Posts Tagged Return of Spontaneous Circulation

Elgin Fire Department news

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The Elgin Fire Department intends to use a $72,000 grant from the Federal Emergency Management Agency to purchase state-of-the-art equipment to be used when performing CPR.

The city council Wednesday night is set to move along for final approval the purchase from Michigan-based Stryker for $79,400, with $7,200 of the money coming from the fire department’s capital budget. Stryker is the owner of Washington-based Physio-Control, which makes the system.

We will be getting five of the systems, one for every frontline ambulance,” Fire Chief Dave Schmidt said Tuesday.

“It’s great tool to have in the community,” said Dr. Mohammad Zaman, Medical Director, CEP America, Presence St. Joseph Hospital Elgin.

The systems are designed to provide consistent, high-quality mechanical chest compressions that meet the American Heart Association standards for rate, depth and speed. Part of the apparatus goes under a person’s back, while the other part wraps over a person’s chest and holds a device which applies the compressions, which can be adjusted to the size of the person.

The Lucas Chest Compression System the department plans to buy allows firefighters to keep CPR going while a patient is on a stretcher and while the patient is being moved, even up or down stairs.

The machines also take away lapses in applying CPR thus lessening health-related issues for patients and keep the compressions consistent, taking away the fatigue factor when a paramedic is applying the compressions. Current protocol calls for CPR to be applied for 30 minutes before terminating resuscitation efforts.

Schmidt said the systems also mean more safety for paramedics while in ambulances, who now can wear a seat belt while chest compressions are being applied by the battery-operated machine.

The systems are Bluetooth enabled so that they can transmit the data they collect to the department’s computer system and to the hospital to which a patient is being taken.


Statistics show that each year in the United States, more than 300,000 individuals suffer non-traumatic, out-of-hospital, sudden cardiac arrest, which has been the leading cause of death in adults over 40. The Elgin Fire Department responds to about 56 cardiac arrest incidents annually.

During a four-month trial of the two mechanical CPR systems, the Return of Spontaneous Circulation (ROSC) percentage rate in cardiac arrest victims rose from 36 percent to almost 58 percent, Schmidt said. Upon completion of the trial, the rate returned to 36, or about 10 percent higher than the national ROSC average.

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Naperville Fire Department news

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The Naperville Fire Department received an International Association of Fire Chiefs’ 2017 Heart Safe Community award for developing programs and services for victims of sudden cardiac arrest.

Naperville fire officials accepted the award during the International Association of Fire Chiefs Fire Rescue Med conference in Nevada.

The department was cited for its aggressively implemented creative approaches in helping Naperville residents and visitors prevent and survive heart attacks.

Those approaches have included a CPR/AED program taught throughout the city by the department’s firefighter-paramedics; the placement of defibrillators in public buildings, parks and other locations where large numbers of people congregate; the implementation of the Pulse Point app, which alerts people who know CPR to emergencies where they might be able to help before paramedics arrive; and the recent implementation of the E-Bridge early notification application with Edward Hospital.

E-Bridge is a smart phone application that alerts the hospital while paramedics are still on the scene of a medical emergency. It gives emergency room personnel more time to prepare for a patient’s arrival, including preregistering the patient to allow hospital staff to take the patient directly into treatment.

E-Bridge also can send secure images and messages directly to the emergency room physician with future capability of sending short video.

The fire department last year had an overall Return of Spontaneous Circulation (ROSC) rate of 26 percent in the field, which is above the national average.

Of the patients who achieved ROSC, six were discharged from the hospital with no neurological deficit, representing a survival rate of 10.2 percent, which is above the national average of 8.2 percent.

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