PTM Journal Club: Blood Product and ACE-CPR use Prehospital
EM Ottawa
APRIL 18, 2024
In this Prehospital Journal Club Recap, let us take a deep dive into the use of blood products, as well as the adjunct use of automated controlled elevation in CPR.
CPR Resuscitation Shock 
Resuscitated from ventricular fibrillation. Should the cath lab be activated?
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.
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How to Perform CPR Guide
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.
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AED vs CPR: Which is More Effective in Saving Lives?
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?
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A man in his 50s with unwitnessed VF arrest, defibrillated to ROSC, and no STEMI criteria on post ROSC ECG. Should he get emergent angiogram?
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.
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Man suffers cardiac arrest – Saved by fellow cyclists performing CPR
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. The post Man suffers cardiac arrest – Saved by fellow cyclists performing CPR appeared first on AEDs for Sale | Buy Defibrillators and Accessories.
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Man suffers cardiac arrest – Saved by fellow cyclists performing CPR
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. The post Man suffers cardiac arrest – Saved by fellow cyclists performing CPR appeared first on AEDs for Sale | Buy Defibrillators and Accessories.
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Behind the Technology: How Lifepak AED Defibrillators Save Lives
AED Leader
APRIL 22, 2024
The Role of AEDs in Sudden Cardiac Arrest AEDs are portable electronic devices designed to deliver an electric shock to the heart and restore its rhythm during SCA. AEDs analyze the heart’s rhythm and determine whether a shock is needed. Quick Shock Technology Time is of the essence in a sudden cardiac arrest situation.
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5 Features of Philips Defibrillators You Need to Know About
AED Leader
JUNE 11, 2024
Philips defibrillators come with clear visual and audio prompts that guide users through each step of the resuscitation process. Smart CPR Feedback and Real-Time Monitoring Adequate cardiopulmonary resuscitation (CPR) is crucial for increasing the chances of survival during a cardiac arrest.
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Systemic Steroids: An ED Focused Overview
EMDocs
OCTOBER 9, 2023
1 Though hydrocortisone is often included in ‘crash carts,’ the most recent consensus on cardiopulmonary resuscitation (CPR) has a weak recommendation against the use of corticosteroids during CPR. 6 However, due to the vasoconstrictive effects, hydrocortisone may be useful in refractory shock. 2015;116(6):960-975.
Episode 51 - Nonoperative Management of Traumatic Hemorrhagic Shock in the Emergency Department
EB Medicine
NOVEMBER 17, 2020
Write us at emplify@ebmedicine.net. Write us at emplify@ebmedicine.net.
2023 AHA Update on Management Cardiac Arrest or Life-Threatening Toxicity Due to Poisoning
EMDocs
NOVEMBER 6, 2023
Use of 20% intravenous lipid emulsion can be efficacious in the resuscitation of life-threatening local anesthetic toxicity, especially from bupivacaine. Venoarterial extracorporeal membrane oxygenation can be lifesaving for patients with cardiogenic shock or dysrhythmias that are refractory to other treatment measure s.
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How the Heart Start AED Can Save Lives in Emergency Situations
AED Leader
JUNE 27, 2024
Its user-friendly interface and clear voice prompts guide the rescuer through each step, from applying the pads to delivering a shock if necessary. Its intelligent algorithms analyze the heart’s rhythm and determine if a shock is needed. One of the standout features of the Heart Start AED is its Quick Shock capability.
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2023 AHA Update on ACLS
EMDocs
JANUARY 8, 2024
Emergent coronary angiography is not recommended over a delayed or selective strategy in patients with ROSC after cardiac arrest in the absence of ST-segment elevation, shock, electrical instability, signs of significant myocardial damage, and ongoing ischemia (Level 3: no benefit). o C recommended (Level 1: strong). COR 2b, LOE B-R.
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Top 10 Reasons to Choose the Philips HeartStart OnSite AED M5066A
AED Leader
JULY 5, 2024
It features a clear and intuitive interface that guides users through the resuscitation process with step-by-step voice prompts and visual instructions. The HeartStart OnSite AED boasts a quick start-up time and delivers a shock within eight seconds if it detects a shockable rhythm.
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Therapeutics: Pacing Through Skin and Vein
Taming the SRU
JUNE 24, 2024
Follow this algorithm in patients with unstable bradycardia with acute heart failure, change in mental status, or concern for shock, physicians should start with atropine, 1 mg and may be continued every 3 to 5 minutes if effective. Resuscitation , Volume 181,2022,Pages 140-146,ISSN 0300-9572, [link] Scott Weingart, MD FCCM.
5 Key Features of the HeartSine Samaritan PAD 350P That Save Lives
AED Leader
JUNE 13, 2024
Intelligent CPR Guidance One of the standout features of the HeartSine Samaritan PAD 350P is its intuitive and intelligent CPR guidance system. The device provides real-time feedback on the quality and rate of CPR compressions, ensuring that rescuers administer effective chest compressions.
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Invest in Peace of Mind: The Advantages of Owning a Heartsine Samaritan Pad 350P
AED Leader
JULY 10, 2024
AEDs are portable devices that can be used to deliver an electric shock to the heart in the event of sudden cardiac arrest (SCA), potentially saving a person’s life. CPR Feedback and Guidance Performing adequate cardiopulmonary resuscitation (CPR) is crucial in increasing the chances of survival for a person experiencing SCA.
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Key moments to recognize when not to use a defibrillator safely
AED Leader
SEPTEMBER 23, 2024
Avoid using it on someone with a Do Not Resuscitate (DNR) order. For infants under one year, do CPR instead of using an AED. Understanding AEDs: when to use them When someone is unresponsive and not breathing or when no pulse is detected, that’s when AEDs come into play during CPR. Do not place pads over them.
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SGEM#340: Andale, Andale Get An IO, IO for Adult OHCA?
The Skeptics' Guide to EM
AUGUST 14, 2021
Survival After Intravenous Versus Intraosseous Amiodarone, Lidocaine, or Placebo in Out-of-Hospital Shock-Refractory Cardiac Arrest. Survival After Intravenous Versus Intraosseous Amiodarone, Lidocaine, or Placebo in Out-of-Hospital Shock-Refractory Cardiac Arrest. Date: August 12th, 2021 Reference: Daya et al.
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Comparing the Best AED Brands: Which Defibrillator Should You Buy?
AED Leader
JULY 10, 2024
The Powerheart G5 is a user-friendly AED that provides real-time CPR feedback and can be used for adult and pediatric patients. It provides detailed cardiac information to medical professionals during resuscitation. The Samaritan PAD 450P is the first AED to offer integrated CPR feedback and defibrillation technology.
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1 hour of CPR, then ECMO circulation, then successful defibrillation.
Dr. Smith's ECG Blog
MAY 19, 2020
ECMO Flow was achieved after approximately 1 hour of high quality CPR. In this case, profound shock for 1 hour would result in the same degree of infarction. The Type 2 MI would then have been a result of the prolonged severe shock while in arrest. After good ECMO flow was established, she was successfully defibrillated.
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Episode 28: LOST
PHEM Cast
APRIL 16, 2018
It might be better to consider traumatic cardiac arrest as a completely different disease eg LOST: Low Output State due to Trauma The 2015 European Resuscitation Council and UK Resuscitation Council Algorithms for Traumatic Cardiac Arrest: To read the whole ERC guideline on special circumstances cardiac arrest including trauma, click here.
SGEM#394: Say Bye Bye Bicarb for Pediatric In-Hospital Cardiac Arrest
The Skeptics' Guide to EM
FEBRUARY 25, 2023
Sodium bicarbonate use during pediatric cardiopulmonary resuscitation: a secondary analysis of the icu-resuscitation project trial. Sodium bicarbonate use during pediatric cardiopulmonary resuscitation: a secondary analysis of the icu-resuscitation project trial. Reference: Cashen K, Reeder RW, Ahmed T, et al.
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SGEM#314: OHCA – Should you Take ‘em on the Run Baby if you Don’t get ROSC?
The Skeptics' Guide to EM
JANUARY 9, 2021
Association of Intra-arrest Transport vs Continued On-Scene Resuscitation With Survival to Hospital Discharge Among Patients With Out-of-Hospital Cardiac Arrest. Association of Intra-arrest Transport vs Continued On-Scene Resuscitation With Survival to Hospital Discharge Among Patients With Out-of-Hospital Cardiac Arrest.
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Neonatal Resus for the Pre-Hospital Non-Neonatologist
Greater Sydney Area HEMS
APRIL 15, 2023
At one of our recent education days we heard Dr Mark Russell and Dr Mark Newcombe deliver excellent presentations of cases which they had been involved in, involving resuscitative hysterotomy and neonatal resuscitation respectively. Resuscitate in air first, and use higher inflation pressures than you would with adults.
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The importance of AED placement and Stryker’s guide to optimizing accessibility
AED Leader
DECEMBER 2, 2024
Furthermore, regular maintenance and training in cardiopulmonary resuscitation (CPR) techniques significantly enhance the potential effectiveness of AEDs in emergencies. Defibrillation: Once a dangerous rhythm is detected, the AED delivers a controlled electric shock to help restore normal heart rhythm.
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Essential Features to Look for When Choosing an AED for Schools
AED Leader
MAY 27, 2024
Look for AEDs with clear visual and audio prompts that guide the user through resuscitation. Additionally, consider devices that offer CPR feedback, providing real-time instructions on the correct compression depth and rate. The device’s shock delivery is designed to analyze the heart rhythm and deliver a shock only if necessary.
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Why Choose Philips HeartSaver AED? 7 Reasons It’s a Lifesaver
AED Leader
JUNE 2, 2024
With innovative technology and intelligent algorithms, this AED delivers high-quality, accurate shocks to restore normal heart rhythm. Clear visual and audio prompts guide the user through each step of the resuscitation process, ensuring that anyone can confidently use the AED in an emergency.
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SGEM#238: The Epi Don’t Work for OHCA
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). He is unsuccessfully shocked. published in Resuscitation 2011. A cardiac defibrillator is hooked up and the patient is in ventricular fibrillation.
Severe shock, obtunded, and a diagnostic prehospital ECG. Also: How did this happen?
Dr. Smith's ECG Blog
NOVEMBER 30, 2019
She was in shock with thready pulses. The rate is not fast enough to be causing shock, so if it is VT, the priority is still to treat hyperK and secondarily to cardiovert. They thought it was VT, but did not shock. On arrival, the patient was in shock, was intubated, and had an immediate cardiac ultrasound.
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REBEL Cast Ep113: Defibrillation Strategies for Refractory Ventricular Fibrillation
RebelEM
DECEMBER 19, 2022
This procedure involves applying another set of pads attached to a second defibrillator to a patient and shocking them in hopes of terminating the rhythm. Background Information: Double external defibrillation (DED) is an intervention often used to treat refractory ventricular fibrillation (RVF).
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What Is the Best Defibrillation Strategy for Refractory Ventricular Fibrillation?
ACEP Now
NOVEMBER 7, 2023
1 Overall, survival is poor following cardiac arrest, and is affected by factors including age, comorbidities, witnessed arrest, early CPR, early defibrillation, and return of spontaneous circulation (ROSC). Improvement of out-of-hospital cardiac arrest survival rate after implementation of the 2010 resuscitation guidelines.
10 Essential Features to Look for When Buying an AED
AED Leader
JUNE 3, 2024
Look for an AED that provides real-time feedback on CPR quality, such as depth and rate of compressions. CPR Feedback and Coaching Performing high-quality CPR is vital in increasing the chances of survival for a cardiac arrest victim. The device’s shock delivery is safe for the mother and the unborn child.
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5 Reasons Why the Defibtech DBP 2003 is the Ultimate Portable Defibrillator for Emergency Response Teams
AED Leader
MAY 8, 2024
It features an advanced biphasic waveform, which delivers a highly effective shock to the patient’s heart. The device features clear and concise visual and audio prompts that guide the user through each step of the resuscitation process. The Defibtech DBP 2003 excels with its intuitive and user-friendly design.
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5 Reasons Why Every Workplace Needs a LifePak AED
AED Leader
JUNE 17, 2024
These devices are designed to analyze the heart rhythm and deliver a potentially life-saving electric shock called defibrillation to restore the heart’s normal rhythm. These devices provide real-time feedback on the quality of CPR, ensuring that users can provide the best possible care until professional medical help arrives.
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AHA/NCS Statement on Critical Care Management of Post ROSC Patients
EMDocs
JANUARY 11, 2024
Data that do not establish neurological risk stratification in the first 6 hours after CA include the patient’s age, duration of CPR, seizure activity, serum lactate level or pH, Glasgow motor subscore in patients who received NMB or sedation, pupillary function in patients who received atropine, and optic nerve sheath diameter (95.3%, 20/21).
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The Benefits of Owning a LifePak 100 Defibrillator for Home or Business Use
AED Leader
JULY 1, 2024
The clear and intuitive interface provides step-by-step instructions, guiding users through the resuscitation process. It features ADAPTIV biphasic waveform technology, which adjusts energy levels based on the patient’s needs, ensuring effective and safe defibrillation shocks.
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Single ventricle defects and the hunt for the best shunt
Don't Forget the Bubbles
JUNE 26, 2023
But, they may present postnatally with cyanosis/hypoxaemia due to insufficient pulmonary blood flow, cardiogenic shock due to insufficient systemic blood flow, or both. The team start CPR, and this is emergently converted to extra-corporeal cardiopulmonary resuscitation via the open sternotomy wound.
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The Science on Targeted Temperature Management
ACEP Now
APRIL 3, 2024
Targeted temperature management (TTM) for patients following cardiac arrest resuscitation has gone through several dosing iterations in the past two decades. Targeted temperature management (TTM) for patients following cardiac arrest resuscitation has gone through several dosing iterations in the past two decades. degrees Celsius.
A man in his 70s with chest pain
Dr. Smith's ECG Blog
NOVEMBER 23, 2022
He underwent CPR and then was shocked out of VF. He was in cardiogenic shock requiring an impella for several days after cath. His initial troponin T was 15 ng/L (only two hours since pain onset). About an hour later, he was then found on the floor in cardiac arrest in the ED. No further troponins were measured.
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The Technologically Dependent Child in the ED
Pediatric Emergency Playbook
OCTOBER 1, 2015
He is in compensated shock. The Huber needle is not a resuscitative line. The main thing for us is to suspect it, detect it, control it, and if the child arrests, to do vigorous CPR to mechanically disrupt the bubbles. Obtain proper access to give fluids -- do not rely on the port-a-cath.
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The ECLS-SHOCK Trial: ECPR in Infarct-Related Cardiogenic Shock
RebelEM
SEPTEMBER 14, 2023
Background: Cardiogenic shock develops in up to 10% of patients with acute myocardial infarction (AMI) and carries a 30 day mortality rate around 50%. Extracorporeal Life Support in Infarct-Related Cardiogenic Shock. Many centers have attempted ECLS to achieve hemodynamic stabilization in this group of patients. Control: 53.4%
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