Don't Forget the Bubbles

NOVEMBER 29, 2023

Intensive Care Research , 1 (3-4), pp.60-64. In studies including patients with trauma or Glasgow Coma Scale less than 8, intubation without sedation led to poorer neurological outcomes. This is referred to as CPR I nduced C onsciousness ( CPRIC ). This article is based on: Mayberry, H., Burgart, A.M. and Kanaris, C.,

Airway Management 135

Airway Management Emergency Department Resuscitation Psychiatric 135

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 91

Stroke EKG/ECG Seizures CPR 91

RebelEM

NOVEMBER 20, 2023

Researchers randomly assigned 90 eligible patients over ≈ 4.5 Outcome: Primary Outcome: All-cause mortality at 90 days. The primary outcome focused on patient-centered outcomes. years, in a 1:1 ratio, to receive treatment with REBOA and standard care or standard care alone. 97% of patients sustained blunt trauma.

Resuscitation 91

Resuscitation Operations Outcomes Hospitals 91

The Skeptics' Guide to EM

JULY 22, 2023

Jeff discusses the application of research in EMS on his podcast The EMS Lighthouse Project. 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.

EMS 88

EMS CPR Ultrasounds Research 88

PulmCCM

JUNE 5, 2023

Read in Journal of Critical Care ECMO vs CPR for pre-hospital resuscitation after cardiac arrest. There was no significant difference in survival with a favorable neurologic outcome at 30 days (20% vs 16% nominally favoring the ECMO group, P=0.52) or at 6 months. makes me long for an adequately powered randomized trial. In the U.S.,

Advances Cardiac Life Support (ACLS) 96

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

The Skeptics' Guide to EM

FEBRUARY 11, 2023

Research interests include simulation-based assessment, transport medicine, and critical care analgesia. He confirms pulselessness, initiates CPR, gets a colleague to call 911, and intubates the patient on the floor. Case: A 60-year-old health professional suffers a cardiac arrest while working at a clinic outside the hospital.

Shock 56

Shock CPR Hyperthermia / Hypothermia Hospitals 56

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

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. Passion for womens health may lead one to research and advocate for more effective emergency contraceptive options in your department. New York, Penguin Books; 2017.

Academics 52

Academics Wellness CPR Hospitals 52

Don't Forget the Bubbles

JUNE 17, 2024

Nonetheless, research has consistently shown that healthcare environments demonstrate higher-than-average levels of workplace incivility. High levels of incivility correlate with adverse outcomes for patients, staff, and the organisation. Most acts of incivility tend to be verbal, though non-verbal abuse does also take place.

Leadership 105

Leadership Resuscitation Teamwork Patient Safety 105

Don't Forget the Bubbles

JUNE 26, 2023

The team start CPR, and this is emergently converted to extra-corporeal cardiopulmonary resuscitation via the open sternotomy wound. These cases illustrate some of the common issues associated with each shunt type, but what does the evidence say about outcomes? What is the best option for repair? 2017;51(1):50-57.

Operations 128

Operations Research Hyperthermia / Hypothermia Hospitals 128

SheMD

MAY 11, 2023

Research indicates that the gender of a provider may impact their performance. In medical emergencies, provider qualities which lead to greater performance and patient outcomes include leadership and teamwork. CPR-related performance items were coded by the second as present or absent. link] ,Why is this article important?

Leadership 52

Leadership Documentation/Coding CPR Teamwork 52

AED Leader

SEPTEMBER 21, 2024

Incorporating defibrillation into Cardiopulmonary Resuscitation (CPR) significantly enhances survival rates for victims of sudden cardiac arrest (SCA). The critical factor in improving outcomes lies in time-to-defibrillation. The defibrillator administers a shock measured in joules to the heart at precisely the right moment.

CPR 52

CPR Shock Resuscitation Hospitals 52

Advanced Emergency Nursing from AENJ

NOVEMBER 27, 2017

New evidence will be reviewed, graded as to quality, recommendations proposed, and new research areas for the coming cycle prioritized. AHA statements are labeled with" [AHA]" We can now expect more frequent and closer cycling and knowledge translation from the laboratory workbench or studies of cases and outcomes to our own practice.

CPR 40

CPR Basic Life Support Resuscitation Pediatrics 40

The Skeptics' Guide to EM

NOVEMBER 16, 2019

NEJM Oct 2019 Guest Skeptic: Dr. 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. She had a witnessed arrest, and CPR was initiated by bystanders. Reference: Lascarrou et al.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia EMS Research Documentation/Coding 40

Dr. Smith's ECG Blog

OCTOBER 28, 2013

It was witnessed, and CPR was performed by trained individuals. She arrived in the ED 37 minutes after 911 was called, with continuing CPR. The last section is a detailed discussion of the research on aVR in both STEMI and NonSTEMI. The following 12-lead ECG was recorded at 11 minutes after ROSC.

EKG/ECG 52

EKG/ECG CPR Resuscitation Research 52

The Skeptics' Guide to EM

NOVEMBER 13, 2021

Cardiopulmonary resuscitation (CPR) is in progress. We covered another SRMA that was published in 2021 looking at the same issue of whether the use of corticosteroids impact neurologic outcomes and mortality in patients with a cardiac arrest ( SGEM#329 )? The monitor shows a non-shockable rhythm.

Advances Cardiac Life Support (ACLS) 40

Advances Cardiac Life Support (ACLS) Hospitals Emergency Department Resuscitation 40

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

Taming the SRU

OCTOBER 1, 2023

There are many different types of pneumothorax (PTX), and the management paradigm has shifted in recent years as the research has exploded on this topic. As these patients are typically already at a high risk for poor health outcomes, secondary spontaneous PTX is often more serious in presentation and management more complex [11].

Fractures 96

Fractures COPD Hospitals Emergency Department 96

ACEP Now

APRIL 3, 2024

1,2 However, the European TTM1 trial in 2013 showed similar outcomes for those cooled to 33 degrees Celsius compared to 36 degrees Celsius, leading to a 2015 AHA class I recommendation of “cooling between 32 degrees Celsius-36 degrees Celsius.” 5,6 In 2021, the TTM2 trial was published. degrees Celsius for 72 hours.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Resuscitation Outcomes Hospitals 40

Intensive Blog

MARCH 13, 2024

Everything ECMO 048: History of ECPR evidence and considerations for future research Author: Dr George Walker Peer reviewer: A/Prof Aidan Burrell Introduction The first recorded attempts to resuscitate patients were as early as 1530 where Swiss physician Paracelsus used fireplace bellows to reinflate the lungs of those who had stopped breathing.

CPR 130

CPR Resuscitation Hospitals Outcomes 130

Don't Forget the Bubbles

MAY 3, 2023

Every month we ask some of our friends from PERUKI (Paediatric Emergency Research in the UK and Ireland) to point out something that has caught their eye. Results of this study showed that the use of low-dose insulin infusion led to similar clinical outcomes and fewer adverse events compared to the standard-dose insulin infusion.

CPR 52

CPR Airway Management Emergency Department Resuscitation 52

Don't Forget the Bubbles

DECEMBER 5, 2023

Roughly 30% of patients with ulcerative colitis are diagnosed as children or young adults, and this early diagnosis is associated with poorer long-term outcomes. They were identified on the Clinical Practice Research Datalink, a validated Primary Care database of 18 million patients in the UK. The mean PDC in the study was 72%.

Resuscitation 111

Resuscitation Outcomes CPR Emergency Department 111

The Skeptics' Guide to EM

JUNE 24, 2017

His background includes working as a Research Assistant […] The post SGEM#183: Don’t RINSE, Don’t Repeat first appeared on The Skeptics Guide to Emergency Medicine. By-standard CPR is started and EMS is called. By-standard CPR is started and EMS is called. Circulation 2016. They arrive quickly and take over the resuscitation.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia CPR Resuscitation EMS 40

RebelEM

DECEMBER 19, 2022

In fact, 4000 paramedics in total were not only trained in the study protocol but also given a rigorous evaluation of their ability to perform CPR. On the topic of EMS and similar to the pilot study, there was an incredibly high amount of bystander CPR performed. Thus limiting the external validity of this paper’s findings.

EMS 52

EMS CPR Shock Resuscitation 52

PulmCCM

JANUARY 20, 2025

Who Writes the CPR Guidelines? How Evidence-Based Are the CPR Guidelines? Most of the CPR guidelines are based on a very low-quality body of evidence (retrospective observational studies, simulation-based studies, etc). These suggestions came from studies testing CPR on manikins, not live patients.

CPR 75

CPR Resuscitation Hyperthermia / Hypothermia Seizures 75

The Skeptics' Guide to EM

NOVEMBER 30, 2024

After starting cardiopulmonary resuscitation (CPR), you note pulseless electrical activity (PEA) on the monitor. With a survival rate to discharge often below 10% globally, rapid, effective interventions are needed to improve patient outcomes. The paramedic is trying to get intravenous (IV) access to give epinephrine per the protocol.

Administration 98

Administration CPR Airway Management Outcomes 98

PulmCCM

FEBRUARY 13, 2025

Strokes Endovascular treatment of smaller occlusions Mechanical thrombectomy improves outcomes in patients with ischemic strokes with occlusions of large arterial branches in the anterior (and very occasionally posterior) circulation. at 1L/min), at 90 days of follow-up.

Research 52

Research Stroke CPR Outcomes 52

Dr. Smith's ECG Blog

MARCH 8, 2025

Angiography was technically challenging as the patient was receiving CPR, but the cardiologist suspected acute stent thrombosis and initiated cangrelor, although no repeat angiography was able to be obtained. Was her outcome to be expected for ostial RCA OMI? Circulation Research , 114 (12), 18521866. link] Bentzon, J.

EKG/ECG 77

EKG/ECG CPR Resuscitation Wellness 77

Advanced Emergency Nursing from AENJ

MARCH 27, 2015

factor than oral (which still suffers from the too-personal-contact-reluctance of the lay rescuer, as in “hands only CPR”), and to the more euphonious persuasion of “Mouth to Mouth” and “Kiss of Life.” At that time, too, it was felt that the cause, or —at least, the major focus of investigation, of Upper Airway Obstruction was the tongue.

Airway Management 40

Airway Management Resuscitation EMS CPR 40

Don't Forget the Bubbles

JANUARY 6, 2025

Reviewed by: Mikaeel Jaffer Article 2: Does the duration of pre-hospital CPR affect neurological outcomes? Yasuda M, Amagasa S, Kashiura M, et alDuration of prehospital and in-hospital cardiopulmonary resuscitation and neurological outcome in paediatric out-of-hospital cardiac arrestEmergency Medicine Journal 2024;41:742-748.

Dislocations 59

Dislocations CPR Ultrasounds Resuscitation 59