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

Don't Forget the Bubbles

JUNE 17, 2024

High levels of incivility correlate with adverse outcomes for patients, staff, and the organisation. 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. They underestimated the impact of this exposure. Australian Health Review.

Leadership 105

Leadership Resuscitation Teamwork Patient Safety 105

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

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? Defibrillation Strategies for Refractory Ventricular Fibrillation. N Engl J Med.

EMS 52

EMS CPR Shock Resuscitation 52

Dr. Smith's ECG Blog

NOVEMBER 23, 2022

He underwent CPR and then was shocked out of VF. Sooner identification likely leads to better outcomes, and in this case may have allowed prevention of cardiac arrest and better long-term outcome. His initial troponin T was 15 ng/L (only two hours since pain onset). Such is the situation in today's post by Drs.

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 jpg – Wikimedia Commons.

CPR 130

CPR Resuscitation Hospitals Outcomes 130

Don't Forget the Bubbles

FEBRUARY 5, 2025

According to the latest figures (2022), there were approximately 6,000 recorded offences where a child was a victim of violence, including physical assault, sexual abuse, and homicide. Since 2022, NFS has become a specific crime in its own right, separate from assault.

Domestic Violence 59

Domestic Violence Fluid Resuscitation Head Injuries Sexual Assault 59

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

EMDocs

JANUARY 16, 2024

Patients can have excellent outcomes despite prolonged resuscitation. 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. Hypothermic arrest differs from cardiac arrest from other causes.

Hyperthermia / Hypothermia 109

Hyperthermia / Hypothermia Resuscitation CPR EMS 109

Taming the SRU

OCTOBER 1, 2023

As these patients are typically already at a high risk for poor health outcomes, secondary spontaneous PTX is often more serious in presentation and management more complex [11]. Treasure Island (FL): StatPearls Publishing; November 28, 2022. doi:10.1136/thorax-2022-219784 Chee CB, Abisheganaden J, Yeo JK, et al. In: StatPearls.

Fractures 96

Fractures COPD Hospitals Emergency Department 96

ACEP Now

OCTOBER 11, 2024

1,2 Clinical outcomes in submersion injuries are largely dependent on the degree of hypoxic injury experienced by the victim, making prehospital care of paramount importance. Optimally, bystander CPR, including the administration of rescue breaths, should be initiated prior to arrival of emergency medical services. pediatric hospitals.

Pediatrics 52

Pediatrics Hyperthermia / Hypothermia Emergency Department Resuscitation 52

RebelEM

MARCH 30, 2023

Background: Previous observational studies published in 2015 (Geri 2015)(Vyas 2015) indicated that early cardiac catheterization in patients with out-of-hospital cardiac arrest (OHCA) might improve mortality and result in more favorable neurological outcomes. Published online June 08, 2022. JAMA Cardiol. 1.15; P= 0.32 1.15; P= 0.31

Hospitals 66

Hospitals Outcomes EKG/ECG Resuscitation 66

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. The effects of aviation-style non-technical skills training on technical performance and outcome in the operating theatre. You’re just about aware of the tannoy in the background.

Emergency Department 91

Emergency Department Resuscitation Documentation/Coding Teamwork 91

Don't Forget the Bubbles

DECEMBER 5, 2023

Roughly 30% of patients with ulcerative colitis are diagnosed as children or young adults, and this early diagnosis is associated with poorer long-term outcomes. The primary outcome measure was the time patients collected their repeat prescriptions, i.e. their adherence. doi.org/10.1136/emermed-2022-212667 What’s it all about?

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.

CPR 75

CPR Resuscitation Hyperthermia / Hypothermia Seizures 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

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. Was her outcome to be expected for ostial RCA OMI? She was defibrillated perhaps 25 times. We will never know for certain.

EKG/ECG 75

EKG/ECG CPR Resuscitation Wellness 75