The Skeptics' Guide to EM

FEBRUARY 25, 2023

Sodium bicarbonate use during pediatric cardiopulmonary resuscitation: a secondary analysis of the icu-resuscitation project trial. Sodium bicarbonate use during pediatric cardiopulmonary resuscitation: a secondary analysis of the icu-resuscitation project trial. Sodium bicarbonate administration will increase the pH. *

Pediatrics 52

Pediatrics Hospitals CPR Resuscitation 52

The Skeptics' Guide to EM

SEPTEMBER 23, 2017

Case: You are the medical director of an EMS system in a large city deciding on whether to respond to all out of hospital cardiac arrests (OHCA) with ACLS capabilities, or if resources should be directed to those candidates for extracorporeal CPR. Bystander high-quality CPR can buy you some time until defibrillation.

CPR 52

CPR Academics Resuscitation Hospitals 52

EMDocs

JANUARY 8, 2024

For patients with OHCA, use of steroids during CPR is of uncertain benefit. Routine administration of calcium for treatment of cardiac arrest is not recommended. COR 2b, LOE B-R. COR 2b, LOE C-LD. COR 3, No benefit, LOE B-R. Routine use of sodium bicarbonate is not recommended for patients in cardiac arrest. Circulation. 2023 Dec 18.

Seizures 97

Seizures Shock CPR Hyperthermia / Hypothermia 97

Dr. Smith's ECG Blog

MAY 19, 2020

ECMO Flow was achieved after approximately 1 hour of high quality CPR. The gold standard technique for diagnosing coronary spasm is administration of high-dose intracoronary acetylcholine boluses with the response evaluated by invasive contrast angiography. After good ECMO flow was established, she was successfully defibrillated.

CPR 52

CPR EKG/ECG Shock Ultrasounds 52

AED Leader

DECEMBER 2, 2024

Furthermore, regular maintenance and training in cardiopulmonary resuscitation (CPR) techniques significantly enhance the potential effectiveness of AEDs in emergencies. The American Heart Association and European Resuscitation Council emphasize the importance of early defibrillation.

CPR 52

CPR Basic Life Support Resuscitation Hospitals 52

AED Leader

SEPTEMBER 21, 2024

Incorporating defibrillation into Cardiopulmonary Resuscitation (CPR) significantly enhances survival rates for victims of sudden cardiac arrest (SCA). In practical settings, hands-on training enhances understanding of CPR (Cardiopulmonary Resuscitation) techniques alongside defibrillation.

CPR 52

CPR Shock Resuscitation Hospitals 52

Taming the SRU

JULY 2, 2023

Cardiac Arrest As mentioned before, tidal CO2 is a function of metabolic rate and cardiac output, so capnography can be utilized during CPR to monitor the effectiveness of chest compressions. Part 1: executive summary: 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care."

Emergency Department 88

Emergency Department Pediatrics CPR Administration 88

EMDocs

JANUARY 17, 2024

She received cardiopulmonary resuscitation (CPR) and standard advanced cardiovascular life support (ACLS). She had return of spontaneous resuscitation (ROSC) and was subsequently intubated and transported to the emergency department (ED). Upon ED arrival, she had a heart rate (HR) of 160 and blood pressure (BP) of 80s/40s.

Poisoning 81

Poisoning Seizures Pediatrics EMS 81

AED Leader

MAY 27, 2024

Look for AEDs with clear visual and audio prompts that guide the user through resuscitation. Additionally, consider devices that offer CPR feedback, providing real-time instructions on the correct compression depth and rate. In an emergency, every second counts, and the device should be intuitive and user-friendly.

CPR 52

CPR Pediatrics Shock Administration 52

Dr. Smith's ECG Blog

FEBRUARY 2, 2017

Here are the American Heart Association Guidelines: 2005 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Part 10.1: IV administration of potassium is indicated when arrhythmias are present or hypokalemia is severe (potassium level of less than 2.5

EKG/ECG 52

EKG/ECG Resuscitation Administration CPR 52

ACEP Now

OCTOBER 11, 2024

Optimally, bystander CPR, including the administration of rescue breaths, should be initiated prior to arrival of emergency medical services. 3 Once the patient arrives in your emergency department, a rapid review of the patient’s status and results of resuscitative efforts should be performed. 4 Another study cited only 2.3

Pediatrics 52

Pediatrics Hyperthermia / Hypothermia Emergency Department Resuscitation 52

Advanced Emergency Nursing from AENJ

AUGUST 19, 2015

I have never found it necessary to stop CPR to beat my patient and curse them, yelling for them to come back! Regardless, the successful resuscitation rate is admirable (and as yet, impossible) although the technique is terrible. ." It was also confessed that the clipboard was a reminder as to the pronunciation of medical words.

CPR 40

CPR Resuscitation Emergency Nursing Administration 40

Dr. Smith's ECG Blog

APRIL 8, 2016

After resuscitation, he was found to have a 90% thrombotic lesion in the same saphenous vein graft to the right posterior descending artery. Here are the American Heart Association Guidelines: 2005 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Part 10.1: This was stented.

Resuscitation 52

Resuscitation EKG/ECG Hospitals Administration 52

Dr. Smith's ECG Blog

NOVEMBER 30, 2019

Here are the American Heart Association Guidelines: 2005 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Part 10.1: IV administration of potassium is indicated when arrhythmias are present or hypokalemia is severe (potassium level of less than 2.5

Shock 40

Shock EKG/ECG Resuscitation Ultrasounds 40

RebelEM

DECEMBER 19, 2022

trying harder and longer knowing they are enrolled in this study) Use of two different models of defibrillators may negatively impact the internal validity of this pilot study Certain baseline characteristics were not balanced, such as: prehospital intubation and Epinephrine administration.

EMS 52

EMS CPR Shock Resuscitation 52

The Skeptics' Guide to EM

NOVEMBER 30, 2024

After starting cardiopulmonary resuscitation (CPR), you note pulseless electrical activity (PEA) on the monitor. Multiple studies have demonstrated how the administration of epinephrine can improve short-term outcomes, such as return of spontaneous circulation (ROSC).

Administration 98

Administration CPR Airway Management Outcomes 98

Taming the SRU

JUNE 6, 2023

then need further evaluation Usually with CTA imaging If normal physical exam & ABI>0.9, then need further evaluation Usually with CTA imaging If normal physical exam & ABI>0.9,

Documentation/Coding 64

Documentation/Coding Seizures Psychiatric Wellness 64

Taming the SRU

JANUARY 31, 2025

Taming the Sru WITH Dr. Hajdu High quality cardiopulmonary resuscitation (CPR), administration of epinephrine and defibrillation on rhythm changes when indicated should be the mainstay of treatment for cardiac arrest caused by nonshockable rhythms including pulseless electrical activity (PEA) and asystole.

Documentation/Coding 54

Documentation/Coding Infectious Diseases Resuscitation Administration 54