The American Heart Association emphasizes that the quality of CPR delivered during a resuscitation has a major impact on survival.¹When it comes to quality CPR training, many instructors focus on perfecting the technical skills of individual rescuers -but focusing on rescuers’ performance as a team can also affect the quality of the CPR delivered。²High-performance CPR, or "letter perfect" CPR, centers on evidence-based, individual and team performance metrics.³

Many EMS agencies and training centers recognize the importance of team training in high-performance CPR but have reported not having the right tools to make training easier and more efficient.TeamReporter是一款基于视频的手机应用程序，旨在为帮助建立高性能团队提供必需品。其中一些必需品包括实时和总结性的反馈，改进技巧以及智能的视频汇报。

在下面，我们探讨了高效的CPR中有效的团队合作能力的区别，以及TeamReporter如何作为您的高性能团队培训的“助理教练”。

If you’re already familiar with high-performance CPR, skip to the next section. But many systems are still trying to educate their staff on the topic – so here is a brief summary.

心肺复苏术是至关重要的，但固有的效率低下 - 这是使它正确的理由。它仅提供正常血液流向心脏的10％至30％，而正常血液流向大脑的30％至40％。⁴Considering this reality emphasizes the urgency behind the need to make CPR as efficient as possible to increase its effectiveness and buy more time。这是高性能CPR背后的意图。高性能CPR专家Resuscitation Academyadvocate, “It is as though the onset of high-performance CPR suspends death and gives a better opportunity for the defibrillatory shocks and medications to work their magic.”⁵

CPR quality contributes to the extensive variability of survival between and within systems of care.⁶High-performance CPR can make drastic improvements to survival rates. King County, WA saw a 50% improvement in discharged survival in the first year following high-performance CPR training,⁷and their survival rates are among the highest in the world.⁸Compared to other communities, cardiac arrest victims are two to three times more likely to survive in Seattle and King County from out-of-hospital cardiac arrest.⁹

Now that you’re up to speed on the importance of high-performance CPR, read on to learn 4 ways that TeamReporter can help.

It may seem obvious that measurement is key to improvement – but this holds especially true for CPR, as it is near impossible to judge CPR quality by look or feel alone.TeamReporter提供有关质量CPR元素的测量和实时反馈，*允许从业者立即调整和改善其绩效。This type of precise measurement and feedback promotes continuous improvement of both individual and team CPR skills。

Key parameters of high-quality CPR include:

• Compression rate of 100-120 per minute
• Depth of 2-2.4 inches
• Full recoil
• Avoiding excessive ventilation (just enough to observe initial chest rise)
• 最小的围巾停顿¹¹
• Correct hand position¹²

The specificity of these parameters makes using a precise measurement tool a must. With TeamReporter, it’s as easy as connecting the app with your Resusci manikin to begin getting detailed feedback in seconds.

A well-coordinated team that performs at maximum efficiency has the potential to shave off critical seconds and maximize chest compression fraction during a resuscitation. When teams are practicing tactics that can increase efficiency, TeamReporter helps by monitoring how these efforts are affecting the team's CPR quality.

Evidence shows that increased chest compression fraction (CCF), or the total time spent doing compressions during a resuscitation attempt, improves outcomes.¹³高性能组织的目标是在胸部80％。¹⁴

It's a common misconception that a pause as short as 3 seconds is insignificant and that you can just pick up where you left off in terms of building blood pressure in the heart with compressions. But within 3 seconds of pause, this pressure falls to zero. When you resume compressions, you essentially start at the beginning – not where you were when you left off. It takes another 30 compressions, or about 16 seconds, to rebuild the same kind of blood flow you had before you paused. When you look at it this way,that 3-second pause costs your patient many more seconds of adequate blood flow。¹⁵

Add to all of this, studies have found that increasing pre-shock and post-shock pauses has an impact on defibrillation success and survival.¹⁷

These factors explain why high-performing teams use techniques that help them maximize their hands-on time. Observers of efficient high-performance CPR teams in action often notice that:

• It’s quiet, because everyone knows their roles and what to do – eliminating the need for much talking.
• The rotation between the responders seems like a choreographed ballet, because they’re moving in perfect harmony. For this reason, high-performance CPR is sometimes referred to as the “CPR ballet,” the “dance of resuscitation, “or the “pitstop approach” to CPR.
• The manual defibrillator is pre-charged to avoid time off the chest for charging.
• Intubation occurs without ceasing compressions.¹⁸

These are only some of the tactics that high-performance teams use to increase efficiency and minimize wasted time, resulting in maximum time on the chest. This routine, of course, doesn’t come naturally: teams need to train and re-train in order to reach and maintain these levels of precision.

As teams work on achieving improved synchronization, TeamReporter helps ensure that they can closely monitor and perfect their CPR performance.

TeamReporterhelps keep debriefing objective. In addition to a full recording, the TeamReporter algorithm also creates a post-session video highlighting the most coachable moments. Positive reinforcement, tips on areas for improvement, and a session timeline view add to the debriefing experience. Together, these tools provide a much more effective debriefing while saving time and effort.

Experts agree that debriefing is a fundamental component of resuscitation education that drives performance improvement.²⁰Optimal feedback and debriefing practices have been shown to promote acquisition and retention of skills and even affect patient outcomes。²¹

根据Resuscitation Academy，高性能CPR是关于绩效的常规测量，并了解如何增加表现。这需要对监视，修复和再培训做出重大承诺。²²And, it also demands an easy way to manage performance data.

WithTeamReporter, it’s easy to track performance from every session. Sessions are stored in the cloud for easy access, aiding quality improvement efforts.