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Trends in survival from out-of-hospital cardiac arrest with a shockable rhythm and its association with bystander resuscitation: a retrospective study

Emergency Medicine Journal

Methods We investigated four 18-month periods between 2005 and 2018. Over all study periods, survival at hospital discharge increased from 12% in 2005 to 25% in 2018 (p<0.001), and return of spontaneous circulation at hospital admission increased from 43% to 58% (p=0.004).

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1 hour of CPR, then ECMO circulation, then successful defibrillation.

Dr. Smith's ECG Blog

ECMO Flow was achieved after approximately 1 hour of high quality CPR. Shark Fin morphology has been discussed a number of times on Dr. Smith’s ECG Blog ( For review — See the June 11, 2018 post and the January 24, 2020 post , to name just 2 instances ). After good ECMO flow was established, she was successfully defibrillated.

CPR 52
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Major Trauma – Injuries by Assault

Don't Forget the Bubbles

A:Stab wound to the chest, CPR for 35 minutes B: Isolated significant head injury with blown right pupil, CPR for 10 minutes C: Avoid hypothermia D: Avoid acidosis E: Replace cryoprecipitate to target normal fibrinogen Answer 6 The correct answer is D. Don’t Forget the Bubbles, 2018. TXA in head injuries. Crisis Medicine.

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SGEM#231: You’re So Vein – IO vs. IV Access for OHCA

The Skeptics' Guide to EM

[display_podcast] Date: September 21st, 2018 Reference: Kawano et al. Annals of EM May 2018 Guest Skeptic: Andrew Merelman is a critical care paramedic and first year medical student at Rocky Vista University in Colorado. display_podcast] Date: September 21st, 2018 Reference: Kawano et al.

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SGEM#247: Supraglottic Airways Gonna Save You for an OHCA?

The Skeptics' Guide to EM

JAMA 2018 Guest Skeptic: Missy Carter, former City of Bremerton Firefighter/Paramedic, currently a physician assistant practicing in emergency medicine in the Seattle area and an adjunct faculty […] The post SGEM#247: Supraglottic Airways Gonna Save You for an OHCA? Key to survival is high-quality CPR and early defibrillation.

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SGEM#238: The Epi Don’t Work for OHCA

The Skeptics' Guide to EM

Date: December 6th , 2018 Reference: Perkins et al. Date: December 6th , 2018 Reference: Perkins et al. You are the first provider on scene with Emergency Medical Services (EMS) and start high-quality Cardiopulmonary Resuscitation (CPR). A Randomized Trial of Epinephrine in Out-of-Hospital Cardiac Arrest.

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Systemic Steroids: An ED Focused Overview

EMDocs

1 Though hydrocortisone is often included in ‘crash carts,’ the most recent consensus on cardiopulmonary resuscitation (CPR) has a weak recommendation against the use of corticosteroids during CPR. October 19, 2018. Given its mineralocorticoid properties, hydrocortisone is traditionally used for adrenal insufficiency.