The Science Journal of the American Association for Respiratory Care

2012 OPEN FORUM Abstracts


Trista L. Kallis1, Daniel Davis2; 1Respiratory Care Department, UCSD Medical Center LaJolla California, LaJolla, CA; 2Emergency Medicine, UCSD Medical Center, San Diego, CA

Background: In 2007 the Advanced Resuscitation Training (ART) program was implemented in our hospital. The ART program encompasses the implementation of the Rapid Response Team (RRT), Code Blue committee, seated resuscitation, the apnea program and a unique and specialized CPR training that advocates a continuous chest compression (CCC) approach to CPR. The CCC approach to CPR decreases the amount of pauses which decrease coronary perfusion pressure along with interposed ventilations performed at a 10:1 ratio. Ventilations are initiated with the onset of compression recoil for both unprotected and protected airways explore the impact of the ART program on outcome from inpatients with suspected respiratory arrest. Methods: This study was conducted in two urban university hospitals from 2006-2012. The ART program was implemented in 2007. Data for all Cardiopulmonary arrests (CPA) are entered into a resuscitation database. CPA events are categorized based on suspected etiology. Survival-to-discharge rates before and after implementation of the ART program were evaluated using chi-square analysis including test for trend. Results: Respiratory survival has increased from baseline 24.5% in 2006-2007 to 55.6% in 2011-2012. The incidence of respiratory arrest has decreased from 34% of the total arrests in 2006-2007 to 22% in 2011-2012. Together, these results have taken respiratory arrest-related deaths from 34% of the total arrest-related deaths in 2006-2007 to only 16% in 2011-2012. Since the implementation of the ART program we have witnessed a decrease in arrest-related deaths with respiratory arrest in 2006-2007 being the dominant cause to in 2011-2012 it being number five out of six on the list of arrest-related deaths. Conclusion: All components of the ART program have assisted in drastically decreasing the incidence of respiratory arrest-related deaths in the in hospital setting. Between early intervention with programs like the apnea program, mid-line intervention with programs like the RRT and seated resuscitation to a novel way of doing CCC to breaths at 10:1, it has been proven that we can improve patient outcomes in the face of respiratory arrest. Sponsored Research - None