RebelEM

AUGUST 21, 2023

Mild Hypercapnia or Normocapnia after Out-of-Hospital Cardiac Arrest. PMID: 37318140 Clinical Question: Does mild hypercapnia in adults with coma who have been resuscitated following out-of-hospital cardiac arrest provide favorable neurological outcomes in 6 months compared to normocapnia? Paper: Eastwood G, et al. N Engl J Med.

Hospitals 98

Hospitals Resuscitation Outcomes CPR 98

Emergency Medicine Journal

OCTOBER 26, 2023

Objective Over 300 000 cases of out-of-hospital cardiac arrests (OHCAs) occur each year in the USA and Europe. Primary outcome was survival at hospital discharge with a good neurological outcome. Conclusion In a two-tiered rescue system, survival from OHCA at hospital discharge doubled over a 13-year study period.

Resuscitation 75

Resuscitation Basic Life Support Hospitals CPR 75

University of Maryland Department of Emergency Med

AUGUST 15, 2023

Bystander CPR increases out-of-hospital CPR survival and direction by 911 telecommunicators increases the frequency of bystander CPR. Click to view the rest

CPR 61

CPR Hospitals 61

PulmCCM

JANUARY 29, 2024

automated external cooling system) for all arrest patients (with any presenting rhythm, occurring in- or out-of-hospital) maintained for at least 24 hours; longer periods of fever prevention (which AHA now calls “temperature control”) for persistently comatose patients are also considered reasonable. PEA and asystole).

Seizures 115

Seizures CPR Documentation/Coding Hyperthermia / Hypothermia 115

AED Leader

JUNE 18, 2023

In Oceanside, California (June, 2023) 67-year-old David Mills’ life was saved after he received 70 minutes of in-hospital and out-of-hospital CPR and electrical shocks from an AED. The post Man suffering cardiac arrest recovers after 70 minutes of CPR appeared first on AEDs for Sale | Buy Defibrillators and Accessories.

CPR 52

CPR Shock Hospitals 52

PHARM

OCTOBER 21, 2023

Pre-hospital guidelines for CPR-Induced Consciousness (CPRIC): A scoping review – PMC — Read on www.ncbi.nlm.nih.gov/pmc/articles/PMC9713363/

CPR 40

CPR Hospitals 40

The Skeptics' Guide to EM

NOVEMBER 30, 2024

The Paramedic 3 Trial: A randomized clinical trial of drug route in out-of-hospital cardiac arrest. Case: You’re doing a ride along with your local emergency medical service (EMS) crews and responding to an out-of-hospital cardiac arrest (OHCA). Date: November 10, 2024 Reference: Couper et al.

Administration 86

Administration CPR Airway Management Outcomes 86

Greater Sydney Area HEMS

APRIL 15, 2023

It is a rare but confronting situation where a pre-hospital and retrieval medicine team are presented with a sick newborn. As a pre-hospital and retrieval service, it’s rare for us to even be around in the first few minutes of a baby’s life, but as our colleagues described, not impossible. Reassess again after another 30s.

Hospitals 85

Hospitals Resuscitation Hyperthermia / Hypothermia Teamwork 85

Emergency Medicine Journal

NOVEMBER 21, 2024

Background Because of their young age and lack of known comorbidities, paediatric patients with out-of-hospital cardiac arrest (OHCA) often undergo prolonged cardiopulmonary resuscitation (CPR). We aimed to determine the association between prehospital and in-hospital CPR duration and neurological outcomes.

Hospitals 52

Hospitals Outcomes Resuscitation CPR 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? Background: We have covered Out of Hospital Cardiac Arrests (OHCAs) many, many times on the SGEM.

CPR 52

CPR Hyperthermia / Hypothermia Resuscitation EMS 52

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. Impedance threshold device application.

CPR 52

CPR Outcomes Resuscitation EMS 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 81

Hospitals Outcomes EKG/ECG Resuscitation 81

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

EM Ottawa

JULY 11, 2024

In Fall 2023, I was working an evening shift at a community hospital when we got a patch. 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. We prepared the ED for the patient’s arrival.

CPR 74

CPR EMS Hospitals Infectious Diseases 74

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. Case: A 6-month-old boy presents to […] The post SGEM#394: Say Bye Bye Bicarb for Pediatric In-Hospital Cardiac Arrest first appeared on The Skeptics Guide to Emergency Medicine.

Pediatrics 52

Pediatrics Hospitals CPR Resuscitation 52

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 145

Outcomes Resuscitation Hospitals CPR 145

PulmCCM

JUNE 5, 2023

veterans’ hospitals did not show a mortality reduction from low-dose methylprednisolone. Patients receiving hydrocortisone required more insulin, but did not have higher observed rates of hospital-acquired infections or gastrointestinal bleeding. iatrogenic or hospital-acquired) were excluded.

Advances Cardiac Life Support (ACLS) 96

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

Taming the SRU

SEPTEMBER 15, 2023

ultrasound grand rounds: bedside dvt studies - family presence in the ed/icu - r1 clinical knowledge: aicd - r3 small groups: difficult airway management Ultrasound grand rounds: DVT studies WITH Dr. minges Why should we perform bedside DVT studies in the ED? ETT onto a fiberoptic scope. ETT onto a fiberoptic scope.

CPR 89

CPR Burns Airway Management Wellness 89

Emergency Medicine Journal

JULY 24, 2023

Background Improving out-of-hospital cardiac arrest (OHCA) prognosis within the working-age population is important, but no studies have investigated the effects of COVID-19 pandemic specifically on the working-age population with OHCAs. to 1.14)), along with DAI-CPR attempts (59.5% vs 62.3% (crude OR 1.12, 95% CI 1.09

Resuscitation 52

Resuscitation Outcomes CPR Hospitals 52

EMDocs

MARCH 20, 2024

“Code,” “No Code,” “CPR,” “resuscitation,” etc. But what if – while you ’ re here in the hospital – your heart were to stop beating or your breathing stop and you died a natural death, [PAUSE for patient’s reflection] would you want us to do anything about that?”

Documentation/Coding 91

Documentation/Coding Hospice Resuscitation CPR 91

Don't Forget the Bubbles

NOVEMBER 29, 2023

A retrospective cohort analysis of the ED portion of the National Hospital Ambulatory Medical Care Survey from 2006 to 2009 in the US revealed that less than one-half of patients undergoing ETI in the ED received sedative drugs while in the ED. This is referred to as CPR I nduced C onsciousness ( CPRIC ).

Airway Management 135

Airway Management Emergency Department Resuscitation Psychiatric 135

Taming the SRU

MARCH 27, 2024

Effect of prehospital high-dose glucocorticoid on hemodynamics in patients resuscitated from out-of-hospital cardiac arrest: a sub-study of the STEROHCA trial. Crit Care 2024;28(1):28. In this study, the authors aim to assess the hemodynamic effects of prehospital high-dose glucocorticoid treatment in resuscitated comatose OHCA patients.

Resuscitation 98

Resuscitation Outcomes CPR Hospitals 98

The Bottom Line

FEBRUARY 27, 2023

In patients with refractory out-of-hospital cardiac arrest (OHCA) and an initial ventricular arrhythmia, does extracorporeal cardiopulmonary resuscitation (ECPR), as compared with conventional CPR (CCPR), improve survival with a favourable neurologic outcome

CPR 65

CPR Resuscitation Outcomes Hospitals 65

Emergency Medicine Journal

SEPTEMBER 27, 2023

Jiun-Hao Yu and colleagues’ study 2 also mentioned that before and during the pandemic, the performance of bystander CPR in public places remained similar, whereas bystander CPR at home increased during the pandemic period. However, research conducted by Keita Shibahashi’s group suggests otherwise.

Resuscitation 40

Resuscitation Hospitals CPR Research 40

The Skeptics' Guide to EM

FEBRUARY 3, 2023

Temperature Control After In-Hospital Cardiac Arrest: A Randomized Clinical Trial. September 2022 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the #FOAMed project called www.First10EM.com Case: You are working an overnight shift at a small rural hospital. Circulation. Circulation.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Hospitals Outcomes Documentation/Coding 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

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

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

Don't Forget the Bubbles

JUNE 19, 2024

This may limit the generalisability of the results in regional/community hospital settings. CASP checklist for Clinical Prediction Rule (CPR) studies Is CPR clearly defined? What were the limitations of the study? The study was conducted in Level 1 paediatric trauma centres.

CPR 124

CPR Research Outcomes Documentation/Coding 124

RebelEM

JANUARY 29, 2024

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 136

Stroke Outcomes Hospitals Administration 136

Dr. Smith's ECG Blog

JUNE 23, 2024

His daughter immediately started CPR and another family member called EMS. 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. When EMS arrived the patient was in ventricular fibrillation.

EKG/ECG 116

EKG/ECG CPR EMS Hospitals 116

Dr. Smith's ECG Blog

JULY 25, 2024

They started CPR. 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. EMS arrived and found him in Ventricular Fibrillation (VF). He was defibrillated into VT.

Resuscitation 119

Resuscitation EKG/ECG CPR Shock 119

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 74

Resuscitation Airway Management EMS Outcomes 74

ED ECMO

FEBRUARY 23, 2021

Make sure to get CPR Certification Cleveland so you can always be prepared in case of any emergency. Zack invited Brian Grunau to discuss these topics as well as a recent ECPR paper out of Norway and study dealing with signs of life during CPR. What strategy gives the most benefit to the most people? Resuscitation. 2021.01.038.

CPR 52

CPR Resuscitation Hospitals Outcomes 52

AED Leader

MAY 12, 2024

High school students Brody Graham and Grant Lichfield, members of Hadway’s track team, immediately acted, performing CPR on their coach in a critical moment of need. The fast actions of his students, especially Graham and Lichfield, who were performing CPR on a person for the first time, were instrumental in his survival.

CPR 52

CPR Hospitals 52

RebelEM

SEPTEMBER 28, 2023

In non-PCI-capable hospitals this goal is not always achievable due to delays in transfer. Background: Primary PCI is the recommended reperfusion strategy in patients with STEMI and should be initiated within 2 hours after first medical contact. In these cases, thrombolysis is recommended to improve morbidity and mortality. Primary PCI: 95.7%

EKG/ECG 138

EKG/ECG Allergic Reactions Shock Stroke 138

The Skeptics' Guide to EM

MAY 8, 2021

CPR is initiated and a hospital rapid response team is called. Background: Cardiac arrests have high morbidity and mortality rates both in-hospital cardiac arrests (IHCAs) and out of hospital cardiac arrests (OHCAs). This contrasts with what the public sees watching CPR being done on TV.

CPR 52

CPR Hyperthermia / Hypothermia EMS Documentation/Coding 52