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 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 
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REBEL Cast Ep119: A Discussion with Scott Weingart on the CT FIRST Trial
RebelEM
JUNE 29, 2023
The CT FIRST Trial: Should We Pan-CT After ROSC?, REBEL EM Blog, June 1, 2023.
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Cardiac Arrest Protocol for Shorter Pauses in CPR
Ultrasound Gel
OCTOBER 29, 2018
Well - for better or for worse (we think for the better), there are going to be more and more ultrasound and cardiac arrest articles. The reason is that point of care ultrasound can help so much in this situation, yet - it has also been shown to put people at risk for longer times without CPR. So what do we do? So what do we do?
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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. Your partner asks if you want to administer naloxone as well.
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Texted from a former EM resident: 70 yo with syncope and hypotension, but no chest pain. Make their eyes roll!
Dr. Smith's ECG Blog
SEPTEMBER 11, 2024
Hope you’re doing well! Here is the case: Report from EMS was witnessed syncope, his son did CPR, but the patient had pulses when EMS arrived. You taught us well!" Instead — the "syncopal episode" prompted the patient's son to start CPR, and was associated with persistent hypotension. No Chest Pain, but somnolent.
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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. Head Up (HUP) CPR may be the next critical improvement. Head Up (HUP) CPR may be the next critical improvement. However, human data is sorely lacking.
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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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Hypothermia and drowning
Don't Forget the Bubbles
JUNE 30, 2023
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. Despite good quality CPR, there is no ROSC. Despite good quality CPR, there is no ROSC. Emergency Medical Services found her apneic and pulseless.
Cervical Spine Imaging in Kids – the PECARN rule
Don't Forget the Bubbles
JUNE 19, 2024
Well-designed multicentre large studies in children were warranted; cue Leonard et al. CASP checklist for Clinical Prediction Rule (CPR) studies Is CPR clearly defined? A proportion of participants were missed because the ED provider refused enrollment or said “Other,” but this is not well described.
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The CT FIRST Trial: Should We Pan-CT After ROSC?
RebelEM
JUNE 1, 2023
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. The cost difference may be modest here as many of the patients in the standard care cohort were getting CTs as well.
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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. So, eCPR, extracorporeal cardiopulmonary resuscitation, is an advanced medical procedure used in cases of cardiac arrest where traditional CPR has failed.
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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. Bektas, Firat, and Secgin Soyuncu. The efficacy of transcutaneous cardiac pacing in ED.” The American Journal of Emergency Medicine , vol.
Comparing Zoll and Lifepak: Features, Pricing, and More
AED Leader
MAY 5, 2024
Zoll AEDs Zoll is a well-known brand in the AED industry, offering a range of reliable and innovative defibrillators. Let’s take a closer look at some of the critical features of Zoll AEDs: Zoll AED 3 : The Zoll AED 3 is a compact, user-friendly defibrillator that provides real-time CPR feedback and guidance.
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TAME Trial: Mild Hypercapnia vs Normocapnia in Out-of-Hospital Cardiac Arrest
RebelEM
AUGUST 21, 2023
It’s important to be able to initiate these treatments while also creating the opportunity to investigate possible therapeutic interventions for these patients within the confines of a well designed trial.
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'Roids to the Rescue?
Taming the SRU
MARCH 27, 2024
It has a small sample size and may not be generalizable as it was carried out in Denmark where physicians were present on all transport vehicles and there is a very high portion of the population trained in providing bystander CPR. Hill, J.
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. What strategy gives the most benefit to the most people?
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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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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. The Samaritan PAD 360P is an advanced AED that provides real-time CPR feedback, ensuring the rescuer applies the correct compression depth and rate. Its AEDs are known for their quality and reliability.
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What to Consider When Buying AED Trainers for Sale
AED Leader
JULY 10, 2024
Straightforward and intuitive controls and a well-designed interface will enhance the training experience and ensure that trainees can focus on learning the necessary skills without any confusion or frustration. Q4: Can AED trainers provide feedback on CPR performance? This feedback helps trainees improve their CPR technique.
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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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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.
The Importance of Having the Best AED for Churches: How to Ensure Safety and Be Prepared for Emergencies
AED Leader
MAY 3, 2024
Knowing that a church is well-prepared for emergencies instills confidence in the congregation and the surrounding community. It sends a message that the church values the well-being of its members and visitors. Having the best AED for churches is paramount to ensure the congregation’s and visitors’ safety and well-being.
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Case Report: Coronary Vasospasm-Induced Cardiac Arrest
ACEP Now
DECEMBER 6, 2024
After resuming CPR and administering an additional 400 mcg IV NTG, the patient achieved return of spontaneous circulation with sinus tachycardia. Cardiac arrest secondary to myocardial ischemia from coronary vasospasm is well documented. The mechanisms in methamphetamine users are not well understood.
How the Heart Start AED Can Save Lives in Emergency Situations
AED Leader
JUNE 27, 2024
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. Furthermore, it is crucial to provide basic CPR and AED training to employees and community members.
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What is the rhythm?
Dr. Smith's ECG Blog
APRIL 30, 2024
Bystander CPR. 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. A patient was found down approximately 30 minutes after taking methamphetamine. Medics found patient in PEA arrest.
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Grand Rounds Recap 6.7.23
Taming the SRU
JUNE 14, 2023
She was intubated for airway protection and the decision was made to perform balloon tamponade with placement of a Minnesota Tube. Sudden peak of pre-inspiratory expired CO2 due to sudden airway closure.
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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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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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4 Benefits of WiFi AEDs and Top Recommended Models
AED Leader
JULY 19, 2023
The importance of having an up-to-date, well-maintained system shouldn’t be underestimated. When responding to a cardiac arrest, the advanced technology offered by WiFi-enabled models saves time and resources for individuals as well as large organizations. cprINSIGHT Analysis. cprINSIGHT Analysis. LIFELINKcentral.
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The ECLS-SHOCK Trial: ECPR in Infarct-Related Cardiogenic Shock
RebelEM
SEPTEMBER 14, 2023
Did they get bystander CPR? Control: 53.4% D ECLS: 18.2% Control 8.7% Control 38.0% Majority of patients had PCI performed (96.6%) Impella CP was most common mechanical circulatory support in patients without ECLS (85.7%) Death From Any Cause at 30d ECLS: 47.8% Control: 49.0% RR 0.98; 95% CI 0.80 to 1.19; p = 0.81 Control: 9.6% Control 3.8%
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When ROSC feels wrong
Don't Forget the Bubbles
DECEMBER 18, 2023
We might consider how long the child has been in cardiac arrest – the longer the time, particularly if there was any time without CPR, the less likely they are to regain circulation. The team must know they did their job well and that they’ve given the family precious time with their child, even if the outcome will still be bad.
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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. ,
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A 50-something with chest pain.
Dr. Smith's ECG Blog
SEPTEMBER 3, 2023
3-vessel disease can make resuscitation very difficult, since CPR does not perfuse diseased vessels as well as one would like. But as it was, the delay to defibrillation was not long and it may be that nothing could have saved him. The patient's baseline ECG from 2 years prior was found later.
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STREAM-2: Half-Dose Tenecteplase vs Primary PCI in Older Patients with STEMI?
RebelEM
SEPTEMBER 28, 2023
Primary PCI: 95.7% Stents Placed: Pharmaco-Invasive Treatment: 97.4% Primary PCI: 95.7% ECG Results: Repeat ECG 90min after tenecteplase indicated 70.3% of patients in the pharmaco-invasive treatment achieved ≥50% resolution in the lead with the greatest ST-segment elevation Median decline from 3.0 Primary PCI: 78.4% Primary PCI: 13.3%
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Are you compliant? New California law requires AEDs in high-occupancy buildings
AED Leader
NOVEMBER 25, 2024
When paired with CPR, AEDs can triple a victim’s chances of survival. Staff members should be equipped with the skills to use AEDs effectively, as well as perform CPR when necessary. Check out our CPR and AED Training Programs for more information. Their simplicity and effectiveness make them invaluable in emergencies.
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Church Safety: The Best AEDs to Keep Your Congregation Protected
AED Leader
JULY 9, 2024
As a place of worship, ensuring the safety and well-being of your congregation is of utmost importance. Equipped with advanced features such as dual-language functionality and CPR feedback, it ensures that rescuers can confidently perform life-saving measures. Despite its small size, it doesn’t compromise on performance.
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Why Choose Philips HeartSaver AED? 7 Reasons It’s a Lifesaver
AED Leader
JUNE 2, 2024
The HeartSaver AED also provides real-time feedback on CPR quality, helping users deliver effective chest compressions. Philips offers training programs and resources to educate users on proper use of AED and CPR techniques. By choosing the HeartSaver AED, you commit to the safety and well-being of those around you.
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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.
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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
JAMA 2020 Guest Skeptic: Mike Carter is a former paramedic and current PA practicing in pulmonary and critical care as well as an adjunct professor of emergency medical services […] The post SGEM#314: OHCA – Should you Take ‘em on the Run Baby if you Don’t get ROSC? CPR is currently in progress with a single shock having been delivered.
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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. Transcripts were coded to sort data into “leadership occurrences” or “unrelated to leadership” as well as critical treatment decisions. Why do we care about this article?
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SGEM#394: Say Bye Bye Bicarb for Pediatric In-Hospital Cardiac Arrest
The Skeptics' Guide to EM
FEBRUARY 25, 2023
Your team begins high quality cardiopulmonary resuscitation (CPR). Apart from high-quality CPR and early defibrillation, many other interventions we try lack a strong evidence base. Sodium bicarbonate has historically been used during CPR with the goal of alkalizing blood pH and treating metabolic acidosis.
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HR2023
Thinking Critical Care
MAY 20, 2023
So you get a bunch (about 50) lectures to watch prior to the conference, then during the in-person part, you get some live lectures followed by group discussions around those topics, as well as hands-on workshops. If you’re not personalizing your CPR, here’s the place to learn!
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° Rituparna et al — as well as Chauhan and Brahma ( Int. A middle-aged man was found outside in the cold in full arrest in ventricular fibrillation. Chest compressions and ventilation were begun.
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