High Performance CPR (HPCPR)

Question 1

Principles of High Performance CPR

Answer 1

• Compression Rate (100-120/min)
• Optimal Depth (2” or 5cm)
• Complete chest recoil
• Minimize time off chest (no pause >10s)
• Optimum ventilation rate (30:2 or 1 breath/ 6 seconds)
• ETCO2 Monitoring

Question 2

Compression Rate

Answer 2

100-120 per minute

Question 3

Compression Depth

Answer 3

5ccm (2 inches) in adults

Question 4

Complete Chest Recoil

Answer 4

very important

• between each compression a negative pressure develops which draws blood in ready for the next compression
• also when coronary arteries are perfused

Question 5

Ventilation Rate

Answer 5

• 30: 2 without advanced airway
• CCC with advanced airway (incl. iGels) - 1 breath/6 seconds
• hyperventilation maintains positive pressure in the chest and reduces CPR blood flow
• extremely important to ventilate w/ volumes 500-600ccs (approx 1/3 of bag)

Question 6

Minimize Interuptions

Answer 6

• minimize interruptions to 10s or less
• after initial absense of a pulse is established and CPR started, subsequent pulse checks are done only during the analyze time or if signs of ROSC (coughing, movement, normal breathing) are observed