Remove CPR Remove Outcomes Remove Ultrasounds
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Ultrasound in Cardiac Arrest

Mount Sinai EM

Ultrasound during cardiac arrest has quickly become standard. Initially, data suggested that the use of ultrasound during arrest increased pauses between compressions which worsens outcomes. Finally, patients with PEA and cardiac standstill on ultrasound have a 0.0%-0.6% Yours in ultrasounding, Shivam

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Grand Rounds Recap 9.6.23

Taming the SRU

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.

CPR 91
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SGEM#410: Do You See What I See? Video Laryngoscope for Intubation

The Skeptics' Guide to EM

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
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Ventricular Fibrillation, ICD, LBBB, QRS of 210 ms, Positive Smith Modified Sgarbossa Criteria, and Pacemaker-Mediated Tachycardia

Dr. Smith's ECG Blog

There was no bystander CPR. Bedside ED ultrasound showed exceedingly poor global LV function, and no B lines. The patient awoke and had a good outcome! Medics found him in ventricular fibrillation. He was unidentified and there were no records available After 7 shocks, he was successfully defibrillated and brought to the ED.

EKG/ECG 131
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SGEM#231: You’re So Vein – IO vs. IV Access for OHCA

The Skeptics' Guide to EM

His primary interests are resuscitation, prehospital critical care, airway management, and point-of-care ultrasound. 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.

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Episode 28: LOST

PHEM Cast

Ultrasound during TCA: Cureton et al. The heart of the matter: utility of ultrasound of cardiac activity during traumatic arrest. The outcomes from different resuscitative interventions in a haemorrhagic shock model in porcine model: From: Watts et al. Use of CPR in hemorrhagic shock, a dog model. 2012; 73: 102-10.

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SGEM#344: We Will…We Will Cath You – But should We After An OHCA Without ST Elevations?

The Skeptics' Guide to EM

The paramedics achieve return of spontaneous circulation (ROSC) after CPR, advanced cardiac life support (ALCS), and Intubation. Her point-of-care ultrasound (POCUS) shows appropriate-appearing global ejection fraction and no marked wall motion abnormalities. The AHA has a statement with recommendations based on the available data.

EKG/ECG 52