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Awake, and Paralysed: A Never Event

Don't Forget the Bubbles

This is referred to as CPR I nduced C onsciousness ( CPRIC ). 2014 May;32(5):452-6. Epub 2014 Jan 15. 2014 Oct;113(4):549-59. Epub 2014 Sep 9. In studies including patients with trauma or Glasgow Coma Scale less than 8, intubation without sedation led to poorer neurological outcomes. DOI: 10.1097/PEC.0b013e3182713316

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emDOCs Podcast – Episode 98: Post ROSC Mental Model

EMDocs

Today on the emDOCs cast Brit Long interviews Zachary Aust on the use of a mental model in post ROSC patients. Episode 98: Post ROSC Mental Model What’s the problem?

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#FOAMed Review 44th Edition

EM Curious

TOP 10 TRAUMA PAPERS OF 2014-2015 [PODCAST]: It's been a huge year in trauma literature with big changes and a large volume of dogma smashing evidence. Listen to a great review of the top 10 trauma papers in 2014-2015 @ St. Part 1 Part 2 DONT STOP COMPRESSING HANDS ON DEFIBRILLATION [BLOG]: Minimizing time off the chest during CPR?

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Riding the Waves: End-Tidal CO2 Monitoring

Taming the SRU

Cardiac Arrest As mentioned before, tidal CO2 is a function of metabolic rate and cardiac output, so capnography can be utilized during CPR to monitor the effectiveness of chest compressions. 2014): 247-258. Continuous monitoring allows for rapid recognition of tube displacement. Journal of clinical anesthesia 23.3 2011): 189-196.

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REBEL Cast Ep123: Reduced-Dose Systemic Peripheral Alteplase in Massive PE?

RebelEM

CHEST 2010. PMID: 19741062 Kucher N et al. Randomized, Controlled Trial of Ultrasound-Assisted Catheter-Directed Thrombolysis for Acute Intermediate-Risk Pulmonary Embolism. PMID: 24226805 Piazza G et al.

Stroke 136
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The ‘Hidden C’

Don't Forget the Bubbles

A third RCT demonstrated that even brief low-level incivility could increase the risk of major error during CPR by up to 66%. 2014 Jun 26;23(12):653-9. Interestingly, those exposed to incivility in the latter trial were unaware of a drop in performance. They underestimated the impact of this exposure. The Fearless Organization.

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Seeing Peter Safar, and his work

Advanced Emergency Nursing from AENJ

Validation of methods of controlling the unprotected natural airway; comparisons of methods of artificial respiration, validating mouth-to-mouth as the most effective means, training and popularizing mouth-to-mouth, and linking and coordinating external cardiac massage (the Johns Hopkins Group) to be Steps A, B, & C of CPR. " Peter J.