Taming the SRU

MARCH 27, 2024

The parent trial was conducted from October 2020 to July 2022 in the capital region of Denmark. It has a small sample size and may not be generalizable as it was carried out in Denmark where physicians were present on all transport vehicles and there is a very high portion of the population trained in providing bystander CPR.

Resuscitation 99

Resuscitation CPR Outcomes Hospitals 99

Dr. Smith's ECG Blog

JULY 14, 2023

Two recent interventions have proven in randomized trials to improve neurologic survival in cardiac arrest: 1) the combination of the ResQPod and the ResQPump (suction device for compression-decompression CPR -- Lancet 2011 ) and 2) Dual Sequential defibrillation. Finally, head-up CPR (which was not used here), makes for better resuscitation.

Resuscitation 98

Resuscitation EKG/ECG CPR Outcomes 98

The Skeptics' Guide to EM

JANUARY 9, 2021

JAMA 2020 Guest Skeptic: Mike Carter is a former paramedic and current PA practicing in pulmonary and critical care as well as an adjunct professor of emergency medical services […] The post SGEM#314: OHCA – Should you Take ‘em on the Run Baby if you Don’t get ROSC? CPR is currently in progress with a single shock having been delivered.

EMS 52

EMS Resuscitation CPR Hyperthermia / Hypothermia 52

The Skeptics' Guide to EM

AUGUST 14, 2021

Circulation 2020 Guest Skeptic: Missy Carter is a PA practicing in emergency medicine in the Seattle area and an adjunct faculty member with the Tacoma Community College paramedic program. They performed high-quality CPR and shocked the patient twice before giving amiodarone via intraosseous (IO). Reference: Daya et al.

Shock 52

Shock CPR Hyperthermia / Hypothermia EMS 52

ACEP Now

DECEMBER 6, 2024

After resuming CPR and administering an additional 400 mcg IV NTG, the patient achieved return of spontaneous circulation with sinus tachycardia. Part 2: evidence evaluation and guidelines development: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. N Engl J Med.

Resuscitation 98

Resuscitation EKG/ECG Documentation/Coding COPD 98

AED Leader

NOVEMBER 27, 2024

Stryker has confirmed that all AEDs purchased prior to October 31, 2020, will continue to be protected under the manufacturers limited warranty. Its two-button interface, combined with clear voice prompts and visual diagrams, guides users step-by-step through defibrillation and CPR.

CPR 52

CPR Pediatrics Operations Outcomes 52

Dr. Smith's ECG Blog

APRIL 30, 2024

Bystander CPR. A patient was found down approximately 30 minutes after taking methamphetamine. Medics found patient in PEA arrest. He was resuscitated into a perfusing rhythm. He went in and out of arrest until arrival at the ED.

EKG/ECG 109

EKG/ECG CPR EMS Resuscitation 109

Don't Forget the Bubbles

JUNE 17, 2024

A third RCT demonstrated that even brief low-level incivility could increase the risk of major error during CPR by up to 66%. 2020 Aug 20. 2020 Jan 1;35(1):70-6. Interestingly, those exposed to incivility in the latter trial were unaware of a drop in performance. They underestimated the impact of this exposure.

Leadership 105

Leadership Resuscitation Teamwork Patient Safety 105

The Skeptics' Guide to EM

DECEMBER 25, 2021

Bystander CPR is being performed. The paramedics performed high-quality CPR and follow their ACLS protocol. CPR is continued while a supraglottic airway is placed successfully. They have a history of hypertension, elevated cholesterol, and smoked cigarettes for 50+ years. The monitor is hooked up.

CPR 52

CPR Administration Outcomes Hospitals 52

The Skeptics' Guide to EM

FEBRUARY 25, 2023

Your team begins high quality cardiopulmonary resuscitation (CPR). Apart from high-quality CPR and early defibrillation, many other interventions we try lack a strong evidence base. Sodium bicarbonate has historically been used during CPR with the goal of alkalizing blood pH and treating metabolic acidosis.

Pediatrics 52

Pediatrics Hospitals CPR Resuscitation 52

The Skeptics' Guide to EM

APRIL 4, 2020

Date: April 4th, 2020 It has been just over a year since Dr. Salim Razaie (REBEL EM) and I stepped into the ring for a boxing matched theme debate in Sydney, Australia. Date: April 4th, 2020 It has been just over a year since Dr. Salim Razaie ( REBEL EM) and I stepped into the ring for a boxing matched theme debate in Sydney, Australia.

CPR 52

CPR EMS Stroke Hospitals 52

EB Medicine

NOVEMBER 17, 2020

EMplify November 2020 An Evidence-Based Approach to Nonoperative Management of Traumatic Hemorrhagic Shock in the Emergency Department Authors : Christopher Pitotti, MD, FACEP Jason David, MD Topics : The Lethal Triad Prehospital Care Tourniquets - Placement and Pitfalls Stop The Bleed Hemostatic Dressings TXA Temperature Management ED Assessment Shock (..)

Emergency Department 40

Emergency Department Shock Resuscitation CPR 40

Taming the SRU

OCTOBER 1, 2023

Common causes include central venous catheterization (subclavian or internal jugular), lung biopsy, barotrauma from PPV, thoracentesis, bronchoscopy, pacemaker insertion, CPR, and intercostal nerve block [12, 14]. Published 2020 Jul 23. Published 2020 Jan 21. doi:10.1183/13993003.03375-2020 Light RW. 2020;7(7):CD013031.

Fractures 96

Fractures COPD Hospitals Emergency Department 96

Don't Forget the Bubbles

JUNE 26, 2023

The team start CPR, and this is emergently converted to extra-corporeal cardiopulmonary resuscitation via the open sternotomy wound. 2014;129(20):2013-2020. Frank blood is aspirated from the endotracheal tube, indicating a significant pulmonary haemorrhage, and the baby suffers a cardiac arrest at 20 hours postoperatively. Circulation.

Operations 128

Operations Research Hyperthermia / Hypothermia Hospitals 128

EMDocs

JANUARY 17, 2024

She received cardiopulmonary resuscitation (CPR) and standard advanced cardiovascular life support (ACLS). A 2020 National Poison Data System (NPDS) study comparing pre-DSC and post-DSC benzonatate poisonings showed no decrease in the severity nor incidence of benzonatate poisonings reported to US poison control centers. (1)

Poisoning 81

Poisoning Seizures Pediatrics EMS 81

The Skeptics' Guide to EM

NOVEMBER 13, 2021

Cardiopulmonary resuscitation (CPR) is in progress. A SRMA published in 2020 on the use of steroids after cardiac arrest reported an increase in ROSC and survival to discharge but was limited by the availability of adequately powered high-quality RCTs ( Liu et al JIMR 2020 ). The monitor shows a non-shockable rhythm.

Advances Cardiac Life Support (ACLS) 40

Advances Cardiac Life Support (ACLS) Hospitals Emergency Department Resuscitation 40

Dr. Smith's ECG Blog

NOVEMBER 12, 2020

He underwent CPR, and regained a pulse after epinephrine, with an organized narrow complex rhythm at 140, but still with severe shock. Clin Chem [Internet] 2020;Available from: [link] Smith mini-review: Troponin in Emergency Department COVID patients Cardiac Troponin (cTn) is a nonspecific marker of myocardial injury.

Shock 52

Shock EKG/ECG Outcomes Hospitals 52

RebelEM

MARCH 30, 2023

PMID: 35675081 What They Did: National, multicenter, randomized control, open-label parallel trial performed at 22 centers in FrancePatients enrolled from January 19, 2017 – November 23, 2020. It’s unclear how many patients sustained a cardiac arrest but were not enrolled, indicating the presence of selection bias.

Hospitals 59

Hospitals Outcomes EKG/ECG Resuscitation 59

ACEP Now

APRIL 3, 2024

7 TTM2 is generally interpreted as favoring normothermia for post-arrest care, but the question is whether this trial is broadly applicable to many countries with less developed community CPR involvement. degrees Celsius “is a reasonable and evidence-based approach.” N Engl J Med. October 2019;381(24):2327-37. Soar J, Berg KM, et al.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Resuscitation Outcomes Hospitals 40

Mind The Bleep

FEBRUARY 9, 2024

Whilst some patients may not be for CPR or intubation and ventilation, they may be appropriate for other treatment options offered in ITU, such as inotropes. University of Aberdeen (2020) Making decisions about who to admit to Intensive Care, University of Aberdeen. References and further reading Smith G, Nielsen M. doi: 10.1136/bmj.318.7197.1544.

Hospitals 52

Hospitals Resuscitation Fluid Resuscitation Shock 52

Dr. Smith's ECG Blog

APRIL 29, 2020

CPR was started immediately. 3 of the 4 have similarly bizarre PVCs. == MY Comment by K EN G RAUER, MD ( 4/29/2020 ): == Cardiac Arrest with Bizarre PVCs/Torsades de Pointes: Intriguing case with many interesting features. A 60-something woman presented after a witnessed cardiac arrest.

EKG/ECG 52

EKG/ECG CPR Wellness Academics 52

Dr. Smith's ECG Blog

OCTOBER 26, 2020

In total, he received approximately 40 minutes of CPR and 7 defibrillation attempts. EMS found the patient in VFib and performed ACLS for 26 minutes then obtained ROSC. 12 minutes later, the patient went back into VFib arrest and underwent another 15 minutes of resuscitation followed by successful defibrillation and sustained ROSC.

EKG/ECG 40

EKG/ECG Hyperthermia / Hypothermia CPR Wellness 40

RebelEM

DECEMBER 19, 2022

That write up was for the DOSE-VF pilot trial done in March 2020 and can be found here. In fact, 4000 paramedics in total were not only trained in the study protocol but also given a rigorous evaluation of their ability to perform CPR. Now that same group has published the results of their full randomized control trial.

EMS 52

EMS CPR Shock Resuscitation 52

Taming the SRU

JUNE 28, 2024

4) This higher likelihood of attaining return of spontaneous circulation (ROSC) is contingent upon high quality CPR and early defibrillation. Lastly, the study was interrupted and ended prematurely due to the COVID-19 pandemic in 2020, which affected the issues above. male 67.9%

Shock 75

Shock Hospitals CPR Outcomes 75

PHARM

NOVEMBER 12, 2024

From February 2020 to May 2023, over 117 days, the team responded to 709 “potential cardiac arrest” emergency calls. CPR duration was 46 min (32–62 min). Analyses were descriptive. 358 were confirmed OHCA. Time from emergency call to scene arrival was 27 min (15–37 min). Time from emergency call to scene arrival was 27 min (15–37 min).

Advances Cardiac Life Support (ACLS) 40

Advances Cardiac Life Support (ACLS) CPR Hospitals Resuscitation 40

Taming the SRU

JANUARY 31, 2025

Moderate evidence it helps in a Cochrane review in 2022 NSAIDs Cochrane review 2020 Acute pain: effective but small change Sciatica: no effect Tylenol BMJ Meta-analysis 2015 Tylenol NOT effective Muscle relaxers 2017 Meta Analysis Effective for acute LBP, unclear for chronic No evidence for benzodiazepines qikt: Acute limb ischemia WITH Drs.

Documentation/Coding 54

Documentation/Coding Infectious Diseases Resuscitation Administration 54