ACEP Now

JANUARY 4, 2025

Clarke had begun an emergency medicine residency at what was then known as LA CountyUSC Hospital, Los Angeles. The specialty, he said, spoke to his interest in surgery and EMS in a way that family medicine did not. Firsthand Account An ambulance bay at the LA County-USC Hospital in 1978. Click to enlarge.) Click to enlarge.)

Forensics 52

Forensics Urgent Care Hospitals Emergency Department 52

The Skeptics' Guide to EM

APRIL 27, 2024

Reference: Tanner et al, A retrospective comparison of upper and lower extremity intraosseous access during out-of-hospital cardiac arrest resuscitation. Reference: Tanner et al, A retrospective comparison of upper and lower extremity intraosseous access during out-of-hospital cardiac arrest resuscitation. Prehospital Emergency Care.

Resuscitation 90

Resuscitation Airway Management EMS Outcomes 90

RebelEM

JUNE 1, 2023

Background: Achieving ROSC in out of hospital cardiac arrest (OHCA) is no easy feat but, care doesn’t end with ROSC. Excluded: Obvious cause for OHCA prior to SDCT or on hospital arrival. Bystander CPR, a known predictor of good outcomes, was more common in the SDCT cohort than in the standard care cohort. IQR 2.2 – 69.5)

Outcomes 144

Outcomes Resuscitation Hospitals CPR 144

The Skeptics' Guide to EM

JANUARY 9, 2021

Association of Intra-arrest Transport vs Continued On-Scene Resuscitation With Survival to Hospital Discharge Among Patients With Out-of-Hospital Cardiac Arrest. Association of Intra-arrest Transport vs Continued On-Scene Resuscitation With Survival to Hospital Discharge Among Patients With Out-of-Hospital Cardiac Arrest.

EMS 52

EMS Resuscitation CPR Hyperthermia / Hypothermia 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. He was intubated in the field and sedated upon arrival at the hospital. At his family's request, he was transferred to a hospital closer to his home to continue care.

EKG/ECG 120

EKG/ECG CPR EMS Hospitals 120

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). For clarity in Figure-1 — I've reproduced today's ECG — obtained following successful resuscitation of out-of-hospital cardiac arrest. This patient was witnessed by bystanders to collapse. He was defibrillated into VT.

Resuscitation 126

Resuscitation EKG/ECG CPR Shock 126

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.

EMS 52

EMS Emergency Department CPR Wellness 52

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

Don't Forget the Bubbles

JUNE 19, 2024

This may limit the generalisability of the results in regional/community hospital settings. 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?

CPR 124

CPR Research Documentation/Coding Outcomes 124

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

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. Article: How-Berlemont C, Lamhaut L, Diehl J, et al. JAMA Cardiol. 1.15; P= 0.32

Hospitals 59

Hospitals Outcomes EKG/ECG Resuscitation 59

RebelEM

SEPTEMBER 28, 2023

In non-PCI-capable hospitals this goal is not always achievable due to delays in transfer. appeared first on REBEL EM - Emergency Medicine Blog. Background: Primary PCI is the recommended reperfusion strategy in patients with STEMI and should be initiated within 2 hours after first medical contact. Primary PCI: 95.7% Primary PCI: 8.9

EKG/ECG 137

EKG/ECG Allergic Reactions Shock Stroke 137

The Skeptics' Guide to EM

OCTOBER 24, 2020

Mobile Smartphone Technology Is Associated With Out-of-hospital Cardiac Arrest Survival Improvement: The First Year “Greater Paris Fire Brigade” Experience. Mobile Smartphone Technology Is Associated With Out-of-hospital Cardiac Arrest Survival Improvement: The First Year “Greater Paris Fire Brigade” Experience.

CPR 52

CPR Hyperthermia / Hypothermia Resuscitation EMS 52

The Skeptics' Guide to EM

DECEMBER 2, 2017

Association Between Tracheal Intubation During Adult In-Hospital Cardiac Arrest and Survival. DISCLAIMER: The views and opinions of this podcast do not […] The post SGEM#197: Die Trying – Intubation of In-Hospital Cardiac Arrests first appeared on The Skeptics Guide to Emergency Medicine. Reference: Andersen et al.

Hospitals 40

Hospitals CPR Resuscitation Documentation/Coding 40

ACEP Now

NOVEMBER 7, 2024

Despite the broad acceptance of Red Cross certifications by national accrediting bodies, state agencies, and thousands of hospitals and clinics, some medical centers, nursing schools, and community colleges have policies that do not recognize both organizations’ certifications.

Advances Cardiac Life Support (ACLS) 74

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

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. The episode highlights the importance of understanding eCPR as a critical therapy for both in-hospital and out-of-hospital cardiac arrests. cardiac rhythms.

CPR 52

CPR Resuscitation Pediatrics Hospitals 52

The Skeptics' Guide to EM

SEPTEMBER 23, 2017

Prehospital advanced cardiac life support for out-of-hospital cardiac arrest: a cohort study. Prehospital advanced cardiac life support for out-of-hospital cardiac arrest: a cohort study. You need to recognize an arrest and activate your EMS system. Bystander high-quality CPR can buy you some time until defibrillation.

CPR 52

CPR Academics Resuscitation Hospitals 52

The Skeptics' Guide to EM

SEPTEMBER 29, 2018

Intraosseous Vascular Access Is Associated With Lower Survival and Neurologic Recovery Among Patients With Out-of-Hospital Cardiac Arrest. 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. BLS for out-of-hospital cardiac arrest (OHCA).

Basic Life Support 52

Basic Life Support Airway Management CPR Resuscitation 52

Dr. Smith's ECG Blog

APRIL 2, 2024

There was no bystander CPR. Then the patient's electronic record from an outside hospital appeared. Patient received 11 shocks by ICD and was in V-fib when EMS arrived. An elderly man collapsed. Medics found him in ventricular fibrillation. First high sensitivity troponin I returned at 200 ng/L.

EKG/ECG 134

EKG/ECG Shock CPR Stroke 134

The Skeptics' Guide to EM

AUGUST 14, 2021

Survival After Intravenous Versus Intraosseous Amiodarone, Lidocaine, or Placebo in Out-of-Hospital Shock-Refractory Cardiac Arrest. Survival After Intravenous Versus Intraosseous Amiodarone, Lidocaine, or Placebo in Out-of-Hospital Shock-Refractory Cardiac Arrest. Date: August 12th, 2021 Reference: Daya et al.

Shock 52

Shock CPR Hyperthermia / Hypothermia EMS 52

RebelEM

JANUARY 29, 2024

appeared first on REBEL EM - Emergency Medicine Blog. in the paper but 2.7% to ≈0.99 (p<0.001) Mean MPI/Tei Index≈ 0.47 to 4.0mg/hr typically given in EKOS therapy (See Below).

Stroke 133

Stroke Outcomes Hospitals Administration 133

The Skeptics' Guide to EM

MARCH 11, 2023

A Retrospective Nationwide Comparison of the iGel and King Laryngeal Tube Supraglottic Airways for Out-of-Hospital Cardiac Arrest Resuscitation. A Retrospective Nationwide Comparison of the iGel and King Laryngeal Tube Supraglottic Airways for Out-of-Hospital Cardiac Arrest Resuscitation. Date: March 8, 2023 Reference: Smida et al.

Airway Management 52

Airway Management Basic Life Support CPR Resuscitation 52

The Skeptics' Guide to EM

MAY 20, 2023

Guest Skeptic: Dr. Kat Priddis is a paediatric emergency medicine consultant and trauma director at Watford General Hospital. Kat Priddis is a paediatric emergency medicine consultant and trauma director at Watford General Hospital. They started cardiopulmonary resuscitation (CPR) until EMS arrived. NEJM Evidence.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Pediatrics CPR Hospitals 52

The Skeptics' Guide to EM

DECEMBER 7, 2018

A Randomized Trial of Epinephrine in Out-of-Hospital Cardiac Arrest. A Randomized Trial of Epinephrine in Out-of-Hospital Cardiac Arrest. You are the first provider on scene with Emergency Medical Services (EMS) and start high-quality Cardiopulmonary Resuscitation (CPR). He is unsuccessfully shocked.

Advances Cardiac Life Support (ACLS) 52

Advances Cardiac Life Support (ACLS) CPR Resuscitation Hospitals 52

The Skeptics' Guide to EM

MARCH 2, 2019

Tracheal Intubation During Out-of-Hospital Cardiac Arrest on Functional Outcome. Tracheal Intubation During Out-of-Hospital Cardiac Arrest on Functional Outcome. Case: EMS arrive to your emergency department with a 68-year-old man post cardiac arrest patient. They had a difficult time getting a definitive airway pre-hospital.

Airway Management 52

Airway Management CPR Hyperthermia / Hypothermia Outcomes 52

The Skeptics' Guide to EM

DECEMBER 25, 2021

Disclaimer: “While I am proud to be attending this institution, my opinions expressed here are mine alone and do not represent my residency program, hospitals I work at, or any other affiliated organizations.” Case: An EMS crew arrives at the home of a 68-year-old suffering from a witnessed out-of-hospital cardiac arrest (OHCA).

CPR 52

CPR Administration Outcomes Hospitals 52

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.

Shock 133

Shock Outcomes Resuscitation Stroke 133

RebelEM

NOVEMBER 20, 2023

The median Injury Severity Score was 41 The median age was 41 23% required prehospital CPR All were tachycardic and hypotensive prehospital REBOA+SC group had lower median SBP compared with in the SCA group 84 mm Hg vs 99 mm Hg REBOA group had higher median Abbreviated Injury Scores for the head region.

Resuscitation 91

Resuscitation Operations Outcomes Hospitals 91

The Skeptics' Guide to EM

SEPTEMBER 11, 2021

Angiography after Out-of-Hospital Cardiac Arrest without ST-Segment Elevation. Guest Skeptic: Dr. Stephen Meigher is the EM Chief Resident training with the Jacobi and Montefiore Emergency Medicine Residency Training Program. Angiography after Out-of-Hospital Cardiac Arrest without ST-Segment Elevation.

EKG/ECG 52

EKG/ECG Academics EMS CPR 52

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

Emergency Medicine Cases

MARCH 14, 2017

But, over the past 15 years, survival to discharge from pediatric cardiac arrest has markedly improved, at least for in-hospital arrests. I know, depressing thought.

CPR 52

CPR Resuscitation Pediatrics Hospitals 52

AED Leader

JULY 19, 2023

According to 2022 statistics from the American Heart Association, there are more than 356,000 out-of-hospital cardiac arrests in the United States every year and just over 10% of EMS-treated victims survive to hospital discharge. What Are the Benefits of a WiFi AED? cprINSIGHT Analysis. cprINSIGHT Analysis. LIFELINKcentral.

CPR 52

CPR Shock EKG/ECG Hospitals 52

EMDocs

JANUARY 17, 2024

When emergency medical services (EMS) arrived, she was in asystole with an empty, recently full, bottle of benzonatate 100 mg capsules. When emergency medical services (EMS) arrived, she was in asystole with an empty, recently full, bottle of benzonatate 100 mg capsules. Cardiac Arrest Due to Benzonatate Overdose. Am J Case Rep.

Poisoning 81

Poisoning Seizures Pediatrics EMS 81

The Skeptics' Guide to EM

APRIL 4, 2020

Date: April 4th, 2020 It has been just over a year since Dr. Salim Razaie (REBEL EM) and I stepped into the ring for a boxing matched theme debate in Sydney, Australia. Date: April 4th, 2020 It has been just over a year since Dr. Salim Razaie ( REBEL EM) and I stepped into the ring for a boxing matched theme debate in Sydney, Australia.

CPR 52

CPR EMS Stroke Hospitals 52

Ziqitza HealthCare Ltd

JULY 23, 2023

It provides sufficient oxygen, blood transfusions and other medication that helps the patient to be in a stabilized condition till reaching the hospital. The Current Scenario Despite having state-of-the-art life support systems and devices, a considerable number of deaths occur during the transfer of patients to hospitals.

Ambulance Services 52

Ambulance Services Basic Life Support Blood Transfusions Patient Safety 52

PHEM Cast

APRIL 16, 2018

Use of CPR in hemorrhagic shock, a dog model. Anneals of EM; 2015: 297-307. Effect of adrenaline on survival in out of hospital cardiac arrest: randomised double-blind placebo controlled trial. Doi: 1098/rstb.2010.0232 2010.0232 Wise et al. Emergency thoracotomy ‘how to do it’. EMJ; 2005: 22-24. Morrison et al. Lockey et al.

Resuscitation 52

Resuscitation Shock Ultrasounds CPR 52