The Skeptics' Guide to EM

APRIL 4, 2020

We went four rounds punching and counter punching arguments about critical care controversies. We both agree that the patient deserves the best care, based on the best evidence. It is an example of mixing education and entertainment for some great knowledge translation. The REBEL took the fight to the Skeptic.

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Handtevy

MARCH 14, 2018

If we remove these decades old requirements we can begin to reshape human behavior at the point of care, where it matters most. The post Pediatric High Performance CPR appeared first on Handtevy. The focus should not be on figuring out the child’s weight, or determining the dose or mathematical equations.

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Handtevy

AUGUST 15, 2022

Introduction Cardiopulmonary resuscitation (CPR) is a life-saving procedure performed on individuals experiencing cardiac arrest. Introduction Cardiopulmonary resuscitation (CPR) is a life-saving procedure performed on individuals experiencing cardiac arrest. However, its efficacy and safety have been subjects of debate.

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REBEL EM

AUGUST 21, 2023

This trial aimed to assess whether targeted therapeutic mild hypercapnia (TTMH) applied during the initial 24 hours of mechanical ventilation in the ICU can enhance neurological outcomes at the 6-month mark, as compared to standard care, which involves targeted normocapnia (TN). Paper: Eastwood G, et al. N Engl J Med. Epub 2023 Jun 15.

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The Skeptics' Guide to EM

FEBRUARY 3, 2023

The nurses started CPR immediately and place pads before you even arrived. A 50-year-old man who was admitted to the hospital with a non-ST elevated myocardial infarction (NSTEMI) overnight was found unconscious and without a pulse. The patient is still unconscious. Are we supposed to be starting hypothermia?” It was also not blinded.

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The Skeptics' Guide to EM

NOVEMBER 13, 2021

Guest Skeptic: Dr. Neil Dasgupta is an emergency physician and ED intensivist from Long Island, NY, and currently an assistant clinical professor and Director of Emergency Critical Care […] The post SGEM#350: How Did I Get Epi Alone? Cardiopulmonary resuscitation (CPR) is in progress. The monitor shows a non-shockable rhythm.

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Epinephrine Critical Care Life Support Emergency Department 100

Critical Care Scenarios

MAY 24, 2023

No-flow time without CPR should be very brief (witnessed is best), but low-flow time (with CPR) can actually be very long and still have good outcomes with ECPR. Mechanical CPR devices help by reducing energy in the room and reducing movement of the lower body; if not present, assign someone to manually stabilize the pelvis.

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Don't Forget the Bubbles

JUNE 26, 2023

The primary management aim is the same as that for all critical care – ensuring adequate systemic oxygen delivery to meet demands, i.e., avoiding hypoxia. Single ventricle defects Many complex congenital heart defects have single ventricle physiology. Usually, though, they will proceed to surgery. This is the most nuanced aspect.

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Don't Forget the Bubbles

JUNE 17, 2024

The Importance of Civility in Critical Care Resuscitation A 3-year-old patient with diabetic ketoacidosis arrives at your ED. However, education and training for healthcare professionals traditionally prioritise ‘hard skills’, particularly critical care resuscitation. Incivility can mean many things.

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Dr. Smith's ECG Blog

SEPTEMBER 3, 2023

Then the patient would have been taken to the critical care area with a defibrillator at his side while waiting for the cath lab to be ready. 3-vessel disease can make resuscitation very difficult, since CPR does not perfuse diseased vessels as well as one would like. He reports feeling nauseated with emesis.

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Defibrillator Coronary STEMI CPR 135

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.

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Life Support BLS Advanced Life Support CPR 74

EMDocs

JANUARY 16, 2024

Louis) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case You are working in the trauma/critical care pod of your emergency department (ED). His point-of-care labs return with a potassium of 3.4 2,11 There are cases of patients recovering after hours of time without a pulse with good CPR.

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Defibrillator CPR Epinephrine Life Support 110

Dr. Smith's ECG Blog

JUNE 23, 2024

His daughter immediately started CPR and another family member called EMS. Given the presentation, the cardiologist stented the vessel and the patient returned to the ICU for ongoing critical care. When EMS arrived the patient was in ventricular fibrillation. They shocked him twice before return of spontaneous circulation.

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Coronary CAD CPR ICU 118

NAEMSP

MARCH 5, 2024

Air medical services in particular not only transports patients quickly, but also brings with it certain interventions and critical care team members that provide additional critical care resources to the scene. Cardiac arrest has been proven difficult in flight, but research is still needed with mechanical CPR machines.

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EMT Training Station

FEBRUARY 10, 2024

Many EMTs choose to specialize in areas such as pediatric care, hazardous material response, or critical care transport, broadening their expertise and enhancing their career prospects. They often engage in public education, teaching CPR and first aid, and participating in health and wellness fairs.

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EMT EMT Emergency Medical Technician First Responder 98

NAEMSP

APRIL 19, 2023

CPR is taken over by responding crews, and he is placed on a cardiac monitor/defibrillator. The take home message: “Irrespective of presenting rhythm, in patients with cardiac arrest, there is no conclusive evidence that administration of calcium during cardiopulmonary resuscitation (CPR) improves survival.” 1639.16; p=0.01).

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Utah's Paramedic and EMS Academy

OCTOBER 23, 2023

Upon arrival, you quickly assess the situation and spring into action, working to save a man's life through CPR and defibrillation. They must act quickly to provide life-saving interventions such as administering oxygen, CPR, or using an automated external defibrillator (AED) to stabilize the patient's condition before transport.

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EMT EMT Emergency Medical Technician Defibrillator 52

EMT Training Station

FEBRUARY 11, 2024

It focuses on essential lifesaving skills, such as CPR (cardiopulmonary resuscitation), controlling bleeding, and managing shock. The Role of EMS (Emergency Medical Services) Emergency Medical Services (EMS) are an integral part of healthcare systems worldwide, providing critical care and support during emergencies.

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EMT EMT Emergency Medical Technician Emergency Medical Services 98

TIMER

AUGUST 24, 2022

Both Advanced EMT and EMT-Critical Care are recognized in New York. The Critical Care certification used in several counties varies considerably from EMT Basic Course NYC; it is not regarded as a paramedic certification. He or she needs to be in possession of a current CPR certification.

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EMT EMT Emergency Medical Technician Emergency Medical Services 40

Don't Forget the Bubbles

MAY 10, 2023

They’re getting CPR. There are challenges in coordinating care, challenges in maintaining clear communication, and challenges in maintaining roles and sticking to them. You’ve heard the phrase code black before – it’s a traumatic cardiac arrest. You know what to do, in principle, but you’ve never seen one before. You’re invested.

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Emergency Department ED CPR OR 91

Paramedic Training Spot

DECEMBER 8, 2021

These prerequisites include maintaining a valid EMT-B certificate or higher, successfully completing a CAAHEP-accredited education program within the past 2 years, maintaining valid CPR-BLS credentials or their equivalent, and successfully completing the cognitive and psychomotor examination portions of the NREMT-P curriculum.

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Paramedic E-9-1-1 EMT EMT 52

AAEM RSA

AUGUST 27, 2020

Interventions during the acute phase of treatment post return of spontaneous circulation (ROSC) are therefore critical. 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.

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REBEL EM

SEPTEMBER 5, 2022

Recent studies on patients requiring critical care have demonstrated that hyperoxia is harmful and instead we should be targeting normoxia (SpO2>93%). Background: Hypoxemia and hypoperfusion are important factors in outcomes after ROSC. Liberal O2 (PaO2 13 to 14kPa (98 to 105mmHg) Initial FiO2 set at 0.6 Liberal O2: 33.9%

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ICU ALS OR CPR 52

Paramedic Training Spot

JANUARY 20, 2022

The CPR course typically takes 4 to 8 hours to complete. With your CPR card in hand, you must then attend another course to earn an emergency medical technician certification. This is the entry-level licensure for all emergency medical services professionals and is regulated by the Office of Emergency Medical Services.

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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). 4,5,6 Extracorporeal membrane oxygenation (ECMO) has been studied and found to improve survival after ventricular fibrillation.

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Defibrillator E-9-1-1 ALS Epinephrine 52

ACEP Now

APRIL 3, 2024

7 TTM2 is generally interpreted as favoring normothermia for post-arrest care, but the question is whether this trial is broadly applicable to many countries with less developed community CPR involvement. degrees Celsius. degrees Celsius for 72 hours. degrees Celsius “is a reasonable and evidence-based approach.” Circulation.

Advanced Life Support 40

Advanced Life Support ALS Life Support CPR 40

EMT Training Station

MARCH 10, 2023

In this article, we want to educate you on how to pick the best EMT watch for you so that you can provide the best patient care possible. As an EMT, paramedic, or medical first responder your main purpose is to provide emergency care to your patients. It is essential, in order to provide that care, that you have the proper equipment.

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EMT EMT Paramedic EMS 52

Dr. Smith's ECG Blog

APRIL 8, 2016

Here are the American Heart Association Guidelines: 2005 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Part 10.1: Here is his ED ECG: There is obvious infero-posterior STEMI. What are you worried about in addition to his STEMI? There is also bradycardia. Is 40 mEq too much?

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The Skeptics' Guide to EM

NOVEMBER 30, 2024

Guest Skeptic: Missy Carter is a PA currently practicing in critical care after having attended the University of Washington's MEDEX program. After starting cardiopulmonary resuscitation (CPR), you note pulseless electrical activity (PEA) on the monitor. October 31, 2024 NEJM Access to the SGEM Podcast episode at this LINK.

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Epinephrine OR CPR Paramedic 251

Core EM

FEBRUARY 2, 2025

Hosts: Ellen Duncan, MD, PhD Brian Gilberti, MD [link] Download Leave a Comment Tags: Critical Care , Pediatrics Show Notes Overview Historical Context: The conversation around allowing family members in the room during resuscitation events began gaining attention in 1987. We discuss the impact of family presence during resuscitations.

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CPR Critical Care Emergency Department ALS 130

Dr. Smith's ECG Blog

MARCH 8, 2025

Angiography was technically challenging as the patient was receiving CPR, but the cardiologist suspected acute stent thrombosis and initiated cangrelor, although no repeat angiography was able to be obtained. Just a few weeks ago, I took care of a patient who had ostial RCA OMI (TIMI 0 at cath) and his only complaint was syncope!

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FOAMfrat

NOVEMBER 25, 2024

Regardless, of whether you are caring for female one or two, we should be aware that both cases are immensely complicated to manage and require our most valiant efforts. AFEs are rare, and little is known about the etiology of their development or the pathophysiology of their damage. But how do we manage them?

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Epinephrine CPR Operating Room Plasma 105

Core EM

JANUARY 16, 2025

There two critical components to every airway evaluation include: The persons anatomy that will predict if the intubation will be difficult or not, and if so, how difficult. Practice may not achieve perfection, but it will make you better. All of these topics are active areas of research, so keep an eye on the literature for new innovations!

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