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ROC 103c — ROC-ON (ROC PRIMED Refresher)
Summary

The following key points were covered in this module:

1. Purpose of the ROC PRIMED Trial is to compare the outcomes of cardiac arrest therapies.

2. Analyze EARLY means — do CPR for at least 30 seconds then analyze.

3. Analyze LATE means — do CPR for 3 minutes then analyze.

4. New CPR standards include DVD-R:

Depth

Hard at 1½ to 2 inches

Ventilations

1 second duration; enough to make the chest rise

Decompression

Complete recoil

Rate

Fast (100/min); minimize interruptions

5. For the ITD to be effective you must:

  • Maintain a continuous face seal at all times — even when not ventilating
  • Compress the chest a full 1½ to 2 inches
  • Let the chest recoil completely during decompression

6. Inclusion criteria

  • Local age of consent
  • Non-traumatic cardiopulmonary arrest outside of hospital

7. Exclusion criteria

  • Do not attempt resuscitation orders
  • Blunt or penetrating trauma
  • Burns
  • Obvious death (and no resuscitation attempted)
  • Known prisoners
  • Known or suspected pregnancy

8. Key points of the ROC PRIMED protocol:

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