Table of Contents

Sep 2013
Supplement, Resuscitation: Ten steps for improving survival from sudden cardiac arrest
  • Resuscitation Academy
    The Resuscitation Academy is offered tuition-free and attendees come from throughout the country (and world). The small class size allows for a two-way exchange of information. The faculty provides evidence-based information and tools to improve cardiac arrest survival and the attendees share the real-life challenges they face. Every community has a different constellation of culture, leadership, resources, and opportunity.
  • The Seven Resuscitation Academy Mantras
    At every Resuscitation Academy class, the faculty sets the stage with a few expressions we hope encapsulate a tiny bit of wisdom. We call them the “Resuscitation Academy Mantras.”
    Mantra 1: Measure, improve, measure, improve. ... This defines the essence of ongoing quality improvement. If you don’t measure something you can’t improve it. And once you measure it, you will reveal things that need improving. And then, once you improve the system, measure it again to see if it has improved. You should measure cardiac arrest events, and outcomes.
  • Putting Plans into Action

    This guide lists 10 steps that will lead to improved survival. There are four easy steps (the low-hanging fruit) and six more difficult steps (the higher-hanging fruit). But one community’s easy, may be another community’s difficult. An EMS director or manager, partnering with the medical director, must decide what can be achieved in his or her own community. Whether one selects an easy or more challenging step the key is to begin. Success with one step will create momentum for tackling others. The steps listed above provide the overview and general approach to implementation.

  • Reach for the Higher-hanging Fruit

    Now it is time to go after the higher hanging fruit. These six, more difficult steps will also likely lead to improved survival, but their implementation is more challenging and resource intensive.


    Step 5: Voice Record All Attempted Resuscitations

  • Plan of Action

    The plan to improve a community’s survival rate consists of 10 specific but diverse steps. Four of the steps are relatively easy and do not require much in the way of resources. These may be considered the low-hanging fruit. There are six steps that are more difficult and require either modest to considerable equipment or resources—the higher-hanging fruit. It is unrealistic to presume that all 10 local steps can be implemented in any given community; an EMS director and medical director have to decide what is doable in their community.

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