Case Taking quality beyond CPR

Continuous learning

In your line of work, nothing stands still – the healthcare environment is continuously evolving and you’re constantly adapting and developing your
processes. Regular training and performance analysis can help you enhance the skills of everyone involved in the resuscitation care chain – with the aim of making lasting improvements to quality and outcomes.

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ERC Guidelines 2015 on improving quality through continuous training

“Feedback to members of an in-hospital cardiac arrest team about their performance in an actual cardiac arrest (as opposed to the training environment) can lead to improved outcomes.
This can either be real-time and data-driven (e.g. use of feedback devices on cardiac compression metrics) or in a structured post-event performance focused debriefing.”

European Resuscitation Council Guidelines for Resuscitation 2015. Section 1. Executive summary. P57.

Do I have the full picture?
In some cases, you require more data than a standard 12-lead ECG can provide. If, for example, you suspect you’re dealing with a posterior or right ventricular MI patient, the ERC recommends the use of right precordial and posterior leads. Yet, in an emergency situation, applying electrodes on the back presents challenges.

Nihon Kohden’s synECi18 technology provides synthesized 18-lead readings using a regular 12-lead approach to mathematically derive waveforms for the right chest and back leads. This gives you the information you need to detect posterior and right ventricular MI in a simpler, faster way. Using the solution for every MI patient gives you a reliable basis for identifying this condition, which can often be overlooked when just 12 leads are used. This improves diagnostic accuracy and helps you deliver the treatment your patient needs.

ERC Guidelines 2015 on the detection of right ventricular MI

“Right precordial leads should be recorded in all patients with inferior STEMI in order to detect right ventricular MI. Isolated ST-depression ≥0.05 mV in leads V1 through V3 represents STEMI in the inferobasal portion of the heart which may be confirmed by ST segment elevation in posterior leads (V7–V9).”

European Resuscitation Council Guidelines for Resuscitation 2015 Section 8. Initial management of acute coronary syndromes. P266