device Currently under FDA review for approval ResQGARD ® ITD. How CPR circulates blood.

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ACD-CPR with an ITD: Teaching Concepts

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  1. ACD-CPR with an ITD: Teaching Concepts

  2. Presenter Disclosure Terry Provo, EMT-P, BA • Director of Clinical Marketing • Advanced Circulatory Systems • ResQPOD® ITD • ResQPUMP® ACD-CPR Device • Currently under FDA review for approval • ResQGARD® ITD

  3. How CPR circulates blood

  4. Compression Phase • Cardiac Pump Theory • Heart is squeezed between sternum & spine • Thoracic Pump Theory • Chest acts like a bellows • Compression creates a POSTIVE PRESSURE that causes: • Blood to leave the heart (CARDIAC OUTPUT) • Air to exit the lungs • ICP to increase

  5. Chest Wall Recoil Phase • NEGATIVE PRESSURE (vacuum) develops drawing: • Blood back into heart (PRELOAD) • Air back into lungs • Coronary blood flow occurs • ICP is lowered

  6. How CPR Circulates Blood

  7. Inefficiencies of cPR

  8. 20 – 30% of normal blood flow to brain Conventional CPR Provides Only… 10 – 20% of normal blood flow to heart

  9. #1: Vacuum Equalized by Influx of Air

  10. Impedance Threshold Device (ITD) • Enhanced negative pressure is accomplished with an ITD • Prevents influx of air during chest wall recoil

  11. Effect of ITD on Vacuum Greater vacuum (negative pressure) in the chest during chest wall recoil phase

  12. Teaching Concept CPR with an ITD Conventional CPR Hole

  13. #2: Vacuum Dependent Upon Chest Wall Recoil COMPLETEChest Wall Recoil INCOMPLETEChest Wall Recoil

  14. Teaching Concept

  15. ACD-CPR Device Active compression decompression CPR (ACD-CPR)actively re-expands the chest rather than relaying on it to recoil passively

  16. ACD-CPR Optimizes Chest Wall Recoil Conventional CPR ACD-CPR

  17. Teaching Concept

  18. Synergistic Device Combination ITD = Activator “Plugs the leak in the system” ACD-CPR

  19. Improved Blood Pressure mmHg P<0.05 for differences between S-CPR & S-CPR + ITD, and ACD-CPR & ResQCPR Pirrallo et al. Resuscitation 2005;(66):13-20 and Plaisance et al. Circulation 2000;(101):989-994.

  20. Improved Long-Term Survival with Favorable Neurologic Recovery % 53% improvement (p=0.019) 49% improvement (p=0.03) Aufderheide et al. Lancet 2011;377(9762):301-311.

  21. Thank you Terry Provo • Phone: 651-403-5608 • Email: tprovo@advancedcirculatory.com

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