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Here is a description of Hilton Head Island Fire Rescue’s Pit Crew / High Performance CPR process in bullet point form. Phase 1: Patient’s side to first shock Good teamwork, excellent communication, smooth transitions, and mutual respect are the keys to success.

Work the cardiac arrest on scene until ROSC whenever possible, especially for patients with a “good story” (i.e., witnessed collapse, bystander CPR, initial shockable rhythm). The wheels can come off the wagon when too many rescuers jump in all at once, so put people to work in a way that enhances, and does not overwhelm the Pit Crew CPR process.

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