The Sunrise Beach Fire Protection District is changing some of its protocols on its emergency medical response for cardiac arrests in hopes of improving results.
The district will begin using metronomes and King LT tubes as emerging research is showing that they can help personnel deliver more effective CPR during cardiac arrest, according to Sunrise Beach Fire Chief Dennis Reilly.
A King tube is an airway ventilation tube with a single ventilation port, valve and pilot balloon. The one-time use device is smaller and simpler to insert and use than other ventilation devices and so can be utilized without stopping chest compressions.
Using a metronome is also aimed at helping with chest compressions.
A metronome is a device that makes regular ticks at a certain rate of beats per minute. Typically used in music, emergency medical personnel are beginning to use metronomes to ensure a chest compression rate of 100 beats per minute during CPR.
Research indicates that 100 beats per minute is the optimal compression rate, but often CPR is done faster than that rate.
The City of Austin/Travis County EMS System has incorporated a metronome into its cardiac arrest protocols after a field trial successfully helped personnel be on pace to the optimum compression rate.
The Auxtin, Texas EMS system has developed a new model for cardiac arrest response — called the Pit Crew Model — that is based on research indicating continuing compressions are an important part of cardiac arrest resuscitation along with early defibrillation.
According to Reilly, the SBFPD is considering adopting the entire Pit Crew model in addition to the metronome and King tubes. The model scripts the first six minutes of a cardiac arrest response to ensure optimal CPR and other life-saving techniques.