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Transcutaneous Pacing: Part I

EMS 12-Lead

The patient is re-assessed once secured in the ambulance. The paramedics begin CPR. CPR is performed with manual compressions as no mechanical CPR device is available. Two paramedics are in the rear of the ambulance managing resuscitation (another crew had arrived and provided support with a driver). Current 85mA.

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Episode 72: CPR-induced consciousness with Jack Howard

Critical Care Scenarios

We discuss the phenomenon of CPR-induced consciousness (i.e. patients demonstrating awakeness during resuscitation) with Jack Howard, Intensive Care Paramedic at Ambulance Victoria in the northern suburbs of Melbourne, Australia, and first author on a recent literature review and Delphi-derived expert guideline on CPRIC management.

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Transcutaneous Pacing: Part 2

EMS 12-Lead

In this call, paramedics arrived on scene to find a patient apneic and pulseless with CPR in progress by first responders (AED had an unknown unshockable rhythm). Patient had an unwitnessed cardiac arrest without bystander CPR performed. The crew transferred the patient to the ambulance and noticed weak radial pulses (BP unobtainable).

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JC: The Association Between Intra-Arrest Arterial Blood Pressure and Return of Spontaneous Circulation in Out-of-Hospital Cardiac Arrest.

St. Emlyn's

Analysing data from 80 patients attended by the East Anglian Air Ambulance, it found that higher diastolic blood pressure (DBP) during CPR significantly increased the likelihood of ROSC. A DBP threshold of 35 mmHg was identified as optimal.

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Lab case 398

EMergucate

75 year old man was brought to ED by ambulance in VF cardiac arrest , CPR in progress. His venous blood gases showed the following PH = 7.14 pCO2 = 53 mmHg

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SGEM#392: Shock Me – Double Sequential or Vector Change for OHCAs with Refractory Ventricular Fibrillation?

The Skeptics' Guide to EM

He confirms pulselessness, initiates CPR, gets a colleague to call 911, and intubates the patient on the floor. He arrives at the hospital 18 minutes into his arrest and his monitor shows persistent ventricular fibrillation. Background: Out-of-hospital cardiac arrest (OHCA) is something we have covered extensively on the SGEM over the years.

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Cardiac Care Show – Episode 1: Mechanical CPR

ECG Medical Training

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?

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