EMDocs

NOVEMBER 6, 2023

Author: Brit Long, MD (@long_brit) // Reviewed by Alex Koyfman, MD (@EMHighAK) The American Heart Association 2023 Guideline for managing cardiac arrest or life-threatening toxicity due to poisoning was recently released. This post will focus on the key parts of the guideline that affect ED evaluation and management. COR 1, LOE C-EO.

Poisoning 115

Poisoning Hyperthermia / Hypothermia Seizures Administration 115

JournalFeed

JANUARY 6, 2024

The JournalFeed podcast for the week of Jan 1-5, 2023. Monday The best articles of 2023!! These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.

CPR 52

CPR 52

AED Leader

JULY 7, 2023

Canen Dickman collapsed when he suffered a cardiac arrest on July 7, 2023, at soccer practice at Worthington Kilbourne High School. Jon Sprunger, the head soccer coach, started CPR immediately while another coach fetched an onsite AED. Canen survived the event with full brain function, according to an MRI.

CPR 52

CPR 52

JournalFeed

MARCH 18, 2023

The JournalFeed podcast for the week of March 13-17th, 2023. CPR Fatigue Spoon Feed In this study of firefighters performing CPR with feedback devices, researchers found that compression depth decreased over the course of a two-minute chest compression cycle while compression rate stayed within goal.

CPR 40

CPR Research 40

EM Ottawa

JULY 11, 2024

In Fall 2023, I was working an evening shift at a community hospital when we got a patch. CPR was ongoing, and their ETA was 10 minutes. A 3-year-old girl was being brought in by EMS with an out-of-hospital cardiac arrest. We prepared the ED for the patient’s arrival.

CPR 77

CPR EMS Hospitals Infectious Diseases 77

Dr. Smith's ECG Blog

SEPTEMBER 11, 2024

Here is the case: Report from EMS was witnessed syncope, his son did CPR, but the patient had pulses when EMS arrived. The fact that this is syncope makes give it a far lower pretest probability than chest pain, but it was really more than syncope, as the patient actually underwent CPR and had hypotension on arrival of EMS.

EMS 114

EMS CPR EKG/ECG Wellness 114

JournalFeed

MAY 27, 2023

The JournalFeed podcast for the week of May 22-26, 2023. How to CPR Spoon Feed Using a 1-handed technique in infants <1yr and 2-handed technique in children >1yr resulted in deeper compressions, closer to AHA guideline recommendations, but compliance with rate and depth were mediocre regardless of technique. #1

CPR 40

CPR 40

The Skeptics' Guide to EM

JULY 22, 2023

Date: July 21, 2023 Reference: Prekker et al. NEJM 2023 Guest Skeptic: Dr. Jeff Jarvis is the Chief Medical Officer and System Medical Director for the Metropolitan Area EMS Authority in Fort Worth, Texas, also known as MedStar. Date: July 21, 2023 Reference: Prekker et al.

EMS 98

EMS CPR Ultrasounds Research 98

Dr. Smith's ECG Blog

JULY 25, 2024

They started CPR. As we have often emphasized on Dr. Smith's ECG Blog ( See My Comment in the March 1, 2023 post) — DSI does not indicate acute coronary occlusion! This patient was witnessed by bystanders to collapse. EMS arrived and found him in Ventricular Fibrillation (VF). He was defibrillated into VT. sodium bicarbonate.

Resuscitation 124

Resuscitation EKG/ECG CPR Shock 124

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

AED Leader

SEPTEMBER 10, 2023

Wakefield EMS, police, and firefighters were able to save a man when he went into cardiac arrest during the Red Rose Run in June 2023. When presented with the Clinical Save Award in September, EMS member Adam Waltemyer emphasized the importance of CPR training, as it’s the initial application of CPR that’s the most important for saving lives.

CPR 52

CPR EMS 52

The Skeptics' Guide to EM

MARCH 11, 2023

Date: March 8, 2023 Reference: Smida et al. Date: March 8, 2023 Reference: Smida et al. Prehospital Emergency Care 2023 Guest Skeptic: Dr. Chris Root is a third-year resident physician in the Department of Emergency Medicine at the University of New Mexico Health Sciences Center in Albuquerque, NM. Reference: Smida et al.

Airway Management 52

Airway Management Basic Life Support CPR Resuscitation 52

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. 2023; 187:109792. Refractory CPR is a situation where the team has not obtained return to spontaneous circulation in 30 minutes. Am Heart J. 2020;229:29–39.

CPR 52

CPR Resuscitation Pediatrics Hospitals 52

AED Leader

DECEMBER 31, 2023

On 16 December 2023, soccer captain Tom Lockyer suffered a cardiac arrest and collapsed during a match at Vitality Stadium in Bournemouth. He received CPR, was fitted with an implantable cardioverter defibrillator in the hospital, and was discharged after five days.

CPR 52

CPR Resuscitation Hospitals 52

AED Leader

DECEMBER 31, 2023

On 16 December 2023, soccer captain Tom Lockyer suffered a cardiac arrest and collapsed during a match at Vitality Stadium in Bournemouth. He received CPR, was fitted with an implantable cardioverter defibrillator in the hospital, and was discharged after five days.

CPR 52

CPR Resuscitation Hospitals 52

The Skeptics' Guide to EM

FEBRUARY 11, 2023

Date: February 7, 2023 Reference: Cheskes et al. Date: February 7, 2023 Reference: Cheskes et al. He confirms pulselessness, initiates CPR, gets a colleague to call 911, and intubates the patient on the floor. Defibrillation Strategies for Refractory Ventricular Fibrillation.

Shock 57

Shock CPR Hyperthermia / Hypothermia Hospitals 57

The Skeptics' Guide to EM

MAY 20, 2023

Date: May 10, 2023 Reference: Harhay MO, et al. Date: May 10, 2023 Reference: Harhay MO, et al. They started cardiopulmonary resuscitation (CPR) until EMS arrived. Upon arrival at the ED, your team promptly begins high quality CPR and manages to obtain return of spontaneous circulation. NEJM Evidence. NEJM Evidence.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Pediatrics CPR 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

ACEP Now

AUGUST 8, 2023

Vincent Basile, DO, an emergency medicine resident at Einstein Medical Center in north Philadelphia, was focused on cheering for his hometown Eagles on January 1, 2023, when he realized a fellow fan was experiencing a medical crisis. Deciding to err on the side of caution, they began CPR, alternating in two-minute intervals.

CPR 94

CPR EMS 94

JournalFeed

DECEMBER 23, 2023

The JournalFeed podcast for the week of Dec 18-22, 2023. These are summaries from just 2 of the 5 article we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.

CPR 52

CPR Resuscitation Hospitals 52

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

Thinking Critical Care

MAY 20, 2023

A message from Katie Wiskar: I cannot express how excited I am to be a part of H&R 2023, and to finally get to experience the magic in person. If you’re not personalizing your CPR, here’s the place to learn! The Resuscitative TEE Course , run by none other than Felipe Teran is back again!

Airway Management 95

Airway Management Resuscitation EKG/ECG CPR 95

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%. 2023 Mar 13. 2023 Oct 31;21(1):403. Interestingly, those exposed to incivility in the latter trial were unaware of a drop in performance. They underestimated the impact of this exposure. 2020;10(6).

Leadership 105

Leadership Resuscitation Teamwork Patient Safety 105

AED Leader

SEPTEMBER 25, 2024

Features like real-time CPR feedback can make some models more expensive. Important features to consider are ease of use, battery life span for portability, and real-time CPR feedback options. Advanced features like real-time CPR feedback contribute significantly to the cost variations among different AED models. on average.

Emergency Medical Responders 52

Emergency Medical Responders CPR Shock Hospitals 52

The Skeptics' Guide to EM

FEBRUARY 3, 2023

Date: February 1, 2023 Reference: Wolfrum et al. Date: February 1, 2023 Reference: Wolfrum et al. The nurses started CPR immediately and place pads before you even arrived. Temperature Control After In-Hospital Cardiac Arrest: A Randomized Clinical Trial. Circulation. first appeared on The Skeptics Guide to Emergency Medicine.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Hospitals Documentation/Coding Outcomes 52

EMDocs

JANUARY 11, 2024

Author: Brit Long, MD (@long_brit) // Reviewed by Alex Koyfman, MD (@EMHighAK) The American Heart Association (AHA) and Neurocritical Care Society (NCS) released their 2023 Scientific Statement on the critical care management of post ROSC patients. 2023 Dec 1. Neurocrit Care. doi: 10.1007/s12028-023-01871-6. Epub ahead of print.

Seizures 97

Seizures Shock Infectious Diseases CPR 97

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.”

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Resuscitation Outcomes Hospitals 40

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

RebelEM

JUNE 29, 2023

Back on June 1 st , 2023, Swami wrote a blog post on REBEL EM titled, The CT FIRST Trial, Should We Pan-CT After ROSC? REBEL EM Blog, June 1, 2023. Resus 2023. Back on June 1st, 2023, Swami wrote a blog post on REBEL EM titled, The CT FIRST Trial, Should We Pan-CT After ROSC? Available at: HERE Branch KHR et al.

CPR 145

CPR EMS Documentation/Coding Outcomes 145

Don't Forget the Bubbles

FEBRUARY 5, 2025

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, 2023. link] Surtees TL, Kumar I, Garton HJL.

Domestic Violence 59

Domestic Violence Fluid Resuscitation Head Injuries Sexual Assault 59

Don't Forget the Bubbles

JUNE 30, 2023

She was intubated at the scene and transported to your ED, with cardiopulmonary resuscitation (CPR) performed en route. Despite good quality CPR, there is no ROSC. Despite good quality CPR, there is no ROSC. Despite good quality CPR, there is no ROSC. Emergency Medical Services found her apneic and pulseless.

Hyperthermia / Hypothermia 145

Hyperthermia / Hypothermia Military CPR EKG/ECG 145

PulmCCM

JANUARY 29, 2024

AHA Updates its Cardiac Arrest Guidelines In December 2023, the American Heart Association published a “focused update” to its landmark guidelines for the management of cardiac arrest. Epinephrine remains the drug of choice during CPR Epinephrine remains the first-line therapy for cardiac arrest due to non-shockable rhythms (i.e.,

Seizures 115

Seizures CPR Documentation/Coding Hyperthermia / Hypothermia 115

Stop and Think

JANUARY 10, 2024

Let’s do two topics on the RCT that I covered in my Top Ten Stories of 2023 piece. One scenario that doctors considered dire enough to use ECLS occurs when CPR does not work to restore circulation. Another RCT-related story from 2023 involved attempts to simulate randomized trials with observational data. odds ratio, 1.4;

CPR 44

CPR Shock Outcomes Resuscitation 44

RebelEM

AUGUST 21, 2023

Epub 2023 Jun 15. With that said, it’s important to note that narrow population consisted of patients who had a witnessed cardiac arrest with a shockable rhythm and bystander CPR performed. Thus the results of this trial may not be generalizable to unwitnessed cardiac arrest with non-shockable rhythms and/or a lack of bystander CPR.

Hospitals 98

Hospitals Resuscitation Outcomes CPR 98

RebelEM

JUNE 1, 2023

Resus 2023. Bystander CPR, a known predictor of good outcomes, was more common in the SDCT cohort than in the standard care cohort. Resus 2023. Advanced imaging post-arrest is a possible modality to achieve this end. Article: Branch KHR et al. References: Branch KHR et al. PMID: 37019352 Post Peer Reviewed By: Salim R.

Outcomes 145

Outcomes Resuscitation Hospitals CPR 145

Dr. Smith's ECG Blog

APRIL 30, 2024

Bystander CPR. I refer the interested reader to My Comment in the February 27, 2023 post in Dr. Smith's ECG Blog — in which I review the challenges in determining the cardiac rhythm with hyperkalemia — as well as reviewing the sequence of expected ECG changes with this electrolyte disorder. Medics found patient in PEA arrest.

EKG/ECG 107

EKG/ECG CPR EMS Resuscitation 107

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. link] Published February 12, 2023.

Hyperthermia / Hypothermia 109

Hyperthermia / Hypothermia Resuscitation CPR EMS 109