Heartland CPR is a Woman Owned Small Business

After making the monumental mistake of letting our certification lapse, we are proud to announce that Heartland CPR has finally gotten both the State of Oklahoma WOSB certification as well as the Federal Government (SAM) Contracting WOSB certification with the Small Business Association (SBA).  These are both very long processes and we have been working toward regaining that for the past 13 months, but are happy to report that it's finally been approved!  

If you work for a government entity or an employer that benefits from using certified businesses, we would love to be your source for CPR training or sell you an AED for your place of business.  Reach out to us today!

#wosb #womanowned #smallbusiness #womanownedsmallbusiness #stateofoklahoma #wosbcertified

- Ginger Davis
Heartland CPR, llc
405-603-6666
www.HeartlandCPR.com

Heartland CPR is a Vendor Partner for DHS's DDSD Program

If your family is a beneficiary of the State of Oklahoma DHS's DDSD self-directed services for the care of a disabled client in your home, one of the initial requirements for caretakers is the need for First Aid and CPR training.  We entered into an agreement with the state in 2023 to receive payments directly from the program's payment processor, Acumen.  If you've been directing care for a number of years, this may be something you're well-versed in...but new families who are coming of the waitlist have a number of hurdles that must be cleared to get to that point.  We're here to help and have been involved in meetings with DHS and Acumen management as they work to get the system working in a more streamlined manner.

We are willing to wait for payment for our services from Acumen, which currently can take weeks or months, but we still allow participants of the program to go through their training with us.  We provide the necessary documents and instructions to each participant and the EOR (the parent overseeing the care of the client) to get the training paid for by the third party, Acumen, from fund allocated by the state.  

If this program is something your family member is enrolled in and receiving services, we hope you'll think of us first when it's time to get or renew your Heartsaver First Aid + CPR training.  When you call to register for training in one of our classes, just let us know the information for the client, EOR and DHS Case Manager assigned and we'll take it from there.  If you still have questions, reach out and perhaps we can help.

#dhs #ddsd #selfdirectedservices #firstaid #cpr

- Ginger Davis
Heartland CPR, llc
405-603-6666
www.HeartlandCPR.com

New Tools

We are happy to announce the roll out the latest tools to make studying for ACLS and PALS easier and more organized.  With the help of our amazing instructors, we've developed study guides for these more complicated disciplines.  By linking them on the reservation the participant receives, they can access these tools 24/7, print them off, make notes on them, etc.  The same paperwork will be used in class to give participants an up close look at what's being discussed and shown on the screen/monitor.

Come experience the Heartland CPR difference!

#acls #pals #rhythmrecognition #smallbusiness #cpr #aha

- Ginger Davis
Heartland CPR, llc
405-603-6666
www.HeartlandCPR.com 

Cardiac Arrest Management 101

One of the direst calls we respond to in the EMS world is the patient who is not breathing and is without a pulse. During the management of the call, it is imperative that first responders remain in control both internally and externally to defeat the opponent, in this case death.  During a cardiac arrest, a tempo or pace is dictated by the condition of the patient and the reaction of the resuscitation team.  Tempo can be described both as positive and negative in nature.  Negative tempo is demonstrated by the pulseless patient as in length of downtime, a lack of bystander CPR, the buildup of lactic acid, and the deoxygenation of primary organ systems.  Positive tempo is demonstrated in early chest compressions and/or defibrillation, the establishment of a formal CPR team approach, a solid foundation of BLS followed by solid ALS care.   

What does tempo look like during an arrest?  If we were honest with ourselves, we have all participated in the cardiac arrest where CPR may have been inefficient, drugs may have been late, and skills may have not been performed in a timely manner for a plethora of reasons.  In this case a negative tempo was created and allowed to infiltrate the entire response effort.  In contrast we have participated in resuscitations where we set ourselves and the patient up for success with our training, experience, teamwork, poise, and time management to overcome death.  Regardless of the outcome of the patient, we knew we had provided the best care possible giving the patient every chance of survival.  

What are the factors that separate a good resuscitation from a less than stellar attempt?  Our success during a cardiac arrest is not happenstance, but is the byproduct of good team management, communication, knowledge, and training.  Ever notice there is never time to do something initially, so you cut a corner only to realize there is always time to go back to fix things?  A good team leader is poised, efficient, and methodical while keeping their emotions in check, sometimes defined as emotional intelligence.  A good team leader can recognize when a code is headed south and stop the “snowball from running downhill.”  During an emergency time will compress or in some instances even stretch.  Efficient team management includes the following:

• ·       Early and effective CPR and or defibrillation
• ·       Use of a metronome, chest compressions rate of 100-120 beats per minute (per AHA)
• ·       No interruption of chest compressions greater than 10 seconds
• ·       Ensuring slow and methodical ventilations without hyperventilation
• ·       Switching chest compressors every 2 minutes
• ·       Good treatment communication with all team members
• ·       Successful IV and advanced airways to include capnography
• ·       Timely and appropriate medication administration
• ·       Time management
• ·       Appropriate post resuscitation care

Each member of a resuscitation team is responsible for their contribution, creating a positive tempo during the management of the patient.  During resuscitation it is imperative each member remains calm and poised to stay on point with the care being provided.  Calmly speaking and relying on our cumulative experiences, knowledge and training begins long before you arrive at the patient’s side.  It is everyone’s duty to provide the most efficient resuscitation attempt and to ensure best practices in cardiac resuscitation.  By following these simple steps, you will give each patient the best chance of survival each and every time.

- Brian Davis
Heartland CPR, llc
405-603-6666
www.HeartlandCPR.com

 

Another hero story

 We occasionally get to hear stories about those who have had training with us that later used that training to save someone.  A few weeks ago, our owner picked up some uniforms from a local embroiderer and the employee working that day shared that she had attended our class a few years ago and later saved two people who were choking!  She told the stories of the two incidents and we knew what we had to do.  

Meet Jennifer.  During CPR Week, we returned to catch the her working at the embroidery shop so we could present her with a Heartsaver Hero pin and certificate for her actions.  She attended our free class during CPR Week back in 2018 and she was recognized for her actions during CPR Week in 2024.  Lives saved deserve recognition!  

                                    #cprweek #cpr #choking #heartaverhero 

- Ginger Davis

Heartland CPR, llc

405-603-6666

www.HeartlandCPR.com

Wondering if You're in Good Hands?

Heartland CPR has become the training choice for quality American Heart Association training in Oklahoma.  We've been in business since 2003 and celebrate a couple of decades of serving Oklahoma with excellence and integrity.  

We are proud of the painstaking process we use to carefully select and retain the absolute best and brightest minds in EMS on our staff of AHA Instructors, and then spend a good deal of time training each of them on the methodology that has made us so successful.  Together our team of instructors have in excess of 100 years of experience teaching AHA course materials.  You're in good hands with Heartland CPR!

                                    #experience #instructors #smallbusiness #cpr #aha

- Ginger Davis

Heartland CPR, llc

405-603-6666

www.HeartlandCPR.com

Another divine appointment

Most of our ACLS and PALS customers know our instructor Michael as the sole survivor of an Air Evac helicopter crash near Kingfisher in 2010.  He opens many of his classes with a bit of that story and has his helmet on display at our office.  

Recently, during a PALS class, a participant by the name of Jennifer Palmer spoke up and shared that she had been one of the RTs who cared for him while he was on the vent all those years ago.  They even snapped a pic together.  Her actions, and the actions of many others, contributed to the ability for Michael to be here today, educating others from a place of not only a paramedic/flight nurse but also that of an accident victim being cared for by the very people he imparts knowledge into every month nowadays.

We often say when training our new instructors "teach it as if they'll be caring for you or your family member" and we don't want our name on any certification card for someone who hasn't truly earned it.  This brings that philosophy full circle, once again (a previous post told the story of Brian who had taught ACLS to someone who ended up being his nurse when he got admitted to the hospital with chest pain).  

This is why we do what we do.  Every time, every class, every customer.  We don't condone complacency or shortcuts...and this is why!

- Ginger Davis
Heartland CPR, llc
405-603-6666
www.HeartlandCPR.com

The History of CPR

If you've been in to our office, you've probably noticed our collection of antique CPR, medical, pharmaceutical, and mortuary equipment.  The changes to CPR have been many, even just looking at the past couple of decades that we've been in business...but the AHA goes back even further with their history of CPR.  Hopefully you enjoy this history as much as we do!

Resuscitation:

It’s as old as the healing arts, as new as a drone delivering an automated external defibrillator (AED). And from primitive methods (like whipping an unconscious victim with stinging nettles) to modern-day cardiovascular pulmonary resuscitation (CPR), the evolution of resuscitation has been marked by profound aha! moments alongside decades of abandoned lifesaving methods. These are just a few highlights from the intricate and fascinating history of CPR. 

The Bellows Method

1530-1800s

The Bellows Method¹ first used by Swiss physician Paracelsus.

1732

In Alloa, Scotland, local surgeon William Tossach uses mouth-to-mouth 
breaths to revive a suffocated coal-pit miner. Dr. Tossach documents
the success 12 years later, in what may be the first clinical description
of mouth-to-mouth resuscitation in medical literature.

1740

The Academie des Sciences in Paris officially recommends
mouth-to-mouth resuscitation for reviving victims of drowning.2

1774

London physicians William Hawes and Thomas Cogan found the
Society for the Recovery of Persons Apparently Drowned (later to
become The Royal Humane Society) to assist victims of sudden and
unexpected death.

1775

Experimenting with animals, Danish veterinarian Peter Abildgaard
discovers that after rendering a chicken lifeless by shocking it,
countershocks to the chest could restore a heartbeat.3

1782

The Royal Humane Society expresses its preference for using
bellows rather than mouth-to-mouth ventilation to artificially inflate the lungs.4

The Hall and Silvester methods become the most commonly used
 forms of artificial respiration until the early 20th century.5

The Hall Method

The Silvester Method

1856

London physician Marshall Hall introduces his simple resuscitation technique: alternately repositioning the patient from face up to side. He updates the approach by adding pressure on the thorax.6

1858

Henry Silvester, another London physician, creates the chest-pressure arm-lift method: raise the patient’s arms up to expand the chest, then cross the arms over the chest to apply expiratory pressure.7

1874

German physiologist Moritz Schiff’s research on animals in Florence,
Italy8 reveals that massaging the heart during surgery can restore circulation.

1878

In Germany, Rudolph Boehm shows that external compressions
 of the heart provide adequate circulation in cats.9

1891

After using external compressions to restart the hearts of 2 young
human patients, German surgeon Dr. Friedrich Maass becomes the
first to advocate chest compressions, rather than ventilation alone,
to help with circulation.10 But the technique doesn’t take hold, and
 for the next half century, open-heart massage is the standard.

1903

In Cleveland, Ohio, Dr. George Crile’s research confirms that
external chest compressions restore circulation in dogs.¹¹

1904

Dr. Crile reports successful closed-chest cardiac massage in ONE
human case.¹² But once again, the noninvasive technique doesn't
gain traction, and patients continue to receive open-heart massage.

1924

Six cardiologists meet in Chicago and form the American Heart
Association (AHA) as a professional society for physicians.
Nearly a century later, the AHA will be the world leader in CPR
and emergency cardiovascular care (ECC) training and education.

1933

Researchers at Johns Hopkins University, led by electrical
engineer William Kouwenhoven, PhD, accidentally rediscover
external compressions when they find that pressure on a dog’s
sternum provides adequate circulation to the brain to keep the
animal alive until defibrillation can restart its heart. Their results
are confirmed in more than 100 dogs.¹³

1947

In Cleveland, Ohio, cardiothoracic surgeon Dr. Claude Beck
performs the first successful use of an electric defibrillator
on an exposed human heart.14

The AHA begins publishing Circulation, a scientific journal
that informs doctors, researchers, and others about
cardiovascular breakthroughs.

1954

American physician and respiratory researcher Dr. James Elam
becomes the first person to prove that expired air is sufficient
to maintain adequate oxygenation.15

1956

Dr. Elam and Dr. Peter Safar prove that mouth-to-mouth
resuscitation is an effective lifesaving method. Drs. Elam,
Safar, and Archer Gordon play leading roles in promoting
rescue breathing to professional healthcare providers and
the public alike.16

For the first time in human medicine, an external defibrillator
successfully restores a steady rhythm to a quivering heart.
Harvard cardiologist Dr. Paul Zoll leads the study with
funding from the AHA.

1957

The United States military adopts the mouth-to-mouth
resuscitation method to revive unresponsive victims.

Dr. Safar performs mouth-to-mouth resuscitation in Baltimore, 1957.

A Hopkins Closed Chest Defibrillator

1957: Johns Hopkins team unveils first portable external defibrillator

After several years of research on closed-chest defibrillation, Dr. Kouwenhoven’s team at John’s Hopkins, which includes James Jude, MD, and Guy Knickerbocker, PhD, unveils its prototype of the first portable external defibrillator (on a wheeled cart): the 200-lb Hopkins Closed Chest Defibrillator.17

(l to r) Doctors Jude, Kouwenhoven, and Knickerbocker

1960

Resuscitation pioneers Drs. Kouwenhoven, Safar, and
Jude combine mouth-to-mouth breathing with chest
compressions to create cardiopulmonary resuscitation,
the lifesaving actions we now call CPR.

The AHA starts a program to acquaint physicians with
closed-chest cardiac resuscitation, which becomes the
forerunner of CPR training for the general public.

The life-size training manikin (a collaborative effort by
Drs. Safar, Elam, and Gordon and Norwegian toymaker
Åsmund Lærdal) goes on to teach CPR skills to more than
400 million people—and counting—worldwide.18

1963

Cardiologist Dr. Leonard Scherlis establishes the AHA’s
CPR Committee. That same year, the AHA formally
endorses CPR.

1966

The National Research Council of the National Academy of
Sciences convenes an ad hoc conference on cardiopulmonary
resuscitation. The conference is the direct result of requests
 from the American National Red Cross and other agencies
to establish standardized training and performance
standards for CPR.

Dr. Leonard Cobb

1972

In Seattle, University of Washington cardiologist
Dr. Leonard Cobb launches Medic II, the world’s first
mass citizen training in CPR.19 During its first 2 years,
the program helps train more than 100,000 people.

1973

Second National Conference on CPR and ECC

1975

The AHA publishes the first Advanced Cardiovascular
Life Support (ACLS) Textbook.

1981

A program to provide telephone instructions for performing
CPR begins in King County, Washington. The program trains
emergency dispatchers to give callers CPR instructions while
EMT personnel are in route to the scene. Fast forward to the
21st century: Dispatcher-assisted telephone CPR is standard
in dispatch centers across the United States.

1983

The AHA convenes a national conference on pediatric
resuscitation to develop CPR and ECC guidelines for pediatric
and neonatal patients.

1985

Fourth National Conference on CPR and ECC

1988

In co-sponsorship with The American Academy of Pediatrics,
the AHA introduces the first pediatric courses: pediatric BLS,
pediatric advanced life support (PALS), and neonatal resuscitation.

Public access defibrillation programs provide training and
resources, including AEDs, to the public so that they can help
resuscitate victims of cardiac arrest.

1990

Fifth National Conference on CPR and ECC

1992

Founding of the International Committee on Resuscitation (ILCOR)

1999

The first task force on first aid is appointed. This year also sees
the first International Conference on Guidelines for CPR and ECC.

2004

The AHA and ILCOR release a statement about AED use in
children, stating that for children ages 1 year to 8 years who
have no signs of circulation, it is appropriate to use an AED.

2005

The AHA develops the Family & Friends® CPR Anytime® kit,
an innovative product that enables anyone to learn the core skills
of CPR in just 20 minutes. The kit provides everything needed to
learn basic CPR, AED skills, and choking relief anywhere, from a
family room at home to a setting for instructing large groups.

The 2005 International Consensus on CPR and ECC Science With
Treatment Recommendations (CoSTR) Conference leads to the AHA
publishing the 2005 AHA Guidelines for CPR and ECC. The
Guidelines recommend a new compression-to-ventilation ratio
of 30:2 as well as changes to AED usage.

2008 – Simpler CPR for bystanders

The AHA releases new recommendations that bystanders who are
untrained, unwilling or unable can use Hands‐Only CPR to help
an adult or teen who collapses suddenly,20 delaying rescue
breaths until help arrives. The change reflects findings from
multiple studies from Dr. Gordon Ewy and colleagues showing
that uninterrupted, high-quality chest compressions without
rescue breaths can be lifesaving in the first minutes of a
sudden cardiac arrest.

2010

After the 2010 International CoSTR Conference, the AHA
publishes the 2010 AHA Guidelines for CPR and ECC. 2010
also marks the 50th anniversary of CPR.

2012: Hands-Only CPR Hits the Road to Save Lives

            

   

2013

The AHA installs an interactive CPR kiosk at Dallas-Ft. Worth
airport. It features a practice manikin, video, and touch screen
that give performance feedback as passengers between flights
learn to perform hands-only CPR. Within 5 years, there will be
more than 30 CPR kiosks in cities across the country.

2015

The Institute of Medicine releases its report Strategies to
Improve Cardiac Arrest Survival: A Time to Act (2015). After
the 2015 International CoSTR Conference, the AHA publishes
the 2015 AHA Guidelines Update for CPR and ECC.

2017

The AHA begins its continuous evidence evaluation process
for the Guidelines for CPR and ECC and, later that year,
releases the 2017 Focused Update.

2018

In June, the AHA publishes “Resuscitation Education Science:
Educational Strategies to Improve Outcomes from Cardiac Arrest”
in the journal Circulation. This statement, which is applicable to all
resuscitation training programs (not exclusive to AHA), examines
best practices in education and applies them to resuscitation. By
implementing the statement’s guidance, training programs and
resuscitation instructors will help raise the standard of care and
increase survival from cardiac arrest.

   

                                             source: 

https://cpr.heart.org/en/resources/history-of-cpr 

    

                    #smallbusiness #networking #OKCsmallbiz #businessowner

- Ginger Davis

Heartland CPR, llc

405-603-6666

www.HeartlandCPR.com