The “Pump It!” Study Seeks to Prove Effectiveness of Chest Compressions in Out Of Hospital Cardiac Arrest

April 1st, 2014 – Emporia, AR.

The members of the Emporia (AR) EMS agency (EEA) will soon be participating in a potentially groundbreaking study to prove the effectiveness of CPR in patients suffering from a sudden cardiac arrest.

Dubbed the “Pump It!” study, patients who are found to be suffering from Out of Hospital Cardiac Arrest (OOHCA) will be randomized into two groups, with one group receiving the standard treatment of chest compressions commonly known as “CPR” and the other group receiving none.

According to the lead researcher on the project, Paramedic Christopher Downdike, the study will work like this:

“When our crews are dispatched to a known cardiac arrest or arrive on scene to discover that the patient has no pulse or respirations, they will immediately call in to dispatch that they have verified a patient meeting the study criteria. The dispatchers will select one of fourteen ping pong balls from a box on the dispatch console. 7 of those ping pong balls have “NO COMPRESSIONS” written on them, and the other 7 have “Pump It!” written on them. This helps randomize the selection process. The patients who get a ping pong ball with the words “Pump it!” will receive chest compressions, the others will not.

Paramedic Downdike says that the patients randomized to not receive chest compressions will still be receiving such Advanced Life Support treatments as IV medications, endotracheal intubation, and occasional defibrillation.

“We will be measuring overall survival rates between the two random patient groups using some pretty complex mathematical formulas. The purpose of this study is to see whether or not chest compressions are truly effective in restoring someone’s heartbeat after they suffer cardiac arrest.” said Downdike, he continued “The practice of providing chest compressions is not benign. Injuries such as rib fractures, bruising of the heart, and other problems are common. The technique also leads to fatigue and strained backs among our EMS providers. If we prove the need for chest compressions, then we’ll keep doing them. If we prove they make no difference, then maybe we can stop providing them altogether.”

When asked about the fact that chest compressions are the only treatment ever proven to work for resuscitation of patients in cardiac arrest, Downdike said that “every study requires peer review. That’s how science works.”

At press time, Paramedic Downdike was reading a printed copy of the study: “Parachute use to prevent death and major trauma related to gravitational challenge: systematic review of randomised controlled trials”

——————————-

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Chris Kaiser aka "Ckemtp"

I am a paramedic trying to advance the idea that the Emergency Medical Services can be made into the profession that we all want it, need it, and know it deserves to be.

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  • Comments
    Ckemtp
    I Got Attacked – A Paramedic Speaks About Public Trust
    I somewhat agree, though I assure you I didn't set out to waste your time. I probably should have broken this down into two separate points as the second point was the one I most wanted to emphasize. My bad on this one, I'll do better next time. Thanks for the feedback. If you'd like,…
    2014-12-16 20:25:00
    hawk4080
    I Got Attacked – A Paramedic Speaks About Public Trust
    Wow. That was a total waste to read.
    2014-12-16 19:20:00
    retired ems medic
    I Got Attacked – A Paramedic Speaks About Public Trust
    The radios should have had a trouble button to eliminate the need to key the Mike and talk. Maybe the dispatchers need to be rotated out to the streets to get out of the mode of just getting the calls out and only half listening to the radio.
    2014-12-16 14:50:00
    HybridMedic
    I Got Attacked – A Paramedic Speaks About Public Trust
    We use "Signal C" as a code to relay a crew in distress. Takes a second for the dispatchers to confirm it, but it sends the nearest engine, battalion chief, fire investigator (who are sworn LEO's) and makes an officer in distress call to Memphis Police. The arrival of all those resources is quite... Dramatic.
    2014-12-15 14:29:00
    exmedic
    Welcome to the Club
    Not me anymore
    2014-12-15 09:17:00

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