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 Wellness 
Andrea Scapigliati leads the renewal of the Italian Resuscitation Council
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
105 Join 5,000+
Insiders
Sign Up for our Newsletter
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Trending Sources
SGEM#453: I Can’t Go For That – No, No Narcan for Out-of-Hospital Cardiac Arrests
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
104 
Heads Up! There is No Association with Improved Outcomes for Head Up CPR: Why We Must Read Past the Abstract
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
52 
Case Report: Coronary Vasospasm-Induced Cardiac Arrest
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.
Grand Rounds Recap 9.6.23
Taming the SRU
SEPTEMBER 15, 2023
Limited availability of radiology-performed US services in certain hospitals, especially overnight Can avoid unnecessary anticoagulation in patients Reduce time in ED to disposition In terms of workflow, when there is suspicion for a DVT, you need to first calculate a Wells’ Score for a DVT If low/moderate risk, can start with a D-dimer prior to committing (..)
CPR 90
90 
'Roids to the Rescue?
Taming the SRU
MARCH 27, 2024
Effect of prehospital high-dose glucocorticoid on hemodynamics in patients resuscitated from out-of-hospital cardiac arrest: a sub-study of the STEROHCA trial. In this study, the authors aim to assess the hemodynamic effects of prehospital high-dose glucocorticoid treatment in resuscitated comatose OHCA patients. Hill, J.
Podcast: ECPR
PEMBlog
AUGUST 20, 2024
This episode of PEM Currents discusses ECPR (Extracorporeal Cardiopulmonary Resuscitation), an advanced procedure used in cases of cardiac arrest when traditional CPR fails. Extracorporeal Cardiopulmonary Resuscitation. Starting an extracorporeal cardiopulmonary resuscitation program: success is in the details.
CPR 52
52 
The ‘Hidden C’
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
105 
71: Should We Prioritize VV-ECMO over ECPR?
ED ECMO
FEBRUARY 23, 2021
Make sure to get CPR Certification Cleveland so you can always be prepared in case of any emergency. Zack invited Brian Grunau to discuss these topics as well as a recent ECPR paper out of Norway and study dealing with signs of life during CPR. Resuscitation. Resuscitation. Resuscitation. Resuscitation.
CPR 52
52 
Therapeutics: Pacing Through Skin and Vein
Taming the SRU
JUNE 24, 2024
Conduction Abnormalities AV blocks, which can also be seen in patients with MI, may require pacing as well, due to ischemia affecting the electrical pathways of the heart. Resuscitation , Volume 181,2022,Pages 140-146,ISSN 0300-9572, [link] Scott Weingart, MD FCCM. Bektas, Firat, and Secgin Soyuncu. EMCrit 310 – Transvenous Pacemakers.
HR2023
Thinking Critical Care
MAY 20, 2023
Building on the energy and ethos that Philippe has curated in the Resuscitation side, I’m thrilled to bring a killer set of on-demand lectures and in-person content delivered by a top-notch, multi-disciplinary faculty. The Resuscitative TEE Course , run by none other than Felipe Teran is back again!
The Top 5 Features to Look for in a Cardiac Science AED Defibrillator
AED Leader
JULY 3, 2024
When it comes to ensuring the safety and well-being of your business and its employees, having a reliable automated external defibrillator (AED) is essential. Real-Time CPR Feedback Performing cardiopulmonary resuscitation (CPR) correctly is crucial for the success of a resuscitation attempt.
CPR 52
52 
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.
EMS 52
52 
How the Heart Start AED Can Save Lives in Emergency Situations
AED Leader
JUNE 27, 2024
This rapid response time is crucial in increasing the chances of a successful resuscitation. The Importance of AED Placement and Training While having an AED like the Heart Start is essential, it is equally important to have a well-planned strategy for AED placement within your business or community.
CPR 52
52 
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.
Pediatrics 52
52 
SGEM#329: Will Corticosteroids Help if…I Will Survive a Cardiac Arrest?
The Skeptics' Guide to EM
MAY 8, 2021
He is an EMS medical director with Lexington Fire/EMS as well as the AMR/NASCAR […] The post SGEM#329: Will Corticosteroids Help if…I Will Survive a Cardiac Arrest? Date: May 7th, 2021 Guest Skeptic: Dr. He is an EMS medical director with Lexington Fire/EMS as well as the AMR/NASCAR Safety Team. Reference: Shah and Mitra.
CPR 52
52 
Invest in Peace of Mind: The Advantages of Owning a Heartsine Samaritan Pad 350P
AED Leader
JULY 10, 2024
In today’s fast-paced world, businesses must prioritize their employees’ and customers’ safety and well-being. CPR Feedback and Guidance Performing adequate cardiopulmonary resuscitation (CPR) is crucial in increasing the chances of survival for a person experiencing SCA.
CPR 52
52 
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.
Hospitals 85
85 
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.
CPR 52
52 
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. The American Heart Association and European Resuscitation Council emphasize the importance of early defibrillation.
CPR 52
52 
Gender-focused training improves leadership of female medical students: A randomised trial
SheMD
MAY 11, 2023
This study focused on gender differences in CPR performance and trialed an intervention to impact the leadership behaviors of female medical students. They studied the effect of gender composition of resuscitation teams with all different combinations (female-female; female-male; male-male; male-female). What does this mean?
Leadership 52
52 
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.
Shock 52
52 
Why Choose Philips HeartSaver AED? 7 Reasons It’s a Lifesaver
AED Leader
JUNE 2, 2024
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. The HeartSaver AED also provides real-time feedback on CPR quality, helping users deliver effective chest compressions.
CPR 52
52 
CritCases 12 Accidental Hypothermia and Cardiac Arrest
Emergency Medicine Cases
JANUARY 29, 2019
In this CritCases blog Michael Misch takes us through a case of accidental hypothermia and cardiac arrest, reviewing the controversies in management as well as the guidelines for rewarming, the role of ECMO and the alterations to ACLS cardiac arrest medications, CPR and defibrillations.
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. Because venoarterial extracorporeal membrane oxygenation implementation takes time, the process should be started early in patients who are not responding well to other therapies.
Poisoning 115
115 
5 Reasons Why Every Workplace Needs a LifePak AED
AED Leader
JUNE 17, 2024
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. Conclusion Investing in a LifePak AED is a wise decision for any workplace concerned about the safety and well-being of its employees.
CPR 52
52 
Essential Features to Look for When Choosing an AED for Schools
AED Leader
MAY 27, 2024
This article will discuss the essential features to look for when selecting an AED for schools, ensuring the safety and well-being of students, staff, and visitors. Look for AEDs with clear visual and audio prompts that guide the user through resuscitation. Ease of Use When choosing an AED for schools , ease of use is paramount.
CPR 52
52 
Single ventricle defects and the hunt for the best shunt
Don't Forget the Bubbles
JUNE 26, 2023
Too much pulmonary blood flow and we will see well-oxygenated blood ( SpO2 >85% ) but insufficient systemic blood flow (pallor/mottling, cool peripheries, delayed capillary refill time, weak pulses, hypotension, narrow pulse pressure) and hypoxia (lactic acidosis). This is the most nuanced aspect.
Operations 128
128 
REBEL Cast Ep113: Defibrillation Strategies for Refractory Ventricular Fibrillation
RebelEM
DECEMBER 19, 2022
In fact, 4000 paramedics in total were not only trained in the study protocol but also given a rigorous evaluation of their ability to perform CPR. On the topic of EMS and similar to the pilot study, there was an incredibly high amount of bystander CPR performed. Thus limiting the external validity of this paper’s findings.
EMS 52
52 
Pediatric Drowning
EM SIM Cases
MAY 9, 2023
However, if you find yourself treating a drowning patient in the ED, this case will have you well prepared. The team should begin CPR and follow the PALS pediatric bradycardia algorithm. After one round of CPR, the patient’s heart rate will increase and the consulting team should arrive. Pediatric Drowning Download Hon, K. ,
Pediatrics 52
52 
5 Reasons Why the Defibtech DBP 2003 is the Ultimate Portable Defibrillator for Emergency Response Teams
AED Leader
MAY 8, 2024
The device features clear and concise visual and audio prompts that guide the user through each step of the resuscitation process. AED Leader, the official distributor of Defibtech products, offers comprehensive training programs to ensure that emergency response teams are well-equipped to use the DBP 2003 effectively.
Shock 52
52 
A man in his 70s with chest pain
Dr. Smith's ECG Blog
NOVEMBER 23, 2022
He had history of prior MIs and CABG, as well as diabetes, hypertension, and hyperlipidemia. He underwent CPR and then was shocked out of VF. The pain was still ongoing at arrival. He also noted a bilateral "odd feeling" in his arms. He stated it was similar to prior heart attacks. Posterior OMI: unexplained STD max in V3-V4.
EKG/ECG 52
52 
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).
Seizures 97
97 
Fascinating case of dynamic shark fin morphology - what is going on?
Dr. Smith's ECG Blog
OCTOBER 26, 2020
12 minutes later, the patient went back into VFib arrest and underwent another 15 minutes of resuscitation followed by successful defibrillation and sustained ROSC. In total, he received approximately 40 minutes of CPR and 7 defibrillation attempts. He has been asymptomatic and doing well since.
EKG/ECG 40
40 
CPR Refresher Course
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
52 
TAME Trial: Mild Hypercapnia vs Normocapnia in Out-of-Hospital Cardiac Arrest
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. The malleability of arterial carbon dioxide makes it a potential therapeutic target. N Engl J Med. Epub 2023 Jun 15.
Hospitals 97
97 
The CT FIRST Trial: Should We Pan-CT After ROSC?
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
145 
Hypothermia and drowning
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.
Oxygen Powered Resuscitators
Advanced Emergency Nursing from AENJ
SEPTEMBER 4, 2014
This is the fifth part of our series on "Early Modern Resuscitation." " Part I: Oral Airways, early resuscitation, and recognition of airway care. It was not a practical resuscitative aid until production could be commercially successful (~1895) and made portable in compressed form.
The ECLS-SHOCK Trial: ECPR in Infarct-Related Cardiogenic Shock
RebelEM
SEPTEMBER 14, 2023
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 136
136 
When ROSC feels wrong
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
131 
What is the rhythm?
Dr. Smith's ECG Blog
APRIL 30, 2024
Bystander CPR. He was resuscitated into a perfusing rhythm. I fully acknowledge some speculation — given that we lack precise timing of these serial tracings, as well as not knowing the corresponding serum K+ level at the time each tracing was recorded. Medics found patient in PEA arrest.
EKG/ECG 107
107 
A 50-something with chest pain.
Dr. Smith's ECG Blog
SEPTEMBER 3, 2023
Resuscitative attempts were initiated quickly. 3-vessel disease can make resuscitation very difficult, since CPR does not perfuse diseased vessels as well as one would like. At 47 minutes, when the physician returned, the patient was found to be in ventricular fibrillation with agonal breathing.
EKG/ECG 135
135 
Let's personalize your content