CPR Tempo

 

We all know ACLS standards indicated the compression rate for chest compressions during CPR should be between a rate of 100-120 bpm. But how do we ensure this critical element of resuscitation is being performed correctly?

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             Feedback from the Zoll monitor gives us excellent compression depth information, as well as indicating when compression rates have slowed below 100bpm, but has no method for controlling the rate of compressions. Chest compressions at an accelerated rate above 120bpm do not allow for adequate chest recoil or time for the ventricles to fill, another reason why maintaining accurate an compression rate is essential for high quality CPR.

 

So what can we do??

Studies have demonstrated that the use of an audible metronome tone during CPR optimizes the rate at which CPR is performed.

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Simple metronome tools are available for free online and easily downloaded to your cellphone, I like CPR Tempo (available for free on itunes). Set the compression rate at 110 bpm so that any variance in compressions still falls within the suggested guidelines.

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Check one of these tools today and discuss it with your team members! Just a little tool to provide the best care possible to our patients.