Update on 2015 Guidelines for CPR & ECC

Update on 2015 Guidelines for CPR & ECC
Training Links
Update on 2015 Guidelines for CPR & ECC
In this Issue:
New CPR and
ECC Guidelines
Coming in
October
1
Roster
Completion
Hints
2
New Guidelines: 3
Product
Release
Schedule
Paramedics Are 3
First Line of
Defense for
Stroke Victims
Should Families 3
Be Present
During
Resuscitation?
Training Sites
Committee
Meeting
Minutes
4
CPR +
Hypothermia =
Remarkable
Outcome
5
American Heart Association / Emergency Cardiovascular Care & Global Strategies, March
30, 2015:
In February, the world's top experts in resuscitation and cardiovascular science convened to assess
their evidence reviews gathered throughout the past five years. As a collective group, they are
working to finalize the development of an international consensus on science and treatment
recommendations for 2015.
These recommendations will contribute to the development of the official A merican Heart
Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care
(2015 AHA Guidelines for CPR and ECC), set to be released on October 15, 2015.
As the momentum of the science review and consensus process builds, we are closely evaluating
the implications of the new Guidelines on the way we deliver information and training for
improved patient outcome - and the impact it has on AHA Instructors and the customers they train.
Our mission to save lives by increasing survival rates relies on the instructors in the AHA Training Network to
continue to train students between the release of updated science guidelines and the launch of new educational
tools and materials. Healthcare professionals and employees with course completion cards must not let their
training lapse - so we must help to seamlessly incorporate new science and training guidelines into current AHA
courses. Therefore, we will immediately provide interim training tools in a variety of ways to meet the learning
and geographical needs of AHA Instructors, including in-person AHA Instructor updates, an online update course
and, for healthcare providers, an in-service course. [Please refer to the preliminary release schedule on
page 3. ECC will continue to provide updates to this schedule as the 2015 Guidelines release date
gets closer.]
With regard to pricing of AHA materials and courses, please know we are making every effort to
balance the rising cost of production and materials by increasing efficiency through new
technologies and eco-friendly measures. However, we anticipate a moderate price increase in 2015,
2016 and beyond.
We also want to inform AHA Training Site Coordinators [TSC] about a new offering as part of the
2015 AHA Guidelines for CPR and ECC rollout that will rapidly bring you and your employees up
to speed on the new science. Immediately following the Guidelines release, an in-service course
will be offered online for a small price and with continuing education (CE) credit attached. Details
will be forthcoming, but we hope TSC will consider this new solution designed to provide guidance
on how to integrate any new science changes into their institutional protocols immediately, while
awaiting new materials.
We will continue working closely with AHA TSC and Instructors, our trusted partners, to evolve
our offerings to meet their needs - and the needs of our learners - in an ever-changing environment.
Our mission to save lives through CPR and ECC training is not possible without the AHA TSC and
Instructors’ work every day, and we thank them for their dedication, expertise and passion.
John Meiners, Executive Vice President, Emergency Cardiovascular Care & Global Strategies
Roster Completion Hints
How many times have you worried about your AHA course roster? Did I fill it out correctly? Where can I find
my American Heart Association number? Or, how do I get a replacement card for a student? Well, wonder no
more because I am going to give you the TCLS Roster Cheat Sheet. Are you ready?
Preliminary info:
The CPR roster processing fee is currently $15.00 (ACLS/PALS is $25.00).
BLS certification cards are $5.00 each (ACLS/PALS are $7.00).
Every individual class must be put on a separate roster! Hint: A fillable roster is
available at www.evms.edu/tcls.
There are a variety of ways to send your rosters to TCLS:
Scan and email them to coffmarl@evms.edu .
Fax them to 757-446-5906.
Drop them off at 358 Mowbray Arch, Norfolk, VA 23507.
Mail them to the same address.
Now about that AHA number:
You can find your number when you register on the American Heart Association Instructor Network.
You will also find your number on your instructor card and your student’s cards.
It must be on each roster that you submit for cards.
Replacement cards:
Submit a copy of your original roster with a note or email indicating who needs the reprinted card and how
you will pay for the card.
You will not pay another roster fee, but a replacement card is $5.00 (ACLS/PALS are $7.00).
Are you confused about which course box to check when filling out a roster? Hint: Check only one course
box per roster.
 Check Box #1 for Heartsaver CPR/AED. Provide additional information about the class by checking
Adult, Infant, and/or Child Skills’ boxes.  Only teaching the First Aid component? Select Box #2.
 If you teach CPR/AED AND First Aid, use Box #3. There are child and infant options on the Heartsaver
CPR/AED and on the Heartsaver FA.
 Box #4 is used for Healthcare Provider CPR. Indicate if the student is a first time student or a renewal.
Common sense hint: The address that you would like your cards mailed to must be the address where you get
your mail! TCLS does not mail the cards to the student. As a matter of fact, the cards we send don’t even
have student names on them. The instructor has to put the names on the cards and the instructor is responsible
for getting them to the students. Speaking of getting cards to the students, you have twenty days from the day
of the course to put the certification card in the student’s hand. Hint: It is a tremendous help if you don’t wait
until Day 19 to get the rosters to TCLS! We make every effort to get the cards back to you quickly, but 1 day
is unreasonable!
A final SUPER hint: If you have additional questions, please Rhonda Coffman, at 757- 446-5926 or send an
email to coffmarl@evms.edu. It is my job to help you or to help you find the answers!
~~Rhonda Coffman, TCLS Administrative Assistant
Page 2
Training Links
News You Can Use!
2015-2016 Preliminary
AHA Product Release Schedule
2015
October 15, 2015
 ILCOR Consensus on Science
 2015 AHA Guidelines for CPR and ECC
 AHA/Red Cross Guidelines for First Aid
November/December
 2015 Guidelines Highlights (PDF and eBook)
 2015 Guidelines Highlights Translations (17 languages)
 Handbook for ECC for Healthcare Providers (PDF and
eBook)
 Science In-Service
 Instructor Update Conference at ReSS/SS (11/6/15)
2016
January/February
 Basic Life Support (BLS) Blended Learning
 BLS Resuscitation Quality Improvement (RQI™) (Module
2)
March/April
 BLS Classroom
 Heartsaver® First Aid CPR AED Blended Learning
 Heartsaver® First Aid CPR AED Classroom
 Heartsaver® Pediatric First Aid CPR AED Blended
Learning
 Heartsaver® Automated Training Solution (ATS)
 Advanced Cardiovascular Life Support (ACLS) Classroom
 HeartCode®ACLS
 CPR Anytime® Adult/Child
 Infant CPR Anytime®
 CPR in Schools Training Kit™
May/June
 Resuscitation Quality Improvement (RQI™)
 Heartsaver® Pediatric First Aid CPR AED
 Heartsaver® Bloodborne Pathogens
 Family & Friends® CPR
July/August
 Pediatric Advanced Life Support (PALS) Classroom
 HeartCode® PALS
 Pediatric Emergency Assessment, Recognition and
Stabilization (PEARS®)
Paramedics Can Help Cut Stroke
Treatment Times
Quick treatment is essential in protecting brain
function for people who experience a stroke, but the
clot-dissolving medicine tissue plasminogen
activator, or tPA can only be given once a patient
reaches the hospital. However, a new study finds that
neuroprotective medications like magnesium sulfate
may be safely administered by paramedics on the
way to the hospital -- providing a crucial level of
protection against brain damage. "The most
important finding of this study was that medication
could be delivered within the 'golden hour,'" said lead
investigator Jeffrey Saver, M.D. "Time lost is brain
lost.... If these patients don't get protective drugs until
two, three or four hours later, irreversible brain
damage will have already occurred."
Read more at: http://blog.heart.org/paramedics-firstsource-treatment-stroke-patients/
Allowing Families to Witness
Resuscitation May Not Hinder
Rescuers
When a patient's heart stops, many hospitals rush
family members out of the room so that they don't
interfere with the resuscitation team. But a new study
suggests that allowing loved ones to watch
resuscitations may not impede rescuers' efforts.
Researchers compared patient outcomes at hospitals
with and without policies on family presence during
resuscitation, and found no significant differences
when it came to patients' chances of being
resuscitated, leaving the hospital alive, or suffering
brain damage from the cardiac arrest. Previous
studies have shown that witnessing resuscitation
may help family members experience less
depression and post-traumatic stress, and come
away from the event with a better sense of closure.
Read more at: http://www.eurekalert.org/
pub_releases/2015-04/uomh-sts041615.php
Page 3
TCLS Advisory Board
Our Training Sites





TCLS Training
Chesapeake Fire Dept.
Virginia Beach EMS
The Beat Goes On
NetworkingMedics, LLC
L. D. Britt, MD, MPH, Chair, Chairman, EVMS Dept. of Surgery
Richard V. Homan, MD, Dean, EVMS
Francis L. Counselman, MD, Chairman, EVMS Dept. of Emergency Medicine
Phyllis Hope, MD, PALS Medical Director
Richard A. Craven, MD, ACLS Medical Director
Jeff McPherson, Chair, Training Site Committee
David E. Huband, Associate Dean for Business Management, EVMS
Mark R. Babashanian, Vice President of Administration and Finance, EVMS
Stewart W. Martin, MD, President, Tidewater EMS Council
James M. Chandler, Advisory Board Secretary and Center Director
Training Sites Committee Meeting
May 19, 2015
On conference call: John Bragg, Gary Burke, Rhonda Coffman, Eric DeForest, Derek Degges, Gordon
Degges, Deana Kilber, Jeff McPhearson, and Linda Thacker
Agenda:
BLS Committee Report – Nothing to report
ACLS/PALS – Nothing to report
Communication Outreach Newsletter - will go out mid-June. If you have anything to add, please send to
Gordon directly.
Training Site Reviews - None at this time
Old Business :
Should the Training Site representatives meet in person every once in a while? No one spoke up, so
teleconferences will continue.
When on conference call, please mute the phone. Do not put it on hold.
BLS for Professionals Course – Geared towards pre-hospital, with protocols taken from the locality;
may be cost prohibitive.
TCLS Center Faculty Orientation – No candidates applied for last session. Will pick a new date and
send out email. Cost $25. Need 5-6 participants to schedule.
New Business:
Gary Burke from Chesapeake Fire is retiring. No replacement has been named yet. There is the
possibility of shutting down training center.
Jerry Barnes of Virginia Beach EMS does not yet have a replacement either.
E-Cards – Simple process - Accept the roster, but cards are not printed. Use the AHA website to
enter information. Students get a link and can print their own cards. Cost is same as traditional
cards, however you save on printing, postage and replacement cards. New training centers and
sites are no longer able to purchase paper cards – so E-Cards are becoming the way to operate
in the future.
Guideline Changes – December launch - HCP will the first course released according to sources.
John Bragg has been appointed as a Regional Faculty for both BLS and ACLS.
Meeting Adjourned
Page 4
Extreme Recovery: A Miraculous Result
MIFFLINBURG, PA -- The 22-month-old boy who fell and was swept away by a swollen stream may have
been in the 34-degree water for as much as half an hour. Doctors know that when he was found, he had no
pulse and no respiration. For one hour and 41 minutes, rescuers administered CPR in a desperate effort to
revive him.
That's why those same rescuers are using words like "amazing" and "miracle" to describe young Gardell
Martin's return home five days later. He is healthy and giggling and playing again with his siblings. "I've
never experienced anything like this," Dr. Richard Lambert, a pediatric critical care specialist at Geisinger's
Janet Weiss Children's Hospital near Danville, said of the resuscitation efforts. The toddler suffered no
apparent neurological damage and was discharged Sunday. He's smiling, talking on his own and asking
questions, said his mother, Rose Martin, on Tuesday.
State police said the boy fell into a tributary of Buffalo Creek, outside Mifflinburg, about 6 p.m. March 11,
while playing with two of his brothers. A neighbor found the unresponsive boy on a grassy knoll in the stream
about a quarter of mile away. As the neighbor was carrying the boy back on Emery Road toward his house,
a Mifflinburg ambulance arrived. "He had no pulse and he was not breathing," said Dr. Frank Maffei, director
of the pediatric intensive care unit at Geisinger. Emergency personnel immediately began CPR, which
continued uninterrupted as they rushed to Evangelical Community Hospital near Lewisburg, then boarded
and a helicopter for a trip to Geisinger, where a team was waiting in the emergency room. Many people were
involved in administering CPR, because one person can only do it for a few minutes at a time before tiring,
Maffei said.
Gardell's temperature when he arrived at Geisinger was 77 degrees, well below the normal temperature of
98.6 degree, he said. The boy did not have a pulse, but some cardiac activity was detected. As CPR
continued, doctors worked to warm the boy using a special blanket and injecting fluids. After 20 minutes,
Gardell was moved to the operating room in preparation for being placed on a heart bypass machine. But
Maffei and Lambert detected a pulse, so they put off surgery and continued the resuscitation and warming
efforts.
When the body temperature reached 90 degrees, it was decided to keep it there for 24 hours to protect his
brain, Maffei said. Blood pressure medicine was administered, and Gardell was put on a ventilator, he said.
"He began doing things no one expected," Lambert said. Maffei, who spent the first night at Gardell's
bedside, said the boy opened his eyes about 2 a.m. Thursday.
Gardell's father, Doyle Martin, is a truck driver. He had just returned from Chicago and arrived at the hospital
a short time later. He called his son's name, asked him if he wanted to play truck, and Gardell opened his
eyes again, the doctor said. "It was overwhelming," the boy's mother said. "I just cried."
It was remarkable that Gardell could be discharged just five days later, Maffei said. He has broken ribs due to
the CPR effort, he said. Gardell had no chance of surviving were it not for the CPR, Lambert said. His age
and low body temperature also were factors, Maffei said. Hypothermia protects the organs, because their
oxygen and metabolic needs are less when they are cool, he explained. Everything went the way it should
have at Geisinger, he said. That included being able to quickly pump warm fluids into the boy's body, he said.
"Things that needed to happen, happened," Maffei said. "It's a remarkable case," Lambert said.
By John Beauge | Special to PennLive on March 17, 2015
Start by doing what’s necessary
then do what’s possible
and suddenly, you are doing the impossible!
St. Francis of Assisi
Page 5
Training Links
Smith Rogers Hall
358 Mowbray Arch
Norfolk, VA 23507
Phone: 757.446.5926
Fax:
757.446.5906
Staff and Email:
BLS/TC Coordinator—Gordon Degges
deggesgs@evms.edu
ACLS/PALS—Tom Mingin
mingintg@evms.edu
ATLS/Center Director—Jim Chandler
chandler@vaems.org
Administrative Support Specialist—
Rhonda Coffman, coffmarl@evms.edu
Registration Coordinator--Myra Forbes
forbesma@evms.edu
We’re on the Web
www.evms.edu/tcls
Visit us on facebook!
Vendors for AHA Materials
TCLS Training maintains a limited
supply of instructor and student
manuals, masks and other supplies for
ECC courses. Instructors are always
welcome to purchase materials directly
from vendors, particularly when bulk
quantities are needed. Cards are only
available from TCLS or your training
site coordinator.
For ECC training materials, contact one
of these approved AHA vendors.
Channing L. Bete Co, Inc.
200 State Road
South Deerfield, MA 01373
Phone: 1 800 611-6083
Fax: 1 800 499-6464
ww.channing-bete.com
WorldPoint ECC
151 S. Pfingsten Rd Ste E
Deerfield, IL 60015
Phone: 1 888 322-8350 x116
Christina Balestri
www.worldpoint-ecc.com
Laerdal Medical Corporation
PO Box 1840
Wappingers Falls, NY 12590
Phone: 1 888 LMC-4AHA
(888 562-4242)
Fax: 1 800 227-1143
www.laerdal.com
Waverly Hispanica, SA
(Spanish and Portuguese)
Buenos Aires, Argentina
Telephono y Fax:
(5411) 4831-0690
www.waverly.com.ar
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