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Reimagining Resuscitation - Episode 3: Reproducible results

Using the stretcher as a tool in heads-up CPR

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Reminder: Our fifth and final episode of this series, “Reimagining Resuscitation: Behind the Scenes of Rialto’s Breakthrough” will be a live webinar including a Q&A session on Dec. 8, 2020. Send your questions for Kevin Joles and Joe Powell to and register for the webinar here.

According to Joe Powell, MICP, EMSC, the magic in the coordinated set of advanced cardiac resuscitation techniques Rialto Fire Department implemented is its reproducibility.

The first episode of this special video/podcast series, “Reimagining Resuscitation: Behind the Scenes of Rialto’s Breakthrough,” brought to you by EMS1 and Zoll, broke down the seven steps in the ACR toolkit and the four acceptable pauses in CPR. Episode 2 explained how to prevent hypoxia with apneic oxygenation.

In this episode, our presenters tackle two more tools in the ACR toolkit: using the stretcher as a tool and clinically appropriate defibrillation.

Lawrence-Douglas County Fire and Medical’s Kevin Joles, NREMT-P, explains why the stretcher is his favorite tool, used as an ergonomic aid and to raise the patient’s head during mechanical CPR.

Next, Powell outlines when to defibrillate and how capnography guides resuscitation decisions.

Finally, Joe Holley, MD, FACEP, FAEMS, medical director for the State of Tennessee Department of Emergency Medical Services, and the Memphis and Shelby County Fire Departments, breaks down the research on heads-up CPR.

Join us for the next installment of this video podcast series, on Dec. 1, “Expanded use of EtCO2: Deprioritizing epinephrine in the order of interventions.”


Review the research cited by Dr. Holley:

  1. Debaty G, Shin SD, Mtzger A, et al. Tilting for perfusion: Head-up position during cardiopulmonary resuscitation improves brain flow in a porcine model of cardiac arrest. Resuscitation. 2015; 87:34-38
  2. Moore JC, Holley J, Segal N, Lick MC, et al. Consistent head up cardiopulmonary resuscitation haemodynamics are observed across porcine and human cadaver translational models. Resuscitation. 2018 Nov;132:133-139.