Northwestern EM Blog

JULY 15, 2024

Esposito, MD Assistant Professor, Medicine (Pulmonary and Critical Care) Northwestern Memorial Hospital How To Cite This Post: [Peer-Reviewed, Web Publication] Edmonson, H. Initial Resuscitation in ARDS [NUEM Blog. 2024, Jul 15). Expert Commentary by Esposito, AJ. Retrieved from [link] Other Posts You May Enjoy

Resuscitation 98

Resuscitation Burns Emergency Department Sepsis 98

St. Emlyn

NOVEMBER 22, 2024

St.Emlyn's - Emergency Medicine #FOAMed This retrospective study explores the link between intra-arrest arterial blood pressure (IBP) and return of spontaneous circulation (ROSC) in out-of-hospital cardiac arrest (OHCA). While promising, further research is needed to validate its integration into standard prehospital care practices.

Hospitals 114

Hospitals CPR Resuscitation Research 114

Emergency Live

FEBRUARY 13, 2024

And forty years of news events seen from the unique perspective of a physician-resuscitator always on the front lines A prologue… Papal January 1985. The news is official: in October Pope Wojtyla will be in Cagliari.

Hospitals 97

Hospitals Resuscitation 97

The Trauma Pro

MAY 17, 2024

Early in a resuscitation, we focus on identifying potential sources. This is a major reason for the relative lack of availability, especially at smaller hospitals. Uncontrolled bleeding is the bane of trauma professionals everywhere. We’ve developed numerous techniques for plugging them up.

Resuscitation 263

Resuscitation Research Hospitals 263

Dr. Smith's ECG Blog

JULY 25, 2024

For clarity in Figure-1 — I've reproduced today's ECG — obtained following successful resuscitation of out-of-hospital cardiac arrest. == MY Comment , by K EN G RAUER, MD ( 7/5 /2024 ): == Clinical ECG interpretation is a 2-Step process. Figure-1: The initial ECG in today's case. —

Resuscitation 119

Resuscitation EKG/ECG CPR Shock 119

The Trauma Pro

NOVEMBER 17, 2023

If not, it may be time to terminate resuscitation. My previous statements were based on the way that we organize our trauma team and trauma activations at this hospital. At our hospital, we have 8 people clustered immediately around the patient, with half of them being surgery or emergency medicine residents.

Resuscitation 214

Resuscitation Ultrasounds Hospitals Wellness 214

Intensive Blog

MARCH 13, 2024

Everything ECMO 048: History of ECPR evidence and considerations for future research Author: Dr George Walker Peer reviewer: A/Prof Aidan Burrell Introduction The first recorded attempts to resuscitate patients were as early as 1530 where Swiss physician Paracelsus used fireplace bellows to reinflate the lungs of those who had stopped breathing.

CPR 130

CPR Resuscitation Outcomes Hospitals 130

The Trauma Pro

JUNE 30, 2023

The biggest question is, why does your hospital want you to use it? Typically, hospital administrators pressure trauma programs to adopt an eTFS at some point after implementing the hospital-wide use of an electronic health record (EHR). When I started this series nearly 15 years ago, many hospitals still used paper charting.

Hospitals 100

Hospitals Administration Resuscitation Best Practices 100

The Trauma Pro

MARCH 14, 2024

Next week, I’ll describe my system for quantifying the space in your trauma bay and address the equipment layout in your resuscitation room. Trauma resuscitation rooms vary tremendously. Bottom line: Once again, don’t try to figure out everything from scratch if you are designing new resuscitation rooms.

Resuscitation 162

Resuscitation Documentation/Coding Hospitals 162

Emergency Medicine Journal

OCTOBER 26, 2023

Objective Over 300 000 cases of out-of-hospital cardiac arrests (OHCAs) occur each year in the USA and Europe. 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.

Resuscitation 75

Resuscitation Basic Life Support Hospitals CPR 75

The Skeptics' Guide to EM

JANUARY 13, 2024

Association of small adult ventilation bags with return of spontaneous circulation in out of hospital cardiac arrest. Resuscitation 2023. Association of small adult ventilation bags with return of spontaneous circulation in out of hospital cardiac arrest. Resuscitation 2023.

Hospitals 87

Hospitals CPR Resuscitation Airway Management 87

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. Mild Hypercapnia or Normocapnia after Out-of-Hospital Cardiac Arrest. Paper: Eastwood G, et al. N Engl J Med. Epub 2023 Jun 15.

Hospitals 98

Hospitals Resuscitation Outcomes CPR 98

EM Ottawa

APRIL 18, 2024

Join us in our latest Pre-Hospital and Transport Medicine Journal Club, where we take a look at the most recent and relevant literature pertaining to the use of IOs in out-of-hospital cardiac arrest, as well as the impact that pre-hospital intubation has with regards to ROSC success post resuscitative thoracotomy in individuals afflicted by out-of-hospital (..)

Resuscitation 54

Resuscitation Hospitals Wellness 54

Emergency Medicine Journal

OCTOBER 26, 2023

Background Extracorporeal cardiopulmonary resuscitation (ECPR) is a treatment method for refractory out-of-hospital cardiac arrest (OHCA) requiring a complex chain of care. Cases of hypothermic cardiac arrest were excluded. Conclusions Half of the ECPR protocol activations did not lead to ECMO treatment.

Hospitals 75

Hospitals CPR Resuscitation Outcomes 75

Greater Sydney Area HEMS

APRIL 15, 2023

It is a rare but confronting situation where a pre-hospital and retrieval medicine team are presented with a sick newborn. As a pre-hospital and retrieval service, it’s rare for us to even be around in the first few minutes of a baby’s life, but as our colleagues described, not impossible.

Hospitals 85

Hospitals Resuscitation Hyperthermia / Hypothermia Teamwork 85

Dr. Smith's ECG Blog

JULY 14, 2023

A 40-something with persistent Ventricular Fibrillation presented after attempted prehospital resuscitation A 40-something with no previous cardiac history presented to the ED in persistent Ventricular Fibrillation after attempted prehospital resuscitation. Finally, head-up CPR (which was not used here), makes for better resuscitation.

Resuscitation 92

Resuscitation EKG/ECG CPR Outcomes 92

The Skeptics' Guide to EM

SEPTEMBER 21, 2024

Naloxone and Patient Outcomes in Out-of-Hospital Cardiac Arrests in California. On arrival, you find a 35-year-old male, pulseless and apneic with cardio-pulmonary resuscitation (CPR) in progress by a bystander. Clinical Question: Is naloxone administration in undifferentiated OHCA associated with survival to hospital discharge?

Hospitals 95

Hospitals CPR EMS Outcomes 95

The Trauma Pro

FEBRUARY 23, 2024

Unfortunately, they were very conservative, recommending days of bedrest, extended NPO status, very frequent blood draws, and a lengthy hospital stay. Many hospitals, including mine, developed less conservative management routines, noting that children nearly always tolerate liver and spleen injury better than adults.

Pediatrics 199

Pediatrics Hospitals Resuscitation 199

The Trauma Pro

MAY 14, 2024

Resuscitative thoracotomy is a (sometimes) life-saving procedure reserved for trauma patients in extremis. ” One of the most essential components of the resuscitative thoracotomy is rapid access to the chest. It remains a workhorse instrument for us today and is found in most instrument packs for resuscitative thoracotomy.

Resuscitation 162

Resuscitation Operations Hospitals 162

RebelEM

APRIL 29, 2024

Critically ill patients requiring resuscitation often present with many challenges including the ability to secure safe, sterile, fast, and reliable intravenous (IV) access. This can often lead to significant delays in proper resuscitation. Studies reviewed landmark-based CVC compared to IO; using IJ, subclavian, and femoral CVC sites.

Resuscitation 105

Resuscitation Administration Emergency Department Ultrasounds 105

Dr. Smith's ECG Blog

JUNE 27, 2024

Do not disregard the initial 12 lead ECG after out-of-hospital cardiac arrest: It predicts angiographic culprit despite metabolic abnormalities. Resuscitation Plus [Internet] 2020;4:100032.

Resuscitation 99

Resuscitation EKG/ECG Outcomes Hospitals 99

Emergency Medicine Journal

NOVEMBER 21, 2024

Background Because of their young age and lack of known comorbidities, paediatric patients with out-of-hospital cardiac arrest (OHCA) often undergo prolonged cardiopulmonary resuscitation (CPR). We aimed to determine the association between prehospital and in-hospital CPR duration and neurological outcomes.

Hospitals 52

Hospitals Outcomes Resuscitation CPR 52

RebelEM

NOVEMBER 30, 2023

This systematic review and meta-analysis attempts to elucidate whether a more conservative fluid resuscitation approach is warranted in volume sensitive sepsis patients, such as those with congestive heart failure (CHF). Outcomes: Primary Outcome: In-hospital mortality. Am J Emerg Med. 2023;73:34-39. 2.89, p = 0.01.

Sepsis 121

Sepsis Fluid Resuscitation Resuscitation Administration 121

The Trauma Pro

NOVEMBER 1, 2024

Ideally, an MTP is designed with the resources available at the hospital in mind. In my experience, one of the areas with the greatest variability is the person or persons who are actually directing the blood resuscitation, hanging the units, and doing the paperwork. Every trauma center has a massive transfusion protocol (MTP).

Best Practices 113

Best Practices Resuscitation Hospitals 113

RebelEM

MARCH 30, 2023

Background: Previous observational studies published in 2015 (Geri 2015)(Vyas 2015) indicated that early cardiac catheterization in patients with out-of-hospital cardiac arrest (OHCA) might improve mortality and result in more favorable neurological outcomes. Article: How-Berlemont C, Lamhaut L, Diehl J, et al. 1.15; P= 0.32 1.15; P= 0.31

Hospitals 81

Hospitals Outcomes EKG/ECG Resuscitation 81

The Trauma Pro

MARCH 18, 2024

Today, I’ll describe what I found when I brought in my trusty tape measure a few years ago to check out the old trauma bays at Regions Hospital. You’ll have to work out the details using measurements from your own resuscitation room. Tune in to my next post this week on my thoughts on outfitting your resuscitation room.

Resuscitation 113

Resuscitation Hospitals 113

ACEP Now

JULY 7, 2023

Out-of-hospital cardiac arrest is a commonly encountered entity in U.S. emergency departments (EDs), with statistics reporting more than 356,000 out-of-hospital cardiac arrests per year. Resuscitation. Resuscitation. Amiodarone for resuscitation after out-of-hospital cardiac arrest due to ventricular fibrillation.

Resuscitation 98

Resuscitation Shock Stroke Hospitals 98

RebelEM

JUNE 1, 2023

Background: Achieving ROSC in out of hospital cardiac arrest (OHCA) is no easy feat but, care doesn’t end with ROSC. Population: Patients successfully resuscitated from OHCA without a clear diagnosis on presentation who were stable for CT. Excluded: Obvious cause for OHCA prior to SDCT or on hospital arrival.

Outcomes 145

Outcomes Resuscitation Hospitals CPR 145

University of Maryland Department of Emergency Med

AUGUST 7, 2023

Targeted Therapeutic Mild Hypercapnia after Resuscitated Cardiac Arrest (TAME) Current guidelines recommend normocapnia for out-of-hospital card. Click to view the rest

Hospitals 57

Hospitals Resuscitation 57

The Skeptics' Guide to EM

NOVEMBER 30, 2024

The Paramedic 3 Trial: A randomized clinical trial of drug route in out-of-hospital cardiac arrest. Case: You’re doing a ride along with your local emergency medical service (EMS) crews and responding to an out-of-hospital cardiac arrest (OHCA). Date: November 10, 2024 Reference: Couper et al.

Administration 86

Administration CPR Airway Management Outcomes 86

The Bottom Line

JUNE 19, 2023

In patients resuscitated from out-of-hospital cardiac arrest (OOHCA) does targeted mild hypercapnia compared to targeted normocapnia improve 6-month neurological outcomes?

Resuscitation 98

Resuscitation Outcomes Hospitals 98

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

Resuscitation Outcomes CPR Hospitals 131

Emergency Medicine Journal

JULY 24, 2023

Background Improving out-of-hospital cardiac arrest (OHCA) prognosis within the working-age population is important, but no studies have investigated the effects of COVID-19 pandemic specifically on the working-age population with OHCAs. to 1.15)) and multiple calls to determine a destination hospital (16.4%

Resuscitation 52

Resuscitation Outcomes CPR Hospitals 52

The Trauma Pro

OCTOBER 6, 2023

At the time, there was a debate about whether the procedure should be done immediately versus waiting until the patient was well-resuscitated. This was a big procedure, with the possibility of several major complications, with postop paraplegia being one of them. The concern was that death was nearly certain if the aortic lesion progressed.

Head Injuries 147

Head Injuries Research Hospitals Resuscitation 147

RebelEM

MAY 29, 2023

Judicious fluid resuscitation is indicated in patients with signs of hypo perfusion but is often inadequate necessitating the administration of vasoactive medications. It also reduced length of stay in ICU and hospital without adverse effects. septic shock). NaCl over 6hrs once daily x3 doses Placebo: 500mL of 0.9% 95% CI 15.4

Shock 145

Shock Fluid Resuscitation Sepsis Resuscitation 145

St. Emlyn

JUNE 23, 2024

Out-of-hospital cardiac arrest (OHCA) is a leading cause of morbidity and mortality globally, with a survival rate of less than 10% despite […] The post JC: The impact of double sequential external defibrillation timing on outcomes during refractory out-of-hospital cardiac arrest appeared first on St.Emlyn's.

Outcomes 76

Outcomes Hospitals Resuscitation 76

Emergency Medicine Journal

SEPTEMBER 27, 2023

In our tertiary medical centre in Northern Taiwan, we collected data on approximately 600 out-of-hospital cardiac arrest (OHCA) incidents transferred to our hospital that occurred in public areas of New Taipei City, using the onset of the major local COVID-19 outbreak in 2021 as the demarcation point between pre-pandemic.

Resuscitation 40

Resuscitation Hospitals CPR Research 40