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 
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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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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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
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.
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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The Latest in Critical Care, 1/29/24 (Issue #27)
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).
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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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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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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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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.
Issue #3: The Latest in Critical Care, 6/5/23
PulmCCM
JUNE 5, 2023
Corticosteroids for community-acquired pneumonia have been studied with inconclusive results, and expert guidelines currently advise against their use except in patients with refractory septic shock. Patients with septic shock or influenza were excluded. standards of care. makes me long for an adequately powered randomized trial.
Electrical injuries
Don't Forget the Bubbles
OCTOBER 7, 2024
Was the patient thrown from the source (suggestive of DC shock and may result in further blunt force trauma)? Children, especially toddlers, may insert objects into outlets, leading to shocks or burns. Electrical devices used near water sources can cause severe shocks. Was the voltage high or low (as below)?
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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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Hypothermic Cardiac Arrest: Pearls and Pitfalls
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”).
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 Life-Saving Features of the Philips HeartStart M5066A AED
AED Leader
JUNE 15, 2024
The Philips HeartStart M5066A AED is designed with an intuitive interface that guides even untrained users through the resuscitation process. Its clear and concise voice prompts provide step-by-step instructions, allowing anyone to perform CPR and deliver potentially life-saving shocks confidently.
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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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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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UK-REBOA on Trial: Innovative or Over-Inflated?
RebelEM
NOVEMBER 20, 2023
Early expeditious definitive hemorrhage control is a major focus in trauma resuscitation. Emergency Department Resuscitative Endovascular Balloon Occlusion of the Aorta in Trauma Patients With Exsanguinating Hemorrhage: The UK-REBOA Randomized Clinical Trial [published online ahead of print, 2023 Oct 12]. 2023;e2320850.
Why is defibrillation important
AED Leader
SEPTEMBER 21, 2024
Why is defibrillation important Defibrillation is the process of delivering an electrical shock to a person experiencing life-threatening heart rhythms, like ventricular fibrillation (VF) or pulseless ventricular tachycardia. The defibrillator administers a shock measured in joules to the heart at precisely the right moment.
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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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Decoding the HeartStart M5066A: A Comprehensive Review and Analysis
AED Leader
APRIL 25, 2024
Key Features of the HeartStart M5066A Intuitive Interface : The M5066A features a straightforward and easy-to-use interface, guiding users through each step of the resuscitation process with clear voice prompts and visual indicators. Every second counts in a cardiac emergency; this AED is designed to minimize delays in treatment. Absolutely!
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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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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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Learning about human factors in the emergency department
Don't Forget the Bubbles
MAY 10, 2023
They’re getting CPR. A shocked friend is being ushered out of the way. Resuscitation is a team sport. Role stickers or role aprons with names on them are simple measures to highlight resuscitation roles. This lets the team leader focus on resuscitation. It was the most phenomenal resuscitation.
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.
AED training and resources available through Stryker by empowering first responders
AED Leader
DECEMBER 3, 2024
Automated External Defibrillators (AEDs) are vital devices that deliver shocks to restore normal heart rhythms, making them essential in emergency response situations. As the landscape of emergency care evolves, ongoing training in CPR and AED usage is crucial. Benefits of regular CPR and AED training Enhanced survival rates.
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 93 – PALS Guidelines
Emergency Medicine Cases
MARCH 14, 2017
This is probably mostly due to an emphasis on high-quality CPR and advances in post-resuscitation care; nonetheless the more comfortable, knowledgeable and prepared we are for the always scary critically ill pediatric patient, the more likely we will be able to resuscitate them successfully - which is always a huge save.
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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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Extreme shock and cardiac arrest in COVID patient
Dr. Smith's ECG Blog
NOVEMBER 12, 2020
He underwent CPR, and regained a pulse after epinephrine, with an organized narrow complex rhythm at 140, but still with severe shock. Assessment was severe sudden cardiogenic shock. He remained hypotensive and in shock. Clinically — the patient was felt to be in cardiogenic shock. What is it?
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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 Regular AED Replacement: Ensuring Device Reliability
AED Leader
MAY 30, 2024
AEDs are portable devices that deliver an electric shock to the heart, restoring its rhythm. Regular battery replacement guarantees that the device is always powered and ready to deliver a life-saving shock. This can significantly reduce the chances of successful resuscitation.
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What is an AED defibrillator
AED Leader
AUGUST 22, 2024
By delivering an electric shock to restore normal heart rhythm in cases of ventricular fibrillation or other arrhythmias, AEDs play a vital role in increasing survival rates following sudden cardiac arrests. If it detects such a problem, it delivers an electric shock to restore normal heart function.
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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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