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PTM Journal Club: Blood Product and ACE-CPR use Prehospital

EM Ottawa

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 115
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Cardiac Arrest Protocol for Shorter Pauses in CPR

Ultrasound Gel

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?

CPR 52
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Find Your Ikigai, a Sense of Meaning in Work

ACEP Now

A sense of purpose is an integral part of well-being. Dedication to your community may expand into areas of passion and/or vocation as you create CPR education workshops for your communitys daycares and schools. 9 Furthermore, meaningful work is a cornerstone in the longevity of career academic physicians. Psychosom Med. 2020;9(1):533.

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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

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.

Hospitals 104
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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

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.

CPR 52
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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

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.

EMS 114
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Grand Rounds Recap 9.6.23

Taming the SRU

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