PulmCCM

JULY 21, 2024

Do we perform chest compressions in the wrong spot on half our patients during CPR? Resuscitative transesophageal echocardiography means using point-of-care TEE in emergency or critical care settings to guide treatments of crashing patients based on observed cardiovascular physiology in real-time. How would we even know?

CPR 52

CPR Resuscitation 52

Emergency Medicine Journal

MARCH 25, 2025

Nursing homes are staffed by healthcare workers, able to respond immediately to cardiac arrest, including provision of bystander cardiopulmonary resuscitation (CPR). Overall, 80.2% (n=3698) of patients received bystander CPR and where an automated external defibrillator (AED) was available, 77.7% (n=331) were treated with an AED.

Outcomes 52

Outcomes Hospitals CPR Resuscitation 52

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 124

Resuscitation EKG/ECG CPR Shock 124

Emergency Live

DECEMBER 7, 2023

New perspectives and plans for the future of cardiopulmonary resuscitation in Italy A new chapter for the IRC The Italian Resuscitation Council (IRC), a well-known nonprofit scientific society of cardiopulmonary resuscitation experts, has opened a new chapter in its history by electing Andrea Scapigliati as its president.

Resuscitation 105

Resuscitation Wellness CPR 105

Dr. Smith's ECG Blog

JULY 14, 2023

A 40-something with persistent Ventricular Fibrillation presented after attempted prehospital resuscitation A 40-something with no previous cardiac history presented to the ED in persistent Ventricular Fibrillation after attempted prehospital resuscitation. Finally, head-up CPR (which was not used here), makes for better resuscitation.

Resuscitation 98

Resuscitation EKG/ECG CPR Outcomes 98

Emergency Live

MARCH 25, 2024

The Importance of Cardiopulmonary Resuscitation In a world where every moment can be crucial to saving a life, knowledge and application of Cardiopulmonary Resuscitation (CPR) and the use of Automated External Defibrillator (AED) emerge as bulwarks against sudden cardiac arrest. What is CPR?

CPR 98

CPR Resuscitation 98

Emergency Medicine Journal

OCTOBER 26, 2023

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. Primary outcome was survival at hospital discharge with a good neurological outcome.

Resuscitation 75

Resuscitation Basic Life Support Hospitals CPR 75

AED Leader

NOVEMBER 7, 2023

Cardiopulmonary resuscitation (CPR) can save a life in the event of a cardiac emergency, but very few people know how to perform CPR correctly. The good news is that anyone can perform CPR; you just need to understand the steps involved. Check for Responsiveness You never want to perform CPR on someone who is breathing.

CPR 52

CPR Resuscitation Shock Pediatrics 52

American Medical Compliance

FEBRUARY 28, 2024

The following CPR Refresher Course educates healthcare providers (HCP) on the basic principles of CPR. CPR (cardio-pulmonary resuscitation) is a technique used to keep victims of sudden cardiac arrest and other emergencies, alive and to prevent brain damage until more advanced medical professionals arrive.

CPR 52

CPR Fractures Resuscitation Wellness 52

The Skeptics' Guide to EM

JANUARY 13, 2024

Resuscitation 2023. Resuscitation 2023. Your EMS agency has equipped you with small-volume adult bag-valve masks (BVMs), the first responders have been utilizing a standard adult BVM thus far during the resuscitation. Your partner asks you which of the two BVMs you should use to continue the resuscitation.

Hospitals 109

Hospitals CPR Resuscitation Airway Management 109

AED Leader

JUNE 5, 2024

Two primary methods used in such situations are automated external defibrillators (AEDs) and cardiopulmonary resuscitation (CPR). While both AEDs and CPR are vital in saving lives, understanding their differences and effectiveness can help determine the best approach in an emergency. What is CPR? What is an AED?

CPR 52

CPR Shock Resuscitation 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. It is imperative that we continue to look at ways to improve cardiac arrest resuscitation. Head Up (HUP) CPR may be the next critical improvement.

CPR 52

CPR Outcomes Resuscitation EMS 52

The Skeptics' Guide to EM

OCTOBER 22, 2022

Head and thorax elevation during cardiopulmonary resuscitation using circulatory adjuncts is associated with improved survival. Resuscitation 2022 Guest Skeptic: Clay Odell is a Paramedic, Firefighter, and registered nurse (RN). Resuscitation 2022 Guest Skeptic: Clay Odell is a Paramedic, Firefighter, and registered nurse (RN).

CPR 52

CPR Hyperthermia / Hypothermia Resuscitation EMS 52

AED Leader

DECEMBER 6, 2023

The group performed cardiopulmonary resuscitation on Schraeder for around 11 to 13 minutes before an ambulance arrived and shocked him with an AED before taking him away. He survived thanks to their swift action and now advocates for stress testing, knowing where your nearest AED is located, learning CPR, and setting up emergency contacts.

CPR 52

CPR Resuscitation Shock 52

AED Leader

DECEMBER 6, 2023

The group performed cardiopulmonary resuscitation on Schraeder for around 11 to 13 minutes before an ambulance arrived and shocked him with an AED before taking him away. He survived thanks to their swift action and now advocates for stress testing, knowing where your nearest AED is located, learning CPR, and setting up emergency contacts.

CPR 52

CPR Resuscitation Shock 52

EMDocs

APRIL 2, 2024

Check the pulse RSI= Resuscitation Sequence Intubation Hypoxia, Hypotension, and Acidosis are the reason patients code during/post intubation These patients are super high risk for all 4 Optimize first pass success – Induction agent + paralytic Unconscious patients will still have muscle tone Induction Ketamine or Etomidate at half doses (i.e.,

Documentation/Coding 115

Documentation/Coding CPR EKG/ECG Sepsis 115

PulmCCM

JANUARY 29, 2024

Epinephrine remains the drug of choice during CPR Epinephrine remains the first-line therapy for cardiac arrest due to non-shockable rhythms (i.e., No new evidence arose to alter the usual schedule of administering 1 mg epinephrine as quickly as possible, then every 3 to 5 minutes while CPR is ongoing. PEA and asystole).

Seizures 115

Seizures CPR Documentation/Coding Hyperthermia / Hypothermia 115

Don't Forget the Bubbles

FEBRUARY 5, 2025

This should include early identification of life-threatening injuries, targeted fluid resuscitation using blood products, pain management, then eventual safeguarding and psychological support. Establish IV access for potential fluid resuscitation. You feel the patient needs fluid resuscitation. Administer O2 if necessary.

Domestic Violence 59

Domestic Violence Fluid Resuscitation Head Injuries Sexual Assault 59

Don't Forget the Bubbles

DECEMBER 18, 2023

I think we should stop resuscitation. How long should you try to resuscitate? There are no hard and fast rules as to how long a resuscitation attempt should be carried out. We might continue resuscitation attempts longer than usual to allow family members to arrive and hold the child’s hand or be at the bedside when we stop.

Resuscitation 131

Resuscitation Outcomes CPR Hospitals 131

Dr. Smith's ECG Blog

JULY 9, 2024

His family started CPR and called EMS, who arrived to find him in ventricular fibrillation. He underwent resuscitation including vasopressors, inotropic support, and intubation. Despite anticipation by many that the initial post-resuscitation ECG will show an obvious acute infarction — this expected "STEMI picture" is often not seen.

EKG/ECG 116

EKG/ECG Resuscitation Shock CPR 116

EMDocs

JANUARY 16, 2024

Hypothermic Arrest In general, hypothermic patients in cardiac arrest should be aggressively resuscitated. Patients can have excellent outcomes despite prolonged resuscitation. 2,3 If the patient meets criteria for resuscitation, they generally are not declared dead until their core temperature is above 32℃ (“warm and dead”).

Hyperthermia / Hypothermia 109

Hyperthermia / Hypothermia Resuscitation CPR EMS 109

Emergency Medicine Cases

JUNE 7, 2022

What factors need to be taken into consideration to decide on when to terminate resuscitation of the cardiac arrest patient - when to call the code? The post Ep 170 Cardiac Arrest – PoCUS Integration, Communication Strategies, E-CPR, Calling the Code appeared first on Emergency Medicine Cases. and many more.

Documentation/Coding 52

Documentation/Coding CPR Resuscitation EMS 52

The Skeptics' Guide to EM

SEPTEMBER 21, 2024

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 104

Hospitals CPR EMS Outcomes 104

RebelEM

JUNE 1, 2023

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.

Outcomes 145

Outcomes Resuscitation Hospitals CPR 145

Don't Forget the Bubbles

JUNE 30, 2023

Elsa was found face down in the family pool 20 minutes after last visual contact and was picked up without resuscitation. 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. C and remained pulseless.

Hyperthermia / Hypothermia 145

Hyperthermia / Hypothermia Military CPR EKG/ECG 145

EMDocs

MARCH 20, 2024

Chuck Pilcher, MD, FACEP Editor, Medical Malpractice Insights Editor, Med Mal Insights Speaking in “Code” Discussing resuscitation options with patients nearing end of life “A kinder, gentler approach would benefit everyone.” “Code,” “No Code,” “CPR,” “resuscitation,” etc.

Documentation/Coding 105

Documentation/Coding Hospice Resuscitation CPR 105

Emergency Medicine Cases

SEPTEMBER 13, 2022

In this EM Quick Hits podcast: Salim Rezaie on venous thromboembolism recurrence in subsegmental pulmonary embolism, Andrew Petrosoniak on pain management in the polytrauma, Nour Khatib on a rural EM case on management of near-drowning patient, Sara Reid delivers a polio primer, Anand Swaminathan on head-up CPR.

CPR 52

CPR EMS Resuscitation 52

Emergency Medicine Journal

OCTOBER 26, 2023

Background Extracorporeal cardiopulmonary resuscitation (ECPR) is a treatment method for refractory out-of-hospital cardiac arrest (OHCA) requiring a complex chain of care. All patients received mechanical CPR, epinephrine and/or amiodarone. Cases of hypothermic cardiac arrest were excluded. –6.9)

Hospitals 75

Hospitals CPR Resuscitation Outcomes 75

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 92

Resuscitation Airway Management EMS Outcomes 92

ACEP Now

DECEMBER 6, 2024

Before nitroglycerin (NTG) could be administered, the patient became unresponsive and was transferred to the resuscitation bay, where the monitor revealed a ventricular fibrillation arrest. After resuming CPR and administering an additional 400 mcg IV NTG, the patient achieved return of spontaneous circulation with sinus tachycardia.

Resuscitation 98

Resuscitation EKG/ECG Documentation/Coding COPD 98

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 examined variations in bystander resuscitation efforts and outcomes among pandemic phase and regional classifications. to 1.14)), along with DAI-CPR attempts (59.5%

Resuscitation 52

Resuscitation Outcomes CPR Hospitals 52

EM Ottawa

NOVEMBER 30, 2023

In general, the public perception of CPR is filled with inaccuracies, and recently the New Yorker wrote about the Hidden Harms of CPR.

Documentation/Coding 82

Documentation/Coding CPR Resuscitation 82

RebelEM

AUGUST 21, 2023

In response to this critical issue, the TAME Cardiac Arrest Trial has been launched as a definitive phase III multi-center randomized controlled trial for resuscitated cardiac arrest patients. Thus the results of this trial may not be generalizable to unwitnessed cardiac arrest with non-shockable rhythms and/or a lack of bystander CPR.

Hospitals 96

Hospitals Resuscitation Outcomes CPR 96

ACEP Now

NOVEMBER 7, 2024

Background From its founding in 1881 to today, the American Red Cross has taught tens of millions of Americans first aid and other lifesaving skills, including CPR. It also offers a comprehensive “CPR for the Professional Rescuer” course. In 2015, it introduced Basic Life Support (BLS) training and certification for EMS personnel.

Advances Cardiac Life Support (ACLS) 74

Advances Cardiac Life Support (ACLS) Military CPR Basic Life Support 74

Emergency Medicine Cases

OCTOBER 27, 2020

The post EM Quick Hits 23 – Clinical Probability Adjusted D-dimer, ARDS Part 2, Pharyngitis Mimics, Barotrauma, Vertigo, CPR Gender-Based Differences appeared first on Emergency Medicine Cases.

CPR 52

CPR EMS Resuscitation 52

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

Don't Forget the Bubbles

JUNE 17, 2024

The Importance of Civility in Critical Care Resuscitation A 3-year-old patient with diabetic ketoacidosis arrives at your ED. While you are leading the resuscitation, one of your senior colleagues belittles a junior staff member for struggling to site an IV line. Conclusion Critical care resuscitation is stressful.

Leadership 105

Leadership Resuscitation Teamwork Patient Safety 105