Cardiocerebral Resuscitation (CCR) for EMS Providers: The 4-Rescuer ProtocolTo improve survival from out-of-hospital cardiac arrest (OHCA), this protocol is specifically for trained EMS providers after training and approval by their Administrative Medical Director. The training is provided by the Arizona Department of Health Service (ADHS) Bureau of EMS & Trauma System. The CCR protocol is designed for adult cardiac arrest. Patients, less than 8 years of age, drowning patients, drug overdose patients, trauma patients, and respiratory arrest patients are excluded. The CCR protocol focuses on providing the optimal timing for defibrillation, minimizing interruptions to chest compressions, minimizing pauses between chest compressions and defibrillation, early administration of intravenous epinephrine, and minimizing over-ventilation during cardiac arrest.
The Cardiocerebral Resuscitation Demonstration Project was initiated in January 2005, after approval by the ADHS Bureau of EMS & Trauma System and the EMS Council of Arizona.
To be eligible for participation in the CCR Demonstration Project, EMS agencies must first provide a minimum of 6 months of historic OHCA data and commit to providing continued OHCA data to the secure HIPAA compliant SHARE database.
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