Remove CPR Remove Research Remove Resuscitation
article thumbnail

Improving the qualities of ventilations during CPR

Emergency Live

The ventilation maneuver during cardiopulmonary resuscitation (CPR) is a complex intervention influenced by various factors related to the patient, the operator, and the environment.

CPR 105
article thumbnail

Trends in survival from out-of-hospital cardiac arrest with a shockable rhythm and its association with bystander resuscitation: a retrospective study

Emergency Medicine Journal

Despite decades of investment and research, survival remains disappointingly low. Inclusion criteria were non-traumatic cardiac arrests treated with at least one external electric shock with an automated external defibrillator from the basic life support team and resuscitated by a physician-staffed ALS team.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

SGEM#453: I Can’t Go For That – No, No Narcan for Out-of-Hospital Cardiac Arrests

The Skeptics' Guide to EM

On arrival, you find a 35-year-old male, pulseless and apneic with cardio-pulmonary resuscitation (CPR) in progress by a bystander. You and your partner initiate high-quality CPR, place a supraglottic airway, establish intra-osseous (IO) access and administer epinephrine. There is drug paraphernalia scattered around the room.

Hospitals 103
article thumbnail

Heads Up! There is No Association with Improved Outcomes for Head Up CPR: Why We Must Read Past the Abstract

RebelEM

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. Additionally, there is ongoing research into targeting improvements in the interventions we know work. Head Up (HUP) CPR may be the next critical improvement.

CPR 52
article thumbnail

The CT FIRST Trial: Should We Pan-CT After ROSC?

RebelEM

Population: Patients successfully resuscitated from OHCA without a clear diagnosis on presentation who were stable for CT. Costs include actual cost of the scans as well as delaying other patients’ scans but also includes time taken away from resuscitation to move the patient to and from CT. IQR 2.2 – 69.5)

Outcomes 144
article thumbnail

The ECLS-SHOCK Trial: ECPR in Infarct-Related Cardiogenic Shock

RebelEM

Did they get bystander CPR? At our institution patients do not go for diagnostic heart catheterization and then get put on ECMO, they are initiated on ECMO during the time of their initial resuscitation and then go for heart catheterization once they are stabilized. Control: 53.4% D ECLS: 18.2% Control 8.7% Control 38.0% Control: 9.6%

Shock 133
article thumbnail

Awake, and Paralysed: A Never Event

Don't Forget the Bubbles

Tragically, several attempts at resuscitation upon arrival at the emergency department were unsuccessful. Intensive Care Research , 1 (3-4), pp.60-64. This is referred to as CPR I nduced C onsciousness ( CPRIC ). Another attempt led to an oesophageal intubation. Ben was awake but paralysed. This article is based on: Mayberry, H.,