Resuscitation Outcomes Consortium Progress Report

ROC logo

It’s been about seven months since we talked about the Resuscitation Outcomes Consortium (ROC). In case you missed it, the ROC consists of 10 Regional Clinical Centers that provide the necessary infrastructure to conduct collaborative trials that aid in promising scientific advances to improve resuscitation outcomes.

The ROC is of great interest to us at Iridia as our founder and first responder medical director, Dr. Allan Holmes is involved with the ROC in the collaboration with many fire rescue services throughout British Columbia. 

The ROC is the first large-scale effort in the world to conduct clinical trials focusing on the early delivery of interventions by EMS to better optimize patient survival.

Since we last spoke about the ROC, they’ve released a progress report updating us on statistics within British Columbia.

You can view the entire report below, but here are a few key highlights from the report:

  • The ROC is now a major contributor to Emergency Medical Services (EMS) resuscitation research
  • The implementation of ROC’s multi-site EMS resuscitation consortium is the most efficient means of providing out-of-hospital research
  • ROC Impact on Medical Practice:
    • Has influenced the American Heart Association 2010 Guidelines for CPR and Cardiovascular Care
    • Insights from ROC trials contribute to the Military Joint Forces Combat and Casualty Care Summits

The most important highlight however is the emphasis on quality CPR in BC, which has led to an increase in survival to 13.8 percent in 2012; the highest reported in Canada. This is great news for us at Iridia – every little bit helps, and together we are all making a difference.

If you’d like to help further, join us in celebration of CPR Month, we are offering a discount of 10% on Cardiac Arrest Management (CAM) courses booked during the month of November!

For more information and statistics about the ROC collaboration within British Columbia, please see September 2013 BC ROC Report:

Resuscitation Outcomes Consortium

Learn More About the ROC.

 

Iridia Ignites the 2013 BC Fire Expo

It’s a wrap – this year’s Fire Chiefs’ Association of BC Conference and Expo in Penticton was a great success! With Iridia acting as the medical director to over 145 departments in BC, the fire expo offered an excellent opportunity to network with fire services personnel and provided the chance to  reconnect with so many industry leaders from across the province.

Our resident fire expert, Steve Nordin, was front and center on the trade show floor – demonstrating Iridia’s Fire Services AED Program and Fire Rescue Physician Advisory Services.

Also on hand was Physio-Control’s TrueCPR – a device that helps optimize manual CPR performance with the real-time feedback. If you would like to know more, we will be profiling TrueCPR next week, make sure to check back with us then.

truecpr at the bc fire expo

On behalf of the entire Iridia team, we would like to thank the FCABC and their event sponsors for hosting such a quality event. We look forward to seeing you all again for the 2014 fire expo, and in the meantime, stay safe!

 

What is the Resuscitation Outcomes Consortium?

The Resuscitation Outcomes Consortium (ROC) was created in 2005 to conduct clinical research in the areas of cardiopulmonary resuscitation and traumatic injury.

The ROC consists of 10 Regional Clinical Centers (RCCs) and a Data and Coordinating Center that provides the necessary infrastructure to conduct multiple collaborative trials to aid rapid translation of promising scientific and clinical advances to improve resuscitation outcomes.

The ROC is the first large-scale effort in the world to conduct clinical trials focusing on the early delivery of interventions by EMS to better optimize patient survival.

As a first responder medical director, Dr. Allan Holmes (founder of Iridia Medical) is involved with the ROC through the collaboration of many fire rescue services throughout British Columbia. 

Fore more information and statistics about the ROC collaboration within British Columbia, please see April 2013 BC ROC Report:

ROC Report

Click to view the report.

The ROC is Sponsored By:

Learn More About the ROC

Fighting Sudden Cardiac Arrest with a Chill

The chances of surviving SCA can be as little as 3 percent, depending on your location and access to EMS. In most cases early defibrillation is the only treatment.

Even if an individual survives a trip to the hospital, their bodies are still in a very critical state. “After we start the heart again, about 60 per cent of people who get admitted to hospital will end up dying as a complication of the cardiac arrest. That’s because other important organs are injured when blood flow stops,” says Steven Brooks, at Toronto’s Sunnybrook Hospital.

Fighting Sudden Cardiac Arrest

For this reason, two hospitals in Toronto are experimenting with therapeutic hypothermia, a deep freeze medical treatment aimed at increasing a patient’s chance of retaining neurological function after suffering SCA.

The goal is to lower the patients’ temperature by roughly five degrees Celsius for a 24-hour period. The cooling is achieved through a combination of ice packs placed around major arteries, a chilled saline solution and temperature controlled blankets.

Fighting Sudden Cardiac Arrest

Dr. Brooks said this cooling treatment is significantly more effective than some other traditional treatments.

One study published in 2002, in the New England Journal of Medicine has demonstrated improved neurological outcomes for the use of therapeutic hypothermia on survivors of cardiac arrest. The study shows a decrease in the mortality rate with patients who have been cooled (41 percent) compared to patients who were not cooled (55 percent).

Despite the positive results, therapeutic hypothermia currently still isn’t a very popular option in Canadian hospitals. It is fairly easy to establish, but takes a very coordinated effort to make it happen.

Fortunately, in Dr. Brooks’ opinion, the effort is well worth it. He has created a dedicated on-call Post Arrest Consult Team (PACT) that will be able to manage therapeutic hypothermia services. Eligible patients who are brought into both Sunnybrook and St. Michael’s hospitals in Toronto will receive a potentially lifesaving deep freeze.

Kelvin Au is one individual who credits therapeutic hypothermia with his survival. In 2009, the 33-year-old was rushed to a hospital after collapsing on a basketball court. The doctors were able to re-start his heart, but he did not regain consciousness. Afraid that his neurological functions were deteriorating, the doctors transferred him to St. Michaels for experimental hypothermia treatment. At that time very few were practicing therapeutic hypothermia at St. Michaels, and the PACT team had not yet been created.

“The doctors had been pessimistic, but they said this cold treatment was the best shot at his recovery,” said his wife, Liz Au.

Fighting Sudden Cardiac Arrest

The treatment ended up saving Mr. Au’s life, but he still suffers side effects of his collapse. “This is definitely one of the things that saved my life,” Mr. Au said. “I now have my life almost back to normal, but I still can’t remember about two weeks of my life around when the heart attack happened and I have short-term amnesia.”

With the recent successes, Dr. Brooks hopes therapeutic hypothermia will eventually lead to application at more hospitals throughout Canada.