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Protocol C
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admin Offline
#1 Posted : 16 April 2007 00:00:00(UTC)
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NOTE: This is NOT currently a first aid procedure.


 


Protocol C


South East Coast Ambulance Service is piloting a new, quite radical approach to CPR. It calls for 200 chest compressions before delivering a shock from a defibrillator followed by a further 100 compressions after the shock. Initial results seem to offer a great improvement from current practice, however it’s early days yet. – Maybe something for the next round of resus changes.
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petem Offline
#2 Posted : 16 April 2007 00:00:00(UTC)
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Any examples of it being used in the BLS context? I mean like for X minutes prior to HCP's arriving on scene? Or is this just where the EMT/Parameds arrive on scene, get the 200 compressions in etc etc..?

 

Given that its involving a defib, maybe this could the become the way forward in a situation where an AED is immediately to hand if its proven to be effective?

 

 
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admin Offline
#3 Posted : 16 April 2007 00:00:00(UTC)
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The person heading this trial is on holiday -  will find out more in a week or two.
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Rescue Offline
#4 Posted : 16 April 2007 00:00:00(UTC)
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petem

As far as I am aware regardless of what may have been carried out prior to HCP arrival Protocol C will start. The initial trial was I think instigated by SCAS (South Coast Ambulance Service) and is gradually being taken up by other trusts. There were some initial trial results which I am trying to locate. Talking to Techs and Paras who are working to Protocol C initial impression is thst it is a good move that works.
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petem Offline
#5 Posted : 16 April 2007 00:00:00(UTC)
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How can that be if its not rolled out to anyone except this trust..?
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Rescue Offline
#6 Posted : 16 April 2007 00:00:00(UTC)
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It has gradually been rolled out to other trusts, I know of at least 4 that are using protocol C at the moment the protocol has been in use for a while now. Will try to get some figures for you
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Phil Offline
#7 Posted : 17 April 2007 00:00:00(UTC)
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not really all that different to what the Resus Council are already recommending, given that we do compressions at the rate of 100 per minute, and we're being told to do CPR for 2 minutes for HCP's before applying 1st shock (except in case of witnessed arrest).  Yes, I know we stop occassionally to try and get 2 breaths in but it is very similar.
 

Here's the bit from the Resus Council Website clarififying the matter (It's in the What's New section.......

Question:
(2)   There appears to be some contradiction in Guidelines 2005 about if and when CPR should be given before defibrillation on a victim out of hospital. For example, the chapter, ‘The use of Automated External Defibrillators’ states: ‘Guidelines 2005 continues to recommend an immediate shock as soon as the AED is available’ (page 24), yet in ‘Adult Advanced Life Support’ the following appears: ‘…give CPR before attempted defibrillation outside hospital, unless the arrest is witnessed by a healthcare professional or an AED is being used. This advice does NOT apply to lay responders using an AED outside hospital, who should apply the AED as soon as it is available.’
 
Answer:
For out-of-hospital cardiac arrest, lay responders should start CPR as soon as the diagnosis is made, and attempt defibrillation as soon as an AED becomes available. Healthcare professionals should give about 2 min of CPR before attempting defibrillation (manual or AED), unless the arrest has been witnessed by them.
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prof1 Offline
#8 Posted : 28 January 2008 00:00:00(UTC)
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Have just been reading the comments on what the Ambulance service does regarding "protocol c" resuscitation.
 

And it begs the question, what are people being taught on First aid courses!!!!!! I come from an ambulance background and as a business we have been trying to get the message out there that trainers with a professional background are much better at relating real life.

 

The current resus council guidlines (30-2) came from what the ambulance service was trialling, eg protocol "c"

 

If the trainer has good backround knowledge then this should be passed onto students who would then understand why they are doing CPR as well as how to do it.

 

Good efficient CPR should always be started as soon as possible in the cardiac arrest scenario.

 

 
prof12008-01-28 13:54:12
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EMD_Nic Offline
#9 Posted : 07 June 2008 00:00:00(UTC)
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from my understanding it is believed the protocol C method is more effective in a CA sitution than standard 30-2 CPR because it gives the heart time to increase pressure before giving M -2 -M therefore to replenish the oxygen.

Protocol C isn't totally the idea of the South Coast Ambulance Service Trust as it has been floating around in the United States for some time and it is just starting to make headway among the Emergency Medical Dispatch world with the Protocol C advice now being given over the phone to non medically aware callers.

Will it become first aid procedure on FAW etc? who knows at the moment 30-2 is working well so it is unlikely to change but Protocol C does give the non first aider a fighting chance
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Bill Sibley Offline
#10 Posted : 17 February 2009 00:00:00(UTC)
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I have to say that with the average first aider coming on a 4-day course the 200 compressions would be a bit of a problem for some of them. Quite a few have fitness issues, so I can see an increasing number in the future being referred at assessment as they will be unable to maintain the required pressure and rate for good CPR. Currently we are advised that a change over should take place when giving CPR at every 2.5 minutes or thereabouts to ensure the first aider is able to maintain regular pressure and timing as this apparently is a very important point when considering how effective the CPR is for the casualty. Be interesting to see how this is introduced for lay first aiders, if it is indeed introduced at all.
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DontForget2Pull Offline
#11 Posted : 17 February 2009 00:00:00(UTC)
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Old post mate.
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