Dr. Smith's ECG Blog

SEPTEMBER 11, 2024

Here is the case: Report from EMS was witnessed syncope, his son did CPR, but the patient had pulses when EMS arrived. The fact that this is syncope makes give it a far lower pretest probability than chest pain, but it was really more than syncope, as the patient actually underwent CPR and had hypotension on arrival of EMS.

EMS 113

EMS CPR EKG/ECG Wellness 113

Emergency Medicine Journal

JULY 24, 2023

We aimed to determine the association between the 2020 COVID-19 pandemic and OHCA outcomes and bystander resuscitation efforts among the working-age population. We compared characteristics and outcome differences of the arrests between three prepandemic years (2017–2019) and the pandemic year 2020. PAD use decreased from 4.0%

Resuscitation 52

Resuscitation Outcomes CPR Hospitals 52

Don't Forget the Bubbles

JUNE 19, 2024

CASP checklist for Clinical Prediction Rule (CPR) studies Is CPR clearly defined? Were the predictor variables and the outcome evaluated in a blinded fashion? Were the predictor variables and the outcome evaluated in the initial sample? Yes – They had different derivation and validation groups.

CPR 124

CPR Research Documentation/Coding Outcomes 124

The Skeptics' Guide to EM

APRIL 27, 2024

It was a secondary analysis of an observational study which showed an association between decreased favourable neurologic outcomes in the IO group compared to the IV group. This is because of the ease of finding anatomic landmarks and their location away from other procedures like defibrillation, CPR, and airway management.

Resuscitation 93

Resuscitation Airway Management EMS Outcomes 93

Emergency Medicine Journal

OCTOBER 26, 2023

The protocol involved patient transport from the emergency site with ongoing mechanical cardiopulmonary resuscitation (CPR) directly to the cardiac catheterisation laboratory where the implementation of extracorporeal membrane oxygenation (ECMO) was considered. All patients received mechanical CPR, epinephrine and/or amiodarone.

Hospitals 75

Hospitals CPR Resuscitation Outcomes 75

JournalFeed

NOVEMBER 26, 2022

CPR, Push Hard Spoon Feed With ventilation rate standardized, chest compression (CC) depth explains variations in ETCO2 better than chest compression rate. For access to more, please visit JournalFeed.org for details about becoming a member.

CPR 40

CPR Stroke Outcomes 40

Taming the SRU

MARCH 27, 2024

The primary outcome was cumulative norepinephrine use during the first 48 hours of admission. Secondary outcomes included mean arterial pressure (MAP), heart rate, vasoactive inotropic score (VIS) – a weighted score of different cardiovascular active agents, VIS/MAP, and pulmonary artery catheter (PAC) monitoring. Hill, J.

Resuscitation 100

Resuscitation Outcomes CPR Hospitals 100

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

Critical Care Now

JULY 14, 2024

Several meta-analyses examining the efficacy of eCPR have been published, including either patient data from RCTs or data from both RCTs and observational trials, with the results indicating either a statistically significant benefit in neurologically favorable survival, or no difference with eCPR compared to conventional CPR.

Resuscitation 98

Resuscitation CPR Outcomes Sepsis 98

Taming the SRU

SEPTEMBER 15, 2023

ETT onto a fiberoptic scope.

CPR 91

CPR Burns Airway Management Wellness 91

ACEP Now

MARCH 10, 2025

Dedication to your community may expand into areas of passion and/or vocation as you create CPR education workshops for your communitys daycares and schools. Ikigai and subsequent health and wellbeing among Japanese older adults: longitudinal outcome-wide analysis. Ikigai: The Japanese Secret to a Long and Happy Life. 2022;21:100391.

Academics 85

Academics Wellness CPR Hospitals 85

AED Leader

APRIL 22, 2024

Lifepak AED Defibrillators: Cutting-Edge Technology Lifepak AED defibrillators are at the forefront of AED technology, incorporating advanced features and innovations to improve outcomes in cases of sudden cardiac arrest. This feature helps rescuers optimize their CPR technique and improve the chances of a successful resuscitation.

CPR 52

CPR Shock Resuscitation Operations 52

The Skeptics' Guide to EM

JULY 22, 2023

The conclusion from that episode was it’s still uncertain if using etomidate decreases the patient-oriented outcome of survival with good neurologic function in critically ill patients requiring emergent endotracheal intubation. The most recent discussion was about the use of etomidate as an induction agent ( SGEM#405 ).

EMS 98

EMS CPR Ultrasounds Research 98

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

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

The Skeptics' Guide to EM

MAY 8, 2021

CPR is initiated and a hospital rapid response team is called. This contrasts with what the public sees watching CPR being done on TV. Improving outcomes for patients with cardiac arrests has been an ongoing challenge in pre-hospital and in hospital medicine. The resuscitation team arrives and ACLS protocols are continued.

CPR 52

CPR Hyperthermia / Hypothermia EMS Documentation/Coding 52

Taming the SRU

OCTOBER 5, 2023

morbidity and mortality - quality improvement - research grand rounds - r1 clinical knowledge: pres/rcvs - r4 case follow-up: compartment syndrome Morbidity and Mortality WITH dr. finney Takotsubo Cardiomyopathy with COVID-19 Increasing incidence of Takotsubo Cardiomyopathy with the COVID-19 pandemic Morbidity and mortality is similar to that of ACS (..)

Stroke 92

Stroke EKG/ECG Seizures CPR 92

The Skeptics' Guide to EM

MARCH 11, 2023

A fire company is on scene providing high-quality cardiopulmonary resuscitation (CPR) and has defibrillated twice with an automated external defibrillator (AED). Background: Airway management strategies for out of hospital cardiac arrest (OHCA) have been hotly debated since the dawn of CPR. Reference: Smida et al.

Airway Management 52

Airway Management Basic Life Support CPR Resuscitation 52

The Skeptics' Guide to EM

FEBRUARY 11, 2023

He confirms pulselessness, initiates CPR, gets a colleague to call 911, and intubates the patient on the floor. Comparison: Standard defibrillation with pads placed in anterior-anterior configuration * Outcome: * Primary Outcome: Survival to hospital discharge * Secondary Outcomes: Termination of ventricular fibrillation,

Shock 57

Shock CPR Hyperthermia / Hypothermia Hospitals 57

AED Leader

JULY 5, 2024

Smart CPR Guidance Cardiopulmonary resuscitation (CPR) is a critical component of saving a life during a cardiac arrest. The HeartStart OnSite AED provides real-time CPR guidance, including metronome beeps, to help users maintain the correct compression rate and depth.

CPR 52

CPR Resuscitation Shock Pediatrics 52

The Skeptics' Guide to EM

DECEMBER 25, 2021

Bystander CPR is being performed. The paramedics performed high-quality CPR and follow their ACLS protocol. CPR is continued while a supraglottic airway is placed successfully. They have a history of hypertension, elevated cholesterol, and smoked cigarettes for 50+ years. The monitor is hooked up.

CPR 52

CPR Administration Outcomes Hospitals 52

Don't Forget the Bubbles

JUNE 17, 2024

High levels of incivility correlate with adverse outcomes for patients, staff, and the organisation. A third RCT demonstrated that even brief low-level incivility could increase the risk of major error during CPR by up to 66%. Civility Saves Lives The impact of incivility in healthcare cannot be understated.

Leadership 105

Leadership Resuscitation Teamwork Patient Safety 105

EMDocs

JANUARY 8, 2024

Magnesium does not improve ROSC, survival, or neurologic outcomes, no matter the presenting rhythm (Level 3: no benefit). For patients with OHCA, use of steroids during CPR is of uncertain benefit. COR 2b, LOE B-R. COR 2b, LOE C-LD. Routine administration of calcium for treatment of cardiac arrest is not recommended.

Seizures 98

Seizures Shock CPR Hyperthermia / Hypothermia 98

Dr. Smith's ECG Blog

JULY 14, 2023

Two recent interventions have proven in randomized trials to improve neurologic survival in cardiac arrest: 1) the combination of the ResQPod and the ResQPump (suction device for compression-decompression CPR -- Lancet 2011 ) and 2) Dual Sequential defibrillation. Finally, head-up CPR (which was not used here), makes for better resuscitation.

Resuscitation 98

Resuscitation EKG/ECG CPR Outcomes 98

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.

CPR 52

CPR Resuscitation Pediatrics Operations 52

The Skeptics' Guide to EM

SEPTEMBER 29, 2018

Bystander CPR is initiated prior to EMS arrival. However, no randomized trial has compared intravenous access to intraosseous access with a primary outcome of good neurologic function. His primary interests are resuscitation, prehospital critical care, airway management, and point-of-care ultrasound.

Basic Life Support 52

Basic Life Support Airway Management 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. vs. 5.1%, p=0.83).

CPR 52

CPR Academics Resuscitation Hospitals 52

Dr. Smith's ECG Blog

APRIL 2, 2024

There was no bystander CPR. The patient awoke and had a good outcome! 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.

EKG/ECG 131

EKG/ECG Shock CPR Stroke 131

JournalFeed

MARCH 16, 2024

Source: Extracorporeal cardiopulmonary resuscitation versus conventional CPR in cardiac arrest: an updated meta-analysis and trial sequential analysis.

CPR 52

CPR Resuscitation Hospitals Outcomes 52

AED Leader

NOVEMBER 27, 2024

Its two-button interface, combined with clear voice prompts and visual diagrams, guides users step-by-step through defibrillation and CPR. A standout feature is the real-time CPR feedback, which monitors the pace and quality of chest compressions.

CPR 52

CPR Pediatrics Operations Outcomes 52

SheMD

MAY 11, 2023

In medical emergencies, provider qualities which lead to greater performance and patient outcomes include leadership and teamwork. This study focused on gender differences in CPR performance and trialed an intervention to impact the leadership behaviors of female medical students. Meier A, Yang J, Liu J, et al. Crit Care Med.

Leadership 52

Leadership Documentation/Coding CPR Teamwork 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. Rapid treatment is vital to improve survival outcomes. Proper training can improve survival rates and patient outcomes in both public settings and hospitals.

CPR 52

CPR Basic Life Support Resuscitation Hospitals 52

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. After the fourth defibrillation attempt, 200 mcg IV NTG was administered, resulting in immediate return of spontaneous circulation with a junctional bradycardia rhythm.

Resuscitation 98

Resuscitation EKG/ECG Documentation/Coding COPD 98

The Skeptics' Guide to EM

DECEMBER 7, 2018

You are the first provider on scene with Emergency Medical Services (EMS) and start high-quality Cardiopulmonary Resuscitation (CPR). There was also no increase in survivors with good neurological outcomes with ACLS. Case: A 51-year-old man experiences a cardiac arrest on the street. He is unsuccessfully shocked.

Advances Cardiac Life Support (ACLS) 52

Advances Cardiac Life Support (ACLS) CPR Resuscitation Hospitals 52

The Skeptics' Guide to EM

AUGUST 14, 2021

They performed high-quality CPR and shocked the patient twice before giving amiodarone via intraosseous (IO). This has included the classic paper from Legend of EM Dr. Ian Stiell on BLS vs. ACLS ( SGEM#64 ), the use of mechanical CPR ( SGEM#136 ), and pre-hospital hypothermia ( SGEM#183 ).

Shock 52

Shock CPR Hyperthermia / Hypothermia EMS 52

The Skeptics' Guide to EM

JUNE 24, 2017

By-standard CPR is started and EMS is called. They continue CPR, get intravenous access, give a round of epinephrine and then wonder if they should start rapid cooling en-route to the hospital with some cold saline. The Cochrane Collaboration updated their review on hypothermia for neuroprotection in adults after CPR in 2012.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia CPR Resuscitation EMS 40

The Skeptics' Guide to EM

FEBRUARY 25, 2023

Your team begins high quality cardiopulmonary resuscitation (CPR). Apart from high-quality CPR and early defibrillation, many other interventions we try lack a strong evidence base. Sodium bicarbonate has historically been used during CPR with the goal of alkalizing blood pH and treating metabolic acidosis.

Pediatrics 52

Pediatrics Hospitals CPR Resuscitation 52