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 
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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.
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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.
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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.
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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 96
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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.
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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.
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.
'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.
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.
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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 (..)
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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%
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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.
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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 ‘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.
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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.
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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.
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.
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Learning about human factors in the emergency department
Don't Forget the Bubbles
MAY 10, 2023
They’re getting CPR. Resuscitation is a team sport. Role stickers or role aprons with names on them are simple measures to highlight resuscitation roles. A study in Denmark in 2021 explored barriers to effective resuscitation in over 900 in-hospital resuscitations across six hospitals in Denmark. Ready your team.
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!
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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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.
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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.
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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#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.
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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.
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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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Electrical injuries
Don't Forget the Bubbles
OCTOBER 7, 2024
The high voltage can cause direct thermal injuries, as well as mechanical injuries from falls or secondary trauma. Prolonged CPR should be considered as outcomes are generally good, even if asystole is the presenting rhythm. Volume resuscitation in patients with high-voltage electrical injuries. Resuscitation. Jimenez, C.
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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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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.
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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?
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Three Ways for Emergency Medicine Docs to Practice Mindfulness
ACEP Now
AUGUST 15, 2023
While there has been ample discussion of “the practice of mindfulness” in health care workers that improves mental well-being, when do we have this time? However, expressing genuine gratitude for yourself and others is powerful for your mental and physical well-being. However, they should not define our wellness.
Why is defibrillation important
AED Leader
SEPTEMBER 21, 2024
Incorporating defibrillation into Cardiopulmonary Resuscitation (CPR) significantly enhances survival rates for victims of sudden cardiac arrest (SCA). First-hand experience reveals that communities with well-placed AED programs see higher resilience during cardiac emergencies.
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Rapid Cycle Deliberate Practice
EM SIM Cases
MARCH 14, 2023
After the program identified a gap in resuscitation training opportunities for their learners, she set up a longitudinal simulation based training curriculum for the learners of the curriculum, based on the objectives of training of the specialty and a needs assessment conducted by the program of relevant stakeholders.
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Why Every School Should Have a Heartsine 350P AED on Hand
AED Leader
APRIL 30, 2024
As a responsible parent or guardian, the safety and well-being of your child are of utmost importance. CPR Coaching and Feedback In addition to delivering a life-saving shock, the Heartsine 350P AED provides real-time CPR coaching and feedback.
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AED training and resources available through Stryker by empowering first responders
AED Leader
DECEMBER 3, 2024
As the landscape of emergency care evolves, ongoing training in CPR and AED usage is crucial. With the help of Stryker’s extensive network and resources, first responders can manage their resuscitation strategies effectively. Regular training empowers first responders with the skills needed for efficient resuscitation strategies.
Hypothermia at 18 Celsius in V Fib arrest: CPR, then ECMO rewarming, for 3 hours, then Defib with ROSC. Interpret the ECG.
Dr. Smith's ECG Blog
FEBRUARY 8, 2022
On arrival, CPR was continued and core temperature was measured at 18° C (64.4° The patient was put on Extracorporeal Life Support in the ED 3 hours after initial resuscitation, the core temp was 30° C and the patient was defibrillated with a single attempt. Rituparna et al — as well as Chauhan and Brahma ( Int.
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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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.
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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.
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.
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Episode 20: End Tidal Carbon Dioxide
PHEM Cast
SEPTEMBER 6, 2017
Qvigstad et al showed in again in Resuscitation in 2013, confirming inter-individual variation in effectiveness of CPR using ETCO2 as a surrogate for CO Trauma Deakin et al. H Spontaneously breathing carbon dioxide waveforms where phase III is not well delineated. I Dual capnogram in one lung transplantation patient.
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Why Every Business Needs an AED: A Lifesaving Investment
AED Leader
APRIL 29, 2024
In today’s fast-paced world, businesses must prioritize their employees’ and customers’ safety and well-being. These devices provide clear and concise voice prompts and visual instructions to guide the user through resuscitation. This can foster a positive work environment and improve employee retention.
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