ALS, CPR and E-9-1-1 - Paramedicine Now

Cardiac Care Show – Episode 1: Mechanical CPR

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

CPR E-9-1-1 Defibrillator Ambulance

A 40-something presented after attempted prehospital resuscitation with persistent Ventricular Fibrillation

Dr. Smith's ECG Blog

JULY 14, 2023

Two recent interventions have proven in randomized trials to improve neurologic survival in cardiac arrest: 1) the combination of the ResQPod and the ResQPump (suction device for compression-decompression CPR -- Lancet 2011 ) and 2) Dual Sequential defibrillation. Figure-1: The initial ECG in today's case — obtained after ROSC.

E-9-1-1

E-9-1-1 Defibrillator CPR STEMI

ToxCard: Benzonatate

EMDocs

JANUARY 17, 2024

She received cardiopulmonary resuscitation (CPR) and standard advanced cardiovascular life support (ACLS). 1) There are a limited number of antitussives on the US market which include benzonatate, codeine, dextromethorphan, diphenhydramine, and hydrocodone. What are the treatment options for a benzonatate overdose?

E-9-1-1

E-9-1-1 Overdose Emergency Medical Services Life Support

The ‘Hidden C’

Don't Forget the Bubbles

JUNE 17, 2024

A third RCT demonstrated that even brief low-level incivility could increase the risk of major error during CPR by up to 66%. Here are ten things to think about: 1. Churruca K, Pavithra A, McMullan R, Urwin R, Tippett S, Cunningham N, Loh E, Westbrook J. 2014 Jun 26;23(12):653-9. 2020 Jan 1;35(1):70-6. 2020 Aug 20.

E-9-1-1

E-9-1-1 Critical Care CPR ICU

TAME Trial: Mild Hypercapnia vs Normocapnia in Out-of-Hospital Cardiac Arrest

REBEL EM

AUGUST 21, 2023

Paper: Eastwood G, et al. Figure 2 : Extended Glasgow Outcome Scale (GOS-E) (credit: Doc_HG ) Secondary Modified Rankin Score Secondary outcomes included death within 6 months. Thus the results of this trial may not be generalizable to unwitnessed cardiac arrest with non-shockable rhythms and/or a lack of bystander CPR.

E-9-1-1

E-9-1-1 Critical Care CPR ALS

Calcium in Out-of-Hospital Cardiac Arrest

NAEMSP

APRIL 19, 2023

CPR is taken over by responding crews, and he is placed on a cardiac monitor/defibrillator. Current AHA guidelines do not recommend routine use of calcium in cardiac arrest (Panchal, et al., Calcium acts as a vasopressor and inotropic agent (Lindqwister, et al., He is found to be in ventricular fibrillation (VF).

E-9-1-1

E-9-1-1 Advanced Life Support Overdose CPR

Resident Journal Review: Available Evidence Regarding Targeted Temperature Management (TTM)

AAEM RSA

AUGUST 27, 2020

1 The primary goal of cardiopulmonary resuscitation (CPR) is to optimize coronary perfusion pressure and maintain systemic perfusion in order to prevent neurologic and other end-organ damage while working to achieve ROSC. Nielsen N, Wetterslev J, Cronberg T et al. By the time of the study by Nielsen et al. New Engl J Med.

E-9-1-1

E-9-1-1 CPR ICU ALS

IV versus IO: Does your Site of Access Matter in Cardiac Arrest?

NAEMSP

JANUARY 5, 2023

Meyer MD Clinical Scenario You are dispatched to a 57-year-old male with a witnessed cardiac arrest and bystander CPR being performed. Your partner deploys the cardiac monitor and while CPR is continued you turn your attention to establishing vascular access. 1] Table from Hamam et al. minutes versus 5.4 minutes). [5]

E-9-1-1

E-9-1-1 Advanced Life Support Epinephrine Life Support

What Is the Best Defibrillation Strategy for Refractory Ventricular Fibrillation?

ACEP Now

NOVEMBER 7, 2023

1 Overall, survival is poor following cardiac arrest, and is affected by factors including age, comorbidities, witnessed arrest, early CPR, early defibrillation, and return of spontaneous circulation (ROSC). References Go AS, Mozaffarian D, Roger VL, et al. Larribau R, Deham H, Niquille M, et al. 2018;13(9):e0204169.

Defibrillator

Defibrillator E-9-1-1 ALS Epinephrine

Extreme shock and cardiac arrest in COVID patient

Dr. Smith's ECG Blog

NOVEMBER 12, 2020

He underwent CPR, and regained a pulse after epinephrine, with an organized narrow complex rhythm at 140, but still with severe shock. Here they are: Learning Points: 1. 3–8 Shi et al. The physicians found him to be in s hock, with very poor O2 saturations. He was intubated and then went pulseless.

E-9-1-1

E-9-1-1 STEMI Coronary ALS

AHA/NCS Statement on Critical Care Management of Post ROSC Patients

EMDocs

JANUARY 11, 2024

The neurologic section was divided into (1) brain oxygenation, perfusion, edema, and intracranial pressure (ICP); (2) seizures and the ictal-interictal continuum (IIC); and (3) sedation and analgesia. Reference: Hirsch KG, Abella BS, Amorim E, et al; American Heart Association, Neurocritical Care Society. 2023 Dec 1.

Critical Care

Critical Care E-9-1-1 OR ICU

Find Your Ikigai, a Sense of Meaning in Work

ACEP Now

MARCH 10, 2025

1 If you enter the Isegahama stable today, you might find Satonofuji diligently training, but you will also find him performing lower-ranked sumo duties such as simmering chanko nabe or sumo stew for others, sweeping the communal living areas, cleaning the bathrooms, or carrying the higher ranked sekitori sumos belongings during tournament days.

E-9-1-1

E-9-1-1 ALS OR CPR

Major Trauma – Injuries by Assault

Don't Forget the Bubbles

FEBRUARY 5, 2025

E: Exposure and Environmental Control: Fully expose to check for other life-threatening injuries while maintaining normothermia. This case meets the threshold for CT head within 1 hour, and given the mechanism and inability to clear the cervical spine due to the patients GCS guidance would suggest imaging this.

E-9-1-1

E-9-1-1 CPR Ambulance ED

An EM Resident’s Guide to Basic Airway Management

Core EM

JANUARY 16, 2025

Success at intubation likely takes more time and practice than other procedures, as shown in recent research on ED residents and their success rate at intubating, measured as a function of their total number of intubations (See Figure 1). This is reassuring as the uvula points towards the epiglottis (See figure 19) E.

E-9-1-1

E-9-1-1 EMS ALS OR

Paramedicine Now

Cardiac Care Show – Episode 1: Mechanical CPR

A 40-something presented after attempted prehospital resuscitation with persistent Ventricular Fibrillation

Trending Sources

ToxCard: Benzonatate

The ‘Hidden C’

TAME Trial: Mild Hypercapnia vs Normocapnia in Out-of-Hospital Cardiac Arrest

Calcium in Out-of-Hospital Cardiac Arrest

Resident Journal Review: Available Evidence Regarding Targeted Temperature Management (TTM)

IV versus IO: Does your Site of Access Matter in Cardiac Arrest?

What Is the Best Defibrillation Strategy for Refractory Ventricular Fibrillation?

Extreme shock and cardiac arrest in COVID patient

AHA/NCS Statement on Critical Care Management of Post ROSC Patients

Find Your Ikigai, a Sense of Meaning in Work

Major Trauma – Injuries by Assault

An EM Resident’s Guide to Basic Airway Management

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