The Skeptics' Guide to EM

JULY 22, 2023

Date: July 21, 2023 Reference: Prekker et al. Date: July 21, 2023 Reference: Prekker et al. We should focus more on high-quality CPR and early defibrillation for shockable rhythms and less on type of supraglottic airway device. Video versus Direct Laryngoscopy for Tracheal Intubation of Critically Ill Adults.

Emergency Medical Services 245

Emergency Medical Services Defibrillator CPR EMS 245

The Skeptics' Guide to EM

SEPTEMBER 23, 2017

[display_podcast] Date: September 19th, 2017 Reference: Cournoyer et al. display_podcast] Date: September 19th, 2017 Reference: Cournoyer et al. Bystander high-quality CPR can buy you some time until defibrillation. JAMA 2009 * Jacobs et al. Resuscitation 2011 * Hagihara et al. Academic Emergency Medicine.

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CPR Life Support Advanced Life Support Defibrillator 130

The Skeptics' Guide to EM

OCTOBER 24, 2020

Reference: Derkenne et al. Reference: Derkenne et al. You abandon your coffee order and quickly head next-door, where you are able to start cardiopulmonary resuscitation (CPR) and direct a bystander to find the store’s automated external defibrillator (AED) while waiting for emergency medical services (EMS) to arrive.

CPR 130

CPR Defibrillator Advanced Life Support Emergency Medical Services 130

The Skeptics' Guide to EM

FEBRUARY 11, 2023

Date: February 7, 2023 Reference: Cheskes et al. Date: February 7, 2023 Reference: Cheskes et al. He confirms pulselessness, initiates CPR, gets a colleague to call 911, and intubates the patient on the floor. Reference: Cheskes et al. Defibrillation Strategies for Refractory Ventricular Fibrillation.

Defibrillator 142

Defibrillator Medical Transportation OR CPR 142

The Skeptics' Guide to EM

MARCH 11, 2023

Date: March 8, 2023 Reference: Smida et al. Date: March 8, 2023 Reference: Smida et al. A fire company is on scene providing high-quality cardiopulmonary resuscitation (CPR) and has defibrillated twice with an automated external defibrillator (AED). Reference: Smida et al.

CPR 130

CPR Defibrillator BLS Paramedic 130

The Skeptics' Guide to EM

MARCH 2, 2019

Date: February 26th, 2019 Reference: Benger et al. Date: February 26th, 2019 Reference: Benger et al. It required multiple attempts which caused several prolonged interruptions in CPR. Key to survival is high-quality CPR and early defibrillation. Effect of a Strategy of a Supraglottic Airway Device
vs.

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CPR Firefighter Paramedic Epinephrine 130

The Skeptics' Guide to EM

DECEMBER 7, 2018

Date: December 6th , 2018 Reference: Perkins et al. Date: December 6th , 2018 Reference: Perkins et al. You are the first provider on scene with Emergency Medical Services (EMS) and start high-quality Cardiopulmonary Resuscitation (CPR). JAMA 2009, Hagihara et al. JAMA 2012 and Cournoyer et al.

Epinephrine 130

Epinephrine Life Support Advanced Life Support Defibrillator 130

The Skeptics' Guide to EM

MAY 20, 2023

Date: May 10, 2023 Reference: Harhay MO, et al. Date: May 10, 2023 Reference: Harhay MO, et al. They started cardiopulmonary resuscitation (CPR) until EMS arrived. Upon arrival at the ED, your team promptly begins high quality CPR and manages to obtain return of spontaneous circulation. Reference: Harhay MO, et al.

CPR 130

CPR ALS Emergency Department EMS 130

The Skeptics' Guide to EM

AUGUST 14, 2021

Date: August 12th, 2021 Reference: Daya et al. Date: August 12th, 2021 Reference: Daya et al. They performed high-quality CPR and shocked the patient twice before giving amiodarone via intraosseous (IO). This was a critical appraisal of an observational study published in Annals of EM ( Kawano et al 2018 ).

BLS 130

BLS CPR Paramedic ALS 130

REBEL EM

JUNE 29, 2023

Available at: HERE Branch KHR et al. The CT FIRST Trial: Should We Pan-CT After ROSC?, REBEL EM Blog, June 1, 2023. Diagnostic yield, safety, and outcomes of Head-to-pelvis sudden death CT imaging in post arrest care: The CT FIRST cohort study.

CPR 145

CPR ICU EMS ALS 145

ECG Medical Training

DECEMBER 4, 2016

Cardiac Care Show – Episode #1: Mechanical CPR Hello, and welcome to the Cardiac Care Show. In today’s episode I’d like to talk about mechanical CPR, which is a frequent topic of conversation in the Resuscitation group on Facebook and the #FOAMed community on Twitter. So, mechanical CPR is a no-brainer, right?

CPR 52

CPR E-9-1-1 Defibrillator Ambulance 52

The Skeptics' Guide to EM

DECEMBER 25, 2021

” Reference: Vallentin et al. Bystander CPR is being performed. The paramedics performed high-quality CPR and follow their ACLS protocol. CPR is continued while a supraglottic airway is placed successfully. Reference: Vallentin et al. The monitor is hooked up. However, the point estimated did favor calcium.

Epinephrine 130

Epinephrine CPR ALS Emergency Department 130

The Skeptics' Guide to EM

FEBRUARY 25, 2023

Reference: Cashen K, Reeder RW, Ahmed T, et al. Reference: Cashen K, Reeder RW, Ahmed T, et al. 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. Pediatric Crit Care Med.

CPR 130

CPR ICU Critical Care Epinephrine 130

The Skeptics' Guide to EM

JANUARY 9, 2021

Date: January 5th, 2021 Reference: Grunau et al. Date: January 5th, 2021 Reference: Grunau et al. CPR is currently in progress with a single shock having been delivered. Reference: Grunau et al. first appeared on The Skeptics Guide to Emergency Medicine. Different countries have different approaches to this problem.

EMS 130

EMS Emergency Medical Services CPR Critical Care 130

The Skeptics' Guide to EM

SEPTEMBER 29, 2018

[display_podcast] Date: September 21st, 2018 Reference: Kawano et al. display_podcast] Date: September 21st, 2018 Reference: Kawano et al. Bystander CPR is initiated prior to EMS arrival. Intraosseous Vascular Access Is Associated With Lower Survival and Neurologic Recovery Among Patients With Out-of-Hospital Cardiac Arrest.

BLS 130

BLS Defibrillator Critical Care CPR 130

The Skeptics' Guide to EM

JUNE 24, 2017

[display_podcast] Date: June 20th, 2017 Reference: Bernard et al. display_podcast] Date: June 20th, 2017 Reference: Bernard et al. By-standard CPR is started and EMS is called. The Cochrane Collaboration updated their review on hypothermia for neuroprotection in adults after CPR in 2012. Reference: Bernard et al.

CPR 100

CPR Epinephrine ALS Paramedic 100

Paramedics Unlimited

APRIL 19, 2018

What is the difference between ALS and BLS Medical Care? And it becomes impossible to treat multi-system injuries, such as doing chest compression (CPR) while trying to open an airway or control bleeding. In Advanced Life support (ALS) emergencies, a “single” paramedic or ER doctor can not deliver necessary care.

BLS 52

BLS ALS Emergency Medical Technician Advanced Life Support 52

The Skeptics' Guide to EM

JUNE 4, 2017

[display_podcast] Date: June 3rd, 2017 Reference: Sierink et al. display_podcast] Date: June 3rd, 2017 Reference: Sierink et al. Huber-Wagner et al ( Lancet 2009 ) showed a mortality reduction in a retrospective database study of patients who have had a pan scan. Reference: Sierink et al. Lancet August 2016.

OR 130

OR ALS CPR ICU 130

The Skeptics' Guide to EM

SEPTEMBER 11, 2021

Date: September 8th, 2021 Reference: Desch et al. Date: September 8th, 2021 Reference: Desch et al. The paramedics achieve return of spontaneous circulation (ROSC) after CPR, advanced cardiac life support (ALCS), and Intubation. The TOMAHAWK Investigators. first appeared on The Skeptics Guide to Emergency Medicine.

EMR 130

EMR Coronary Defibrillator Life Support 130

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. Mazur P, Kosinski S, Podsiadlo P, et al.: Meert et al.

CPR 145

CPR Life Support Critical Care ALS 145

REBEL EM

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. Article: Moore JC et al.

CPR 52

CPR Defibrillator EMS Epinephrine 52

The Skeptics' Guide to EM

DECEMBER 2, 2017

[display_podcast] Date: November 24th, 2017 Reference: Andersen et al. display_podcast] Date: November 24th, 2017 Reference: Andersen et al. SGEM#64 : Classic EM Papers (OPALS Study) * SGEM#136 : CPR – Man or Machine? Reference: Andersen et al.

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CPR Defibrillator ALS Emergency Response 100

The Skeptics' Guide to EM

DECEMBER 7, 2019

Date: October 2nd, 2019 Reference: Ramgopal et al. Date: October 2nd, 2019 Reference: Ramgopal et al. Changes in the Management of Children With Brief Resolved Unexplained Events (BRUEs). Pediatrics 2019 Guest Skeptic: Dr. Katie Noorbakhsh is a pediatric emergency physician at the Children’s Hospital of Pittsburgh.

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CPR ALS OR 130

Dr. Smith's ECG Blog

SEPTEMBER 11, 2024

Here is the case: Report from EMS was witnessed syncope, his son did CPR, but the patient had pulses when EMS arrived. The fact that this is syncope makes give it a far lower pretest probability than chest pain, but it was really more than syncope, as the patient actually underwent CPR and had hypotension on arrival of EMS.

EMS 114

EMS CPR ED Coronary 114

The Skeptics' Guide to EM

FEBRUARY 3, 2023

Date: February 1, 2023 Reference: Wolfrum et al. Date: February 1, 2023 Reference: Wolfrum et al. The nurses started CPR immediately and place pads before you even arrived. Temperature Control After In-Hospital Cardiac Arrest: A Randomized Clinical Trial. Circulation. first appeared on The Skeptics Guide to Emergency Medicine.

CPR 130

CPR Critical Care STEMI ALS 130

The Skeptics' Guide to EM

NOVEMBER 16, 2019

Date: November 6th, 2019 Reference: Lascarrou et al. Date: November 6th, 2019 Reference: Lascarrou et al. She had a witnessed arrest, and CPR was initiated by bystanders. Reference: Lascarrou et al. Targeted Temperature Management for Cardiac Arrest with Nonshockable Rhythm.

CPR 100

CPR ALS ICU EMS 100

EMDocs

OCTOBER 9, 2023

1 Though hydrocortisone is often included in ‘crash carts,’ the most recent consensus on cardiopulmonary resuscitation (CPR) has a weak recommendation against the use of corticosteroids during CPR. References 1) Liu D, Ahmet A, Ward L, et al. 6) Wyckoff MH, Greif R, Morley PT, et al. Allergy Asthma Clin Immunol.

ED 109

ED Life Support Advanced Life Support CPR 109

EMDocs

JANUARY 16, 2024

10 The score predicts the probability of survival to hospital discharge using a number of factors including CPR duration, serum potassium, core temperature, age, and suspected mechanism of hypothermia. 2,11 There are cases of patients recovering after hours of time without a pulse with good CPR. Carsten L, et al. 2009;338:b2085.

Defibrillator 110

Defibrillator CPR Epinephrine Life Support 110

REBEL EM

JUNE 1, 2023

Article: Branch KHR et al. Bystander CPR, a known predictor of good outcomes, was more common in the SDCT cohort than in the standard care cohort. References: Branch KHR et al. In theory, rapid identification of the underlying cause should improve outcomes by allowing clinicians to tailor management. Resus 2023. Resus 2023.

Coronary 145

Coronary Defibrillator CPR ALS 145

The Skeptics' Guide to EM

NOVEMBER 13, 2021

Date: November 10th, 2021 Reference: Andersen, et al: Effect of Vasopressin and Methylprednisolone vs Placebo on Return of Spontaneous Circulation in Patients With In-Hospital Cardiac Arrest. Cardiopulmonary resuscitation (CPR) is in progress. JAMA Sept 2021. JAMA Sept 2021. The monitor shows a non-shockable rhythm.

Epinephrine 100

Epinephrine Critical Care Life Support Emergency Department 100

ACEP Now

NOVEMBER 7, 2024

Background From its founding in 1881 to today, the American Red Cross has taught tens of millions of Americans first aid and other lifesaving skills, including CPR. It also offers a comprehensive “CPR for the Professional Rescuer” course. In 2015, it introduced Basic Life Support (BLS) training and certification for EMS personnel.

Life Support 74

Life Support BLS Advanced Life Support CPR 74

REBEL EM

JANUARY 29, 2024

Click here for Direct Download of the Podcast Paper: Aykan AC et al. References: Jaff MR et al. PMID: 21422387 Wan S et al. PMID: 15262836 Sharifi M et al. PMID: 27422214 Wang C et al. PMID: 19741062 Kucher N et al. PMID: 24226805 Piazza G et al. PMID: 26315743 Tapson VF et al. CHEST 2010.

ALS 136

ALS ACS OR CPR 136

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? Limited evidence supported the diagnostic accuracy of the CDRs, especially in children under 8 years old.

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CPR Operating Room OR Emergency Department 124

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. References Prinzmetal M, Kennamer R, Merliss R, et al. Myerburg RJ, Kessler KM, Mallon SM et al. Magid DJ, Aziz K, Cheng A, et al. Kousik SM, Graves SM, Napier TC, et al.

Coronary 98

Coronary Life Support ALS Emergency Department 98

REBEL EM

AUGUST 21, 2023

Paper: Eastwood G, et al. With that said, it’s important to note that narrow population consisted of patients who had a witnessed cardiac arrest with a shockable rhythm and bystander CPR performed. link] Petran J, et al. PMID: 35644204 Zhou D, et al. Mild Hypercapnia or Normocapnia after Out-of-Hospital Cardiac Arrest.

E-9-1-1 96

E-9-1-1 Critical Care CPR ALS 96

EMDocs

MARCH 20, 2024

“Code,” “No Code,” “CPR,” “resuscitation,” etc. References : Ouchi K et al. According to a recent JAMA Network article , we’re pretty good at knowing when death is near. But few of us are comfortable discussing the subject with patients and their families. You might like it.

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CPR ALS OR ED 105

REBEL EM

SEPTEMBER 28, 2023

Paper: Van de Werf, F et al. References: Van de Werf, F et al. PMID: 37439219 Armstrong P et al. Based on this, the authors did a literature review and found that there is an increasing rate of ICH and major non-intracranial bleeding starting at ≈60 years of age.

STEMI 138

STEMI Allergic Reaction Coronary Ambulance 138