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. This case report documents the first known instance of using NTG during an emergency department resuscitation to treat a patient in cardiac arrest due to severe coronary artery vasospasm.

Resuscitation 98

Resuscitation EKG/ECG Documentation/Coding COPD 98

SheMD

MAY 11, 2023

This study focused on gender differences in CPR performance and trialed an intervention to impact the leadership behaviors of female medical students. Transcripts were coded to sort data into “leadership occurrences” or “unrelated to leadership” as well as critical treatment decisions. Why do we care about this article?

Leadership 52

Leadership Documentation/Coding CPR Teamwork 52

Emergency Medicine Journal

MAY 23, 2023

Background Whether and how bystander cardiopulmonary resuscitation (CPR) modifies the cardiac rhythm after out-of-hospital cardiac arrest (OHCA) over time remains unclear. The first documented cardiac rhythm was compared between patients who received bystander CPR and those who did not, using a 1:2 propensity score-matched analysis.

Resuscitation 40

Resuscitation CPR Hospitals Documentation/Coding 40

The Skeptics' Guide to EM

MAY 8, 2021

CPR is initiated and a hospital rapid response team is called. The issue of whether corticosteroids should be administered is brought up during the code. This contrasts with what the public sees watching CPR being done on TV. The resuscitation team arrives and ACLS protocols are continued.

CPR 52

CPR Hyperthermia / Hypothermia EMS Documentation/Coding 52

AED Leader

JUNE 11, 2024

Smart CPR Feedback and Real-Time Monitoring Adequate cardiopulmonary resuscitation (CPR) is crucial for increasing the chances of survival during a cardiac arrest. Philips defibrillators are equipped with intelligent CPR feedback technology that provides real-time guidance on the depth and rate of chest compressions.

CPR 52

CPR Shock Resuscitation Operations 52

AED Leader

JULY 3, 2024

Real-Time CPR Feedback Performing cardiopulmonary resuscitation (CPR) correctly is crucial for the success of a resuscitation attempt. Cardiac Science AEDs feature real-time CPR feedback, providing users with valuable guidance during chest compressions. Yes, Cardiac Science provides a warranty on its AED defibrillators.

CPR 52

CPR Resuscitation Pediatrics Operations 52

Advanced Emergency Nursing from AENJ

NOVEMBER 27, 2017

The following quotes from the ILCOR and AHA documents, under fair-use doctrine, will help summarize for you the changes. DISPATCH-ASSISTED COMPRESSION-ONLY CPR COMPARED WITH DISPATCH-ASSISTED CONVENTIONAL CPR (ADULTS): CONSENSUS ON SCIENCE. The effect of delayed ventilation versus 30:2 high-quality CPR.

CPR 40

CPR Basic Life Support Resuscitation Pediatrics 40

AED Leader

APRIL 24, 2024

Some notable features include: Real CPR Help : This feature provides real-time feedback on the depth and rate of chest compressions, ensuring the rescuer administers high-quality CPR. Features such as real-time CPR feedback, rapid shock delivery, and escalating energy ensure that the AED delivers the proper treatment at the right time.

CPR 52

CPR Shock Pediatrics Documentation/Coding 52

The Skeptics' Guide to EM

FEBRUARY 3, 2023

You are tidying your things in anticipation of the arrival of the dayshift when a code blue is called. The nurses started CPR immediately and place pads before you even arrived. A 50-year-old man who was admitted to the hospital with a non-ST elevated myocardial infarction (NSTEMI) overnight was found unconscious and without a pulse.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Hospitals Documentation/Coding CPR 52

The Skeptics' Guide to EM

NOVEMBER 16, 2019

She had a witnessed arrest, and CPR was initiated by bystanders. Do you continue with the ICE Code? Laura Melville ( @lmelville535 ) is an emergency physician in Brooklyn, New York, is a part of the New York ACEP Research Committee, ALL NYC EM, and is the NYP-Brooklyn Methodist Resident Research Director. What do you say?

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia EMS Research Documentation/Coding 40

The Skeptics' Guide to EM

NOVEMBER 13, 2021

Case: A code blue is called for a 71-year-old male in-patient that is boarding in the emergency department (ED). Cardiopulmonary resuscitation (CPR) is in progress. He had been admitted the night before for a new diagnosis of rapid atrial fibrillation. 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

JUNE 11, 2021

Jesse McLaren (@ECGcases), of Emergency Medicine Cases Reviewed by Pendell Meyers and Steve Smith An 85yo with a history of hypertension developed chest pain and collapsed, and had bystander CPR. The patient was brought to the ED as a possible Code STEMI and was seen directly by cardiology.

EKG/ECG 52

EKG/ECG Documentation/Coding CPR Shock 52

Dr. Smith's ECG Blog

FEBRUARY 2, 2017

Document in the patient's chart that rapid infusion is intentional in response to life-threatening hypokalemia." Give an initial infusion of 10 mEq IV over 5 minutes; repeat once if needed. CASE : Prehospital Cardiac Arrest due to Hypokalemia I recently had a case of prehospital cardiac arrest that turned out to be due to hypokalemia.

EKG/ECG 52

EKG/ECG Resuscitation Administration CPR 52

EMDocs

JANUARY 11, 2024

Data that do not establish neurological risk stratification in the first 6 hours after CA include the patient’s age, duration of CPR, seizure activity, serum lactate level or pH, Glasgow motor subscore in patients who received NMB or sedation, pupillary function in patients who received atropine, and optic nerve sheath diameter (95.3%, 20/21).

Seizures 97

Seizures Shock Infectious Diseases CPR 97

Dr. Smith's ECG Blog

NOVEMBER 30, 2019

Document in the patient's chart that rapid infusion is intentional in response to life-threatening hypokalemia." "If cardiac arrest from hypokalemia is imminent (i.e., malignant ventricular arrhythmias are present), rapid replacement of potassium is required. Give an initial infusion of 10 mEq IV over 5 minutes; repeat once if needed.

Shock 40

Shock EKG/ECG Resuscitation Ultrasounds 40

PulmCCM

APRIL 7, 2025

Families should be invited to be present during codes (CPR), with a dedicated staff member at their side. Through the rhetorical choice to never state who its document is intended for, the guideline authors blur the lines between “the system” and you. That’s a problem, as we’ll see.

Documentation/Coding 69

Documentation/Coding Outcomes Research CPR 69

EMDocs

MARCH 20, 2024

Chuck Pilcher, MD, FACEP Editor, Medical Malpractice Insights Editor, Med Mal Insights Speaking in “Code” Discussing resuscitation options with patients nearing end of life “A kinder, gentler approach would benefit everyone.” “Code,” “No Code,” “CPR,” “resuscitation,” etc.

Documentation/Coding 106

Documentation/Coding Hospice Resuscitation CPR 106

RebelEM

JUNE 29, 2023

The CT FIRST Trial: Should We Pan-CT After ROSC?, REBEL EM Blog, June 1, 2023.

CPR 145

CPR EMS Documentation/Coding Outcomes 145

AED Leader

NOVEMBER 25, 2024

Effective January 1, 2017, the state’s Health and Safety Code 19300 mandates that certain high-occupancy buildings must install Automated External Defibrillators (AEDs). When paired with CPR, AEDs can triple a victim’s chances of survival. Check out our CPR and AED Training Programs for more information.

CPR 52

CPR Documentation/Coding Shock Hospitals 52

PulmCCM

JANUARY 29, 2024

Read the document for all the details (it’s not long). Epinephrine remains the drug of choice during CPR Epinephrine remains the first-line therapy for cardiac arrest due to non-shockable rhythms (i.e., three shocks with 2 minutes CPR in between) have been performed. ECMO used as CPR is referred to as ECPR.)

Seizures 115

Seizures CPR Documentation/Coding Hyperthermia / Hypothermia 115

PulmCCM

JUNE 5, 2023

Read in Journal of Critical Care ECMO vs CPR for pre-hospital resuscitation after cardiac arrest. Check out the preliminary program , and use code PULMCCM15 to get 15% off the attendance fees. makes me long for an adequately powered randomized trial. They really go the extra mile in the Netherlands.

Advances Cardiac Life Support (ACLS) 96

Advances Cardiac Life Support (ACLS) Documentation/Coding CPR Shock 96

Don't Forget the Bubbles

MAY 10, 2023

Then you hear the words coming out of the speaker, “ Paediatric code black. Paediatric code black ”. You’ve heard the phrase code black before – it’s a traumatic cardiac arrest. They’re getting CPR. You know a paediatric code black means paediatric traumatic cardiac arrest. You actually run down the corridor.

Emergency Department 91

Emergency Department Resuscitation Documentation/Coding Teamwork 91

RebelEM

JANUARY 29, 2024

What They Did: Single-center, pilot prospective observational cohort trial in Turkey Thrombolysis 25mg of alteplase without a bolus was administered over 6 hours by peripheral IV infusion If hemodynamic instability persisted despite first dose of thrombolysis, a second 6hr infusion of 25mg alteplase without bolus was administered (No patients in the (..)

Stroke 136

Stroke Outcomes Hospitals Administration 136

AED Leader

AUGUST 22, 2024

Drawing from my extensive experience as a CPR instructor and emergency responder, I’ve witnessed firsthand how rapid deployment and proper usage of AEDs can mean the difference between life and death during neurological emergencies. Importance of CPR training CPR training is critical for anyone responding to a medical emergency.

CPR 52

CPR Shock Operations Outcomes 52

Don't Forget the Bubbles

JULY 26, 2023

Low risk BRUE: Age >60 days Gestational age >32/40 Post conceptual age >45 weeks First episode No CPR given (by a trained medical provider) No concerning history or examination findings (eg FHx sudden cardiac death) Where the above features are present then investigation and hospital stay can be limited.

EKG/ECG 98

EKG/ECG Hospitals Shock Documentation/Coding 98

Advanced Emergency Nursing from AENJ

SEPTEMBER 4, 2014

In fact, the pressure delivered was limited to ~50 cm/H2O, relieving the excess, but holding that amount for CPR. Accessed July 28, 2014 **Quoting original documents of fascinating history. Study finds EMS able to do more tasks, document better, perform physiological monitoring, with use of ATV. Grainge, C. Copass, M.

Resuscitation 40

Resuscitation CPR Documentation/Coding Military 40

The Skeptics' Guide to EM

DECEMBER 2, 2017

Case: You are working a regular shift in the emergency department when you hear a code blue called. SGEM#64 : Classic EM Papers (OPALS Study) * SGEM#136 : CPR – Man or Machine? DISCLAIMER: The views and opinions of this podcast do not represent the United States Government or the US Air Force.

Hospitals 40

Hospitals CPR Resuscitation Documentation/Coding 40

PulmCCM

FEBRUARY 17, 2025

Cardiopulmonary resuscitation (CPR) is performed on more than 250,000 people in U.S. How do physicians and providers decide to stop CPR after in-hospital cardiac arrest—and how should they? However, AHA’s guidelines are notably silent on how long to perform CPR. hospitals each year. who died) was 21 minutes.

CPR 112

CPR Hospitals Resuscitation Documentation/Coding 112

Dr. Smith's ECG Blog

NOVEMBER 12, 2020

A Rising Troponin That afternoon, he complained of increased shortness of breath and was noted to have oxygen saturations in the 70s, prompting a mini code to be called. He underwent CPR, and regained a pulse after epinephrine, with an organized narrow complex rhythm at 140, but still with severe shock.

Shock 52

Shock EKG/ECG Outcomes Hospitals 52

Dr. Smith's ECG Blog

APRIL 8, 2016

Document in the patient's chart that rapid infusion is intentional in response to life-threatening hypokalemia." "If cardiac arrest from hypokalemia is imminent (i.e., malignant ventricular arrhythmias are present), rapid replacement of potassium is required. Give an initial infusion of 10 mEq IV over 5 minutes; repeat once if needed.

Resuscitation 52

Resuscitation EKG/ECG Hospitals Administration 52

EB Medicine

MARCH 1, 2019

Post opiate hypotension in prehospital trauma patients is a rare but documented complication. The Western Trauma Association broadens the ED thoracotomy window a bit to include anyone with no signs of life but less than 10 minutes of CPR. The latter also recommend ED thoracotomy in those with refractory shock.

Emergency Department 40

Emergency Department EKG/ECG Operations Fractures 40

EMDocs

FEBRUARY 18, 2025

The patient has no pulse so you start CPR. Did you guys forget theres a patient coding? Youre running the code, when suddenly your partner comes back looking triumphant! You yell at him, Are you ok? One of your partners who was back in the resus bay working on a different patient heard you yell and comes over to check on you.

EKG/ECG 69

EKG/ECG Documentation/Coding Wellness CPR 69

American Medical Compliance

MARCH 14, 2025

The outside component should contain: Hand rub Hand soap, and Paper towels The inside of the bag may normally contain a: BP cuff Stethoscope CPR mask Disposable gown Mask, and Goggles This would vary from agency to agency. This bag should have an outside pocket and a zipper for access to the inside of the bag.

Best Practices 52

Best Practices Patient Safety CPR Wellness 52

Taming the SRU

SEPTEMBER 1, 2023

Lane & Mcdonough Definition of an immediate whole body CT (iWBCT) scan Shortly after patient arrival.

Sepsis 95

Sepsis Fractures Documentation/Coding Administration 95

PulmCCM

MARCH 11, 2024

About 544,000 99292 codes were billed to CMS in 2021, according to ACCP , reportedly stable at about 10% of the total bills. The results: The added palliative care did not result in any significant improvement in length of stay, in-hospital mortality, reduced ICU transfers, ICU mortality, use of CPR or mechanical ventilation.

Hospice 52

Hospice Documentation/Coding Administration Hospitals 52

ACEP Now

FEBRUARY 26, 2025

While celebrating Sullivans wedding, the family was at a Nashville steakhouse when someone in the back of the restaurant collapsed and coded. They cleared the mans airway, felt for a pulse and started CPR. The father, son and daughter ran to the back and started to work on saving the man, who had choked on steak.

EMS 98

EMS Emergency Department Documentation/Coding CPR 98

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