Program to Integrate Technology Program to Integrate Technology and Cardiac Arrest Resuscitationand Cardiac Arrest Resuscitation

Washington Life Sciences Discovery FundWashington Life Sciences Discovery Fund

Thomas ReaThomas ReaSeptember 14, 2010September 14, 2010

OutlineOutline

1.1.The Public Health Challenge of Cardiac ArrestThe Public Health Challenge of Cardiac Arrest

2.2. Rationale and Structure of the ProgramRationale and Structure of the Program

3.3. Feature Focus – Statewide TranslationFeature Focus – Statewide Translation

4.4. DiscussionDiscussion

Challenge of cardiac arrest resuscitation

Normal Heart RhythmNormal Heart Rhythm Disorganized Heart RhythmDisorganized Heart Rhythm

Challenge of cardiac arrest resuscitation

Normal Heart Rhythm Disorganized Heart Rhythm

Most common cause of heart disease death and accounts for ~10% of all deaths

Resuscitation: Links in the Chain of SurvivalResuscitation: Links in the Chain of Survival

• • Prompt activation of emergency care 9-1-1Prompt activation of emergency care 9-1-1

• • Early CPREarly CPR

• • Early DefibrillationEarly Defibrillation

• • Timely advanced careTimely advanced care

•• Training, Education, and EvaluationTraining, Education, and Evaluation

Resuscitation: Links in the Chain of SurvivalResuscitation: Links in the Chain of Survival

• • Prompt activation of emergency care 9-1-1Prompt activation of emergency care 9-1-1

• • Early CPREarly CPR

• • Early DefibrillationEarly Defibrillation

• • Timely advanced careTimely advanced care

•• Training, Education, and EvaluationTraining, Education, and Evaluation

Resuscitation: Links in the Chain of SurvivalResuscitation: Links in the Chain of Survival

• • Prompt activation of emergency care 9-1-1Prompt activation of emergency care 9-1-1

• • Early CPREarly CPR

• • Early DefibrillationEarly Defibrillation

• • Timely advanced careTimely advanced care

•• Training, Education, and EvaluationTraining, Education, and Evaluation

Technology to Improve Resuscitation Care

Clinical Research

Technical

AdministrativeAdministrative

Program interfacesProgram interfaces

ClinicalClinical ResearchResearch

TechnicalTechnical

AdministrativeAdministrative

Program Participants

Program Structure

King County EMS Division of Public Health

University of Washington

Center for Evaluation of EMS

Philips Medical Program to Integrate

Technology and Cardiac Resuscitation

Physio-Control External Consultants

Economic advantage and advancement

Leverage to sustain the Program

Advance Resuscitation Science

Improve the Public Health of Washington State and beyond

Program Objectives Program Objectives Convene resuscitation stakeholders to develop and Convene resuscitation stakeholders to develop and refine technology aimed at improving outcomes.refine technology aimed at improving outcomes. Pursue a strategic roadmap of investigation involving Pursue a strategic roadmap of investigation involving resuscitation technology. resuscitation technology. Disseminate and implement the Program’s scientificDisseminate and implement the Program’s scientificfindings to improve health across Washington State.findings to improve health across Washington State. Provide marketplace advantages for Washington-Provide marketplace advantages for Washington-based enterprises. based enterprises.

Leverage the Program’s accomplishments toward Leverage the Program’s accomplishments toward future Program success. future Program success.

Resuscitation: Links in the Chain of SurvivalResuscitation: Links in the Chain of Survival

• • Prompt activation of emergency care 9-1-1Prompt activation of emergency care 9-1-1

• • Early CPREarly CPR

• • Early DefibrillationEarly Defibrillation

• • Timely advanced careTimely advanced care

•• Training, Education, and EvaluationTraining, Education, and Evaluation

Program Objectives Program Objectives Convene resuscitation stakeholders to develop and Convene resuscitation stakeholders to develop and refine technology aimed at improving outcomes.refine technology aimed at improving outcomes.

Pursue a strategic roadmap of investigation involving Pursue a strategic roadmap of investigation involving resuscitation technology. resuscitation technology.

Disseminate and implement the Program’s scientificDisseminate and implement the Program’s scientificfindings to improve health across Washington State.findings to improve health across Washington State.

Provide marketplace advantages for Washington-Provide marketplace advantages for Washington-based enterprises. based enterprises.

Leverage the Program’s accomplishments toward Leverage the Program’s accomplishments toward future Program success.future Program success.

Program Plan for Statewide Translation Program Plan for Statewide Translation

Partnership with Statewide stakeholder

organizations

Web-based resources

Resuscitation Academy

Traditional Scientific

Dissemination

Industry Partnership

Washington State Dispatch (APCO)

Washington State Medical Directors

Washington State Department of Health

“How your community can improve survival from cardiac arrest”

NEJMJAMACirculationAnnals EMJEMSPEC

AHA Scientific Leadership

Resuscitation AcademyResuscitation Academy((http://resuscitationacademy.org)

Reality is that survival varies from 0 to 50% for cardiac arrest presenting with a shockable rhythm.

How does your community perform? How can you improve?

The goal of the Resuscitation Academy is to improve survival from cardiac arrest.

Attendees develop a concrete plan of action to improve survival in their community.

Resuscitation AcademyResuscitation Academy

Convene regional experts who provide a 1-week Convene regional experts who provide a 1-week intensive fellowship program about how to improve intensive fellowship program about how to improve community care for cardiac arrests. community care for cardiac arrests.

Directed toward EMS Medical Directors and high-levelDirected toward EMS Medical Directors and high-levelEMS Administrators.EMS Administrators.

Your Community

““Improving cardiac arrest survival rates, Improving cardiac arrest survival rates, one community at a time”one community at a time”

Resuscitation Academy AgendaResuscitation Academy Agenda

Resuscitation AcademyResuscitation Academy

Increased from annual to bi-annual to tri-annual

Here’s what Academy Fellows had to say:

“This is the best EMS course I ever attended.”

“The information was extremely useful and practical.”

“Thanks to the faculty, I am energized to improve cardiac arrest survival in my community.”

……………BUT

Resuscitation AcademyResuscitation Academy

“I need an easy way to record and organize my community performance that will let me compare.”

“I need a ‘playbook’, ‘toolkit’, ‘owner’s manual’, ‘reference guide’.”

Resuscitation AcademyResuscitation Academy

…………Okay then

Cardiac Arrest Registry to Enhance Survival

Web-based Registry Centers for Disease Control.

Partner with the CDC and CARES to develop a Statewide registry.

“Washington CARES” is one of a handful of pilot state-based internet registries.

Resuscitation Academy provides the tools for communities to enroll in Washington Cares.

Use measurement to identify areas for improvementUse measurement to identify areas for improvement

Heart Rescue Initiative

Develop and implement strategies aimed at improving care within communities across Washington State.

Goal of improving resuscitation rates by 50% on a Statewide basis.

Sample ToolkitsBystander CPR Training Police DefibrillationDispatcher CPR EMS CPR Public access defibrillation EMS airway management

Sample ToolkitsBystander CPR Training Police DefibrillationDispatcher CPR EMS CPR Public access defibrillation EMS airway management

Resuscitation Academy

The Program is a multidisciplinary and multifaceted The Program is a multidisciplinary and multifaceted approach that works to innovatively advance care for approach that works to innovatively advance care for cardiac arrest through scientific advancement and cardiac arrest through scientific advancement and effective community translation.effective community translation.

Program to Integrate Technology and Program to Integrate Technology and Cardiac Arrest ResuscitationCardiac Arrest Resuscitation

The Program provided strategic positioning and The Program provided strategic positioning and infrastructure to importantly increase efforts aimed at infrastructure to importantly increase efforts aimed at Statewide translation through participation of CARES Statewide translation through participation of CARES and the Medtronic Foundation. and the Medtronic Foundation.

Program to Integrate Technology and Program to Integrate Technology and Cardiac Arrest ResuscitationCardiac Arrest Resuscitation

Washington Life Sciences Discovery FundWashington Life Sciences Discovery Fund

Thomas ReaThomas Rea

September 14, 2010September 14, 2010