The Skeptics' Guide to EM

JANUARY 13, 2024

Date: January 11, 2024 Guest Skeptic: Dr. Chris Root is an EMS fellow in the Department of Emergency Medicine at the University of New Mexico Health […] The post SGEM#426: All the Small Things – Small Bag Ventilation Masks in Out of Hospital Cardiac Arrest first appeared on The Skeptics Guide to Emergency Medicine. Resuscitation 2023.

Hospitals 105

Hospitals CPR Resuscitation Airway Management 105

The Skeptics' Guide to EM

SEPTEMBER 21, 2024

Chris Root is an emergency medicine and emergency medicine service (EMS) physician at the University of New Mexico, Albuquerque. Chris completed his emergency medicine residency and EMS fellowship at UNM. On arrival, you find a 35-year-old male, pulseless and apneic with cardio-pulmonary resuscitation (CPR) in progress by a bystander.

Hospitals 103

Hospitals CPR EMS Outcomes 103

RebelEM

SEPTEMBER 19, 2022

Background: There are only two interventions that have been proven in the medical literature to improved outcomes in cardiac arrest: high-quality CPR and early defibrillation. Head Up (HUP) CPR may be the next critical improvement. Head Up (HUP) CPR may be the next critical improvement. Resuscitation 2022; 179: 9-17.

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CPR Outcomes Resuscitation EMS 52

The Skeptics' Guide to EM

OCTOBER 22, 2022

Case: You are the Chief of your local Fire and EMS Department, and an individual contacts you saying […] The post SGEM#380: OHCAs Happen and You’re Head Over Heels – Head Elevated During CPR? Resuscitation 2022 Guest Skeptic: Clay Odell is a Paramedic, Firefighter, and registered nurse (RN).

CPR 52

CPR Hyperthermia / Hypothermia Resuscitation EMS 52

EM Ottawa

JULY 11, 2024

A 3-year-old girl was being brought in by EMS with an out-of-hospital cardiac arrest. CPR was ongoing, and their ETA was 10 minutes. According to EMS, the patient had […] The post Invasive Group A Strep (iGAS). In Fall 2023, I was working an evening shift at a community hospital when we got a patch.

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CPR EMS Hospitals Infectious Diseases 77

Emergency Medicine Cases

JUNE 7, 2022

In this part 2 of our 2-part podcast series on Cardiac Arrest - The When, Why & How, we discuss some of the finer art of cardiac arrest care and answer questions such as: how should we best communicate to EMS, the ED team and the family of the patient to keep the team focused, garner the most important info and keep the flow of the code going?

Documentation/Coding 52

Documentation/Coding CPR Resuscitation EMS 52

ACEP Now

MAY 9, 2024

Jon Krohmer, MD, FACEP, who says he has “the EMS blood type,” practically had a front row seat to the growth of EMS care starting as a volunteer EMT more than 50 years ago. The evolution of EMS really mirrors the evolution of emergency physicians.” Dr. Krohmer said. So physicians need to be involved.

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EMS Emergency Department CPR Wellness 52

EM Ottawa

AUGUST 3, 2023

Case You and your partner arrive at a scene where a 67-year-old male had a witnessed collapse 5 minutes ago and CPR is in progress; he is in cardiac arrest. The initial rhythm is ventricular fibrillation.

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CPR Shock EMS 98

The Skeptics' Guide to EM

APRIL 27, 2024

She is also the local director of the difficult airway EMS course at Washington State. Case: EMS arrives with a 58-year-old woman who suffered an out-of-hospital cardiac arrest (OOHCA). Despite that weak evidence, placement of IO in OOHCA has become a routine procedure for many EMS providers. Prehospital Emergency Care.

Resuscitation 90

Resuscitation Airway Management EMS Outcomes 90

The Skeptics' Guide to EM

JANUARY 9, 2021

JAMA 2020 Guest Skeptic: Mike Carter is a former paramedic and current PA practicing in pulmonary and critical care as well as an adjunct professor of emergency medical services […] The post SGEM#314: OHCA – Should you Take ‘em on the Run Baby if you Don’t get ROSC? CPR is currently in progress with a single shock having been delivered.

EMS 52

EMS Resuscitation CPR Hyperthermia / Hypothermia 52

Dr. Smith's ECG Blog

JULY 9, 2024

His family started CPR and called EMS, who arrived to find him in ventricular fibrillation. 15 minutes after EMS arrival, after at least 6 defibrillations, the patient achieved sustained ROSC. Written by Pendell Meyers A man in his 50s was found by his family in cardiac arrest of unknown duration.

EKG/ECG 117

EKG/ECG Resuscitation Shock CPR 117

The Skeptics' Guide to EM

JULY 22, 2023

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. 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.

EMS 88

EMS CPR Ultrasounds Research 88

EMDocs

JANUARY 16, 2024

Authors: Christian Gerhart, MD (EM Resident Physician, Washington University in St. Louis); Dr. Jessica Pelletier, DO (EM Attending Physician, Washington University in St. You receive a page for a cardiac arrest and take report from emergency medical services (EMS). Per EMS he was very cold to touch. 2009;338:b2085.

Hyperthermia / Hypothermia 104

Hyperthermia / Hypothermia Resuscitation CPR EMS 104

Dr. Smith's ECG Blog

JULY 25, 2024

They started CPR. EMS arrived and found him in Ventricular Fibrillation (VF). This patient was witnessed by bystanders to collapse. He was defibrillated into VT. He then underwent dual sequential defibrillation into asystole. After 1 mg of epinephrine they achieved ROSC. sodium bicarbonate.

Resuscitation 126

Resuscitation EKG/ECG CPR Shock 126

Don't Forget the Bubbles

JUNE 19, 2024

A proportion of the patients who were initially missed using the CDR were found to actually have risk factors documented in EMS reports or the medical record. CASP checklist for Clinical Prediction Rule (CPR) studies Is CPR clearly defined? In practice, questions remain about who applies the CDR and the inter-rater reliability.

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CPR Research Documentation/Coding Outcomes 124

ACEP Now

JANUARY 4, 2025

The specialty, he said, spoke to his interest in surgery and EMS in a way that family medicine did not. A closer look, though, also shows the technology of the daya bulky, two-way radio for communicating with EMS, metal gurneys, glass saline bottles, and portable ECG monitors the size of a small shopping cart. Click to enlarge.)

Forensics 52

Forensics Urgent Care Hospitals Emergency Department 52

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.

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CPR EMS 52

Dr. Smith's ECG Blog

JUNE 23, 2024

His daughter immediately started CPR and another family member called EMS. When EMS arrived the patient was in ventricular fibrillation. Written by Willy Frick A man in his 50s was at home with his family when they heard a thud and rushed into the room to find him unconscious with agonal respirations.

EKG/ECG 120

EKG/ECG CPR EMS Hospitals 120

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.

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.

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

RebelEM

JUNE 1, 2023

Bystander CPR, a known predictor of good outcomes, was more common in the SDCT cohort than in the standard care cohort. appeared first on REBEL EM - Emergency Medicine Blog. There is no discussion of how many of the diagnoses made by SDCT could have been made clinically instead. Resus 2023.

Outcomes 144

Outcomes Resuscitation Hospitals CPR 144

The Skeptics' Guide to EM

MAY 8, 2021

He is an EMS medical director with Lexington Fire/EMS as well as the AMR/NASCAR […] The post SGEM#329: Will Corticosteroids Help if…I Will Survive a Cardiac Arrest? He is an EMS medical director with Lexington Fire/EMS as well as the AMR/NASCAR Safety Team. CPR is initiated and a hospital rapid response team is called.

CPR 52

CPR Hyperthermia / Hypothermia EMS Documentation/Coding 52

The Skeptics' Guide to EM

OCTOBER 24, 2020

You abandon your coffee order and quickly head next-door, where you are able to start cardiopulmonary resuscitation (CPR) and direct a bystander to find the store’s automated external defibrillator (AED) while waiting for emergency medical services (EMS) to arrive. Unfortunately, most patients don’t receive these crucial interventions.

CPR 52

CPR Hyperthermia / Hypothermia Resuscitation EMS 52

Mind The Bleep

DECEMBER 27, 2024

From an early age, I always wanted to be the person on the scene helping those in need (my earliest memory was my mum teaching me first aid and CPR- a seed was planted me thinks!).

Hospitals 52

Hospitals Ambulance Services Operations Teamwork 52

Dr. Smith's ECG Blog

APRIL 30, 2024

Bystander CPR. MY Initial Thoughts on ECG #1: Before delving into specifics of ECG #1 — it's important to appreciate that there is a limit to the amount of voltage that prehospital ECGs in most EMS systems are able to display. This is relevant to interpretation of the initial (EMS) ECG in today's case — as I explain momentarily!

EKG/ECG 109

EKG/ECG CPR EMS Resuscitation 109

Dr. Smith's ECG Blog

APRIL 2, 2024

There was no bystander CPR. Patient received 11 shocks by ICD and was in V-fib when EMS arrived. An elderly man collapsed. Medics found him in ventricular fibrillation. He was defibrillated, but they also noticed that he was being internally defibrillated and then found that he had an implantable ICD.

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EKG/ECG Shock CPR Stroke 134

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. You need to recognize an arrest and activate your EMS system.

CPR 52

CPR Academics Resuscitation Hospitals 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. So, eCPR, extracorporeal cardiopulmonary resuscitation, is an advanced medical procedure used in cases of cardiac arrest where traditional CPR has failed.

CPR 52

CPR Resuscitation Pediatrics Hospitals 52

The Skeptics' Guide to EM

SEPTEMBER 29, 2018

Annals of EM May 2018 Guest Skeptic: Andrew Merelman is a critical care paramedic and first year medical student at Rocky Vista University in Colorado. Annals of EM May 2018 Guest Skeptic: Andrew Merelman is a critical care paramedic and first year medical student at Rocky Vista University in Colorado.

Basic Life Support 52

Basic Life Support Airway Management CPR Resuscitation 52

The Skeptics' Guide to EM

AUGUST 14, 2021

Missy is also now the director for Difficult Airway EMS course in Washington State Case: An EMS crew arrives to your emergency department (ED) with a 58-year-old female who suffered a witnessed ventricular fibrillation (VF) out-of-hospital cardiac arrest (OHCA). Background: We have covered OHCA multiple times on the SGEM.

Shock 52

Shock CPR Hyperthermia / Hypothermia EMS 52

ACEP Now

AUGUST 8, 2023

Deciding to err on the side of caution, they began CPR, alternating in two-minute intervals. Shortly after, the EMS team arrived and transported the patient for further care. Basile and a nurse worked together to reposition him on his back on the landing between the stairs, and they couldn’t feel a pulse.

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CPR EMS 94

RebelEM

SEPTEMBER 14, 2023

Did they get bystander CPR? PMID: 37634145 Post Peer Reviewed By: Anand Swaminathan, MD (Twitter/X: @EMSwami ) The post The ECLS-SHOCK Trial: ECPR in Infarct-Related Cardiogenic Shock appeared first on REBEL EM - Emergency Medicine Blog. What was their initial rhythm? This makes me think these patients were down for some time.

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Shock Outcomes Resuscitation Stroke 133

The Skeptics' Guide to EM

MARCH 11, 2023

He is a former New York City paramedic and this summer will be starting fellowship training in EMS medicine at UNM. A fire company is on scene providing high-quality cardiopulmonary resuscitation (CPR) and has defibrillated twice with an automated external defibrillator (AED).

Airway Management 52

Airway Management Basic Life Support CPR Resuscitation 52

Advanced Emergency Nursing from AENJ

JULY 29, 2015

National EMS Museum Biographies. Norman McSwain, Jr MD, FAC S EMS Pioneer and Advocate Norman McSwain, MD, dies in New Orleans. July 29, 2015. Additional information about Dr Jude's life and work can be found at: Miami doctor James Jude, who pioneered CPR, dies at 87. CPR and the First Defibrillator- Drs.

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CPR Emergency Nursing Resuscitation EMS 40

Advanced Emergency Nursing from AENJ

NOVEMBER 27, 2017

DISPATCH-ASSISTED COMPRESSION-ONLY CPR COMPARED WITH DISPATCH-ASSISTED CONVENTIONAL CPR (ADULTS): CONSENSUS ON SCIENCE. What is the optimal instruction sequence for coaching callers in dispatch-assisted CPR? The effect of delayed ventilation versus 30:2 high-quality CPR. " Knowledge Gaps: 1. ."

CPR 40

CPR Basic Life Support Resuscitation Pediatrics 40

RebelEM

SEPTEMBER 28, 2023

appeared first on REBEL EM - Emergency Medicine Blog. PMID: 23473396 Post Peer Reviewed By: Anand Swaminathan, MD (Twitter: @EMSwami ) The post STREAM-2: Half-Dose Tenecteplase vs Primary PCI in Older Patients with STEMI?

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EKG/ECG Allergic Reactions Shock Stroke 137

The Skeptics' Guide to EM

MAY 20, 2023

Case: You are working at the community emergency department (ED) when you receive a call from the local Emergency Medicine Service (EMS) team that they are bringing a 2-year-old boy who had a cardiac arrest at home. They started cardiopulmonary resuscitation (CPR) until EMS arrived.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Pediatrics CPR Hospitals 52