SHARE a New Life Saver
For more than 30 years, fire departments across America have taught and encouraged individuals to learn traditional cardio-pulmonary resuscitation methods in the event they should witness a sudden cardiac arrest. That‘s about to change.
A few years ago, Sarver Heart Center, Mayo Clinic College of Medicine, Arizona’s Bureau of Emergency Services and the Arizona Fire Chiefs Association formed a cooperative program called Save Hearts in Arizona Registry & Education or SHARE.
Under the program, 38 Arizona fire departments have been instructed in cardio-cerebral resuscitation, a method for use only on adults. Dr. Bentley J. Bobrow presented the statistics based on the switch to CCR this week at the Arizona Fire Chiefs Association’s annual meeting.
“We cannot do what we cannot measure, and the first step in addressing a problem is to document it,” said Bobrow. “A bystander doing CCR triples your chance of survival, and Arizona is the only state that has been able to publish its statewide cardiac survival rate.” This fall, the results of the SHARE research will be presented to the American Heart Association.
CPR calls for two mouth-to-mouth breaths after 30 chest compressions. CCR is 200 chest compressions immediately followed with shock and the sequence is repeated. “We have a tremendous tendency to over ventilate people,” Bobrow said. “It‘s the kiss of death. Focus on chest compressions … 200 chest compressions, uninterrupted by pulse checks.”
Bystanders who witness a sudden cardiac arrest tend to not do CPR because of the mouth-to-mouth resuscitation, but might be willing to do CCR because it doesn‘t involve ventilation. Glendale Fire Chief Mark Burdick has set a goal to teach CCR to 25,000 people in his city annually. Also all volunteers for Super Bowl XLII will be taught CCR. “The goal is to train as many people as possible,” said Burdick.
Each year, more than 400,000 Americans die from sudden cardiac arrest and “only a fraction survive,” Bobrow said. “Out-of-hospital cardiac-arrest survival rate is usually very low.” In fact, one fire department’s survival rate with CPR was 2.6%. After being trained and switching to CCR, the fire department’s survival rate increased to 9.1%. Another department’s survival rate just from 3.7% pre-CCR to 33.9% after CCR was implemented. Eleven of 38 departments are now using the new CCR protocol.
“It‘s more than just saying a fire department is doing it,” said Bobrow. “It‘s about if you are actually doing it. It comes down to compliance.” He compared the response of an emergency medical crew to a NASCAR pit crew. Each member of the emergency medical crew has a specific part to play, and timing is critical. “Even a 10 second interruption is enough to decrease survival,” he said.
So far this year, more 270 lives have been saved in Arizona using CCR. “In 25 years, nothing has shown improvement in survival rates,” said Bobrow. “The whole country is watching what we‘re doing here in Arizona.”
Other areas of the country also are switching to CCR. In Wisconsin, Rock and Walworth Counties have introduced Call and Pump, a “simplified CPR. It is a rural implementation of an urban effort that was initiated … in Tucson, AZ by Drs. Ewy and Kern of the Sarver Heart Center.”







