EMDocs

OCTOBER 9, 2023

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. Treasure Island (FL): StatPearls Publishing; July 26, 2022. Treasure Island (FL): StatPearls Publishing; October 17, 2022.

Basic Life Support 108

Basic Life Support CPR Fractures Emergency Department 108

EMDocs

JANUARY 16, 2024

10 The score predicts the probability of survival to hospital discharge using a number of factors including CPR duration, serum potassium, core temperature, age, and suspected mechanism of hypothermia. 2,11 There are cases of patients recovering after hours of time without a pulse with good CPR. Published 2022 Jan 3.

Hyperthermia / Hypothermia 109

Hyperthermia / Hypothermia Resuscitation CPR EMS 109

Dr. Smith's ECG Blog

JUNE 23, 2024

His daughter immediately started CPR and another family member called EMS. The above said — it may prove insightful to take another look at the Wellens' Syndrome case instantly recognized by Dr. Smith in the August 12, 2022 post in Dr. Smith’s ECG Blog. When EMS arrived the patient was in ventricular fibrillation.

EKG/ECG 118

EKG/ECG CPR EMS Hospitals 118

Taming the SRU

JUNE 24, 2024

LaFollette is an Associate Professor in Emergency Medicine at the University of Cincinnati and co-editor of TamingtheSRU.com References Adult Bradycardia Algorithm , 2020, cpr.heart.org/-/media/cpr-files/cpr-guidelines-files/algorithms/algorithmacls_bradycardia_200612.pdf. Bektas, Firat, and Secgin Soyuncu. Circulation , vol.

Advances Cardiac Life Support (ACLS) 90

Advances Cardiac Life Support (ACLS) CPR Burns Resuscitation 90

ACEP Now

NOVEMBER 7, 2024

Background From its founding in 1881 to today, the American Red Cross has taught tens of millions of Americans first aid and other lifesaving skills, including CPR. It also offers a comprehensive “CPR for the Professional Rescuer” course. In 2015, it introduced Basic Life Support (BLS) training and certification for EMS personnel.

Advances Cardiac Life Support (ACLS) 74

Advances Cardiac Life Support (ACLS) Military CPR Basic Life Support 74

The Skeptics' Guide to EM

FEBRUARY 11, 2023

NEJM 2022 Guest Skeptic: Dr. Sean Moore is an emergency physician working in Kenora Ontario, where he is Chief of Staff at Lake of the Woods District Hospital, Northern Medical Director for the Ornge air medical transport program and associate medical director with CritiCall Ontario. Date: February 7, 2023 Reference: Cheskes et al.

Shock 56

Shock CPR Hyperthermia / Hypothermia Hospitals 56

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

PEMBlog

AUGUST 20, 2024

This episode of PEM Currents discusses ECPR (Extracorporeal Cardiopulmonary Resuscitation), an advanced procedure used in cases of cardiac arrest when traditional CPR fails. 2022; 68:133–152. Refractory CPR is a situation where the team has not obtained return to spontaneous circulation in 30 minutes. cardiac rhythms.

CPR 52

CPR Resuscitation Pediatrics Hospitals 52

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

FEBRUARY 25, 2023

2022 Date: February 15, 2023 Guest Skeptic: Dr. Carlie Myers is Pediatric Critical Care Attending at Cincinnati Children’s Hospital Medical Center. 2022 Date: February 15, 2023 Guest Skeptic: Dr. Carlie Myers is Pediatric Critical Care Attending at Cincinnati Children’s Hospital Medical Center. Pediatric Crit Care Med.

Pediatrics 52

Pediatrics Hospitals CPR Resuscitation 52

Dr. Smith's ECG Blog

FEBRUARY 8, 2022

On arrival, CPR was continued and core temperature was measured at 18° C (64.4° A middle-aged man was found outside in the cold in full arrest in ventricular fibrillation. Chest compressions and ventilation were begun. Estimated LVEF 25-30%, inferolateral abnormality possible Day 2 echo Baseline: ECMO flow 3.0

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia CPR EKG/ECG Resuscitation 40

AED Leader

JULY 19, 2023

According to 2022 statistics from the American Heart Association, there are more than 356,000 out-of-hospital cardiac arrests in the United States every year and just over 10% of EMS-treated victims survive to hospital discharge. What Are the Benefits of a WiFi AED? A metronome helps the user to follow the optimal pace for chest compressions.

CPR 52

CPR Shock EKG/ECG Hospitals 52

The Skeptics' Guide to EM

FEBRUARY 3, 2023

September 2022 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the #FOAMed project called www.First10EM.com Case: You are working an overnight shift at a small rural hospital. The nurses started CPR immediately and place pads before you even arrived. Date: February 1, 2023 Reference: Wolfrum et al.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Hospitals Documentation/Coding CPR 52

RebelEM

DECEMBER 19, 2022

2022 Nov 6 PMID: 36342151 Clinical Question: How does double defibrillation and vector change defibrillation compare to standard therapy in OHCA patients with refractory ventricular fibrillation? 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.

EMS 52

EMS CPR Shock Resuscitation 52

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%. 2022 May 12;46(3):319-24. Interestingly, those exposed to incivility in the latter trial were unaware of a drop in performance. They underestimated the impact of this exposure. Australian Health Review.

Leadership 105

Leadership Resuscitation Teamwork Patient Safety 105

EMDocs

JANUARY 17, 2024

She received cardiopulmonary resuscitation (CPR) and standard advanced cardiovascular life support (ACLS). 2022-057779. When emergency medical services (EMS) arrived, she was in asystole with an empty, recently full, bottle of benzonatate 100 mg capsules. PubMed PMID: 3788039. Benzonatate Exposure Trends and Adverse Events. Pediatrics.

Poisoning 89

Poisoning Seizures Pediatrics EMS 89

Dr. Smith's ECG Blog

OCTOBER 10, 2022

CPR was initiated immediately. Decision was made to push tPA after approximately 25 minutes of CPR, and after approximately 25 minutes after tPA was given, O2 saturation increased to 97%, and the patient was no longer cyanotic, converted to normal sinus rhythm with anterior lateral T wave inversions with ST depressions."

EKG/ECG 52

EKG/ECG Resuscitation Ultrasounds CPR 52

Don't Forget the Bubbles

MAY 10, 2023

In May 2022, Holly and Joe, two students on the joint QMUL and DFTB PEM MSc , created video presentations on human factors. They’re getting CPR. We’ve incorporated some of our favourite elements from their presentations in this blog post. You’re just about aware of the tannoy in the background. …You burst into resus.

Emergency Department 91

Emergency Department Resuscitation Documentation/Coding Teamwork 91

RebelEM

MARCH 30, 2023

Published online June 08, 2022. There are differences within the demographic: More women in the delayed group Delayed group had higher witnessed arrest and bystander CPR Delayed group had more non-shockable rhythms Protocol violations were common. JAMA Cardiol.

Hospitals 66

Hospitals Outcomes EKG/ECG Resuscitation 66

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]. Treasure Island (FL): StatPearls Publishing; November 28, 2022. Interact Cardiovasc Thorac Surg. 2013;17(2):247-252.

Fractures 96

Fractures COPD Hospitals Emergency Department 96

ACEP Now

OCTOBER 11, 2024

Optimally, bystander CPR, including the administration of rescue breaths, should be initiated prior to arrival of emergency medical services. Buckets associated home drowning in Indian infants and toddlers: an analysis of 18 fatalities from 2016-2022. 2022;17(11):e0276374. Siddiqui SA, Singh MV, Mishra N, et al. 2023;53(4):416-418.

Pediatrics 52

Pediatrics Hyperthermia / Hypothermia Emergency Department Resuscitation 52

Dr. Smith's ECG Blog

NOVEMBER 23, 2022

He underwent CPR and then was shocked out of VF. Both hyperacute T waves and posterior OMI are now formally endorsed as "STEMI equivalents" by the ACC. == MY Comment, by K EN G RAUER, MD ( 11/23 /2022 ): == Cases in which initial ECG findings are subtle before undergoing dramatic change, — are always impressive. Plate and Meyers.

EKG/ECG 52

EKG/ECG Shock CPR Outcomes 52

Intensive Blog

MARCH 13, 2024

However, as practice has been refined and populations of patients who may benefit have been identified 5 , the use of extracorporeal CPR (ECPR) has been rapidly growing. The Steps of CPR reported in the Journal of Iowa Medical Society in 1964 by Peter Safar. Image source: File:Steps of CPR-1964.jpg References History of CPR.

CPR 130

CPR Resuscitation Hospitals Outcomes 130

Don't Forget the Bubbles

DECEMBER 5, 2023

doi.org/10.1136/emermed-2022-212667 What’s it all about? Reviewed by: Vicki Currie Article 5: Does occluding the femoral artery during neonatal CPR increase the likelihood of ROSC? (In Nizami T, Beaudoin F, Suner S, et al. Evaluation of microMend wound closure device in repairing skin lacerations.

Resuscitation 111

Resuscitation Outcomes CPR Emergency Department 111

PulmCCM

JANUARY 20, 2025

Who Writes the CPR Guidelines? How Evidence-Based Are the CPR Guidelines? Most of the CPR guidelines are based on a very low-quality body of evidence (retrospective observational studies, simulation-based studies, etc). These suggestions came from studies testing CPR on manikins, not live patients. ° Celsius.

CPR 75

CPR Resuscitation Hyperthermia / Hypothermia Seizures 75

PulmCCM

MARCH 11, 2024

Societies push back on CMS’s cuts to critical care billing In 2022, the U.S. Read their letter to CMS here , asking that critical care billing return to pre-2022 historical norms. In 2022, CMS also officially permitted concurrent or additive critical care time billing by multiple clinicians on the same patient throughout the day.

Hospice 52

Hospice Documentation/Coding Administration Hospitals 52

Dr. Smith's ECG Blog

MARCH 8, 2025

Angiography was technically challenging as the patient was receiving CPR, but the cardiologist suspected acute stent thrombosis and initiated cangrelor, although no repeat angiography was able to be obtained. During the resuscitation, she received amiodarone 450 mg IV, lidocaine 100 mg IV, and magnesium 6 g IV. link] Bai, J., Tang, Z., &

EKG/ECG 75

EKG/ECG CPR Resuscitation Wellness 75

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