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. Resuscitation 2022; 179: 9-17.

CPR 52

CPR Defibrillator EMS Epinephrine 52

The Skeptics' Guide to EM

FEBRUARY 3, 2023

The nurses started CPR immediately and place pads before you even arrived. For more information on the fragility index (FI) click on this LINK. 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.

CPR 130

CPR Critical Care STEMI ALS 130

Don't Forget the Bubbles

DECEMBER 18, 2023

We might consider how long the child has been in cardiac arrest – the longer the time, particularly if there was any time without CPR, the less likely they are to regain circulation. We might consider information about their medical history, particularly if they have an advanced care plan, DNACPR or ReSPECT form.

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CPR OR Ambulance 131

Don't Forget the Bubbles

JUNE 19, 2024

CASP checklist for Clinical Prediction Rule (CPR) studies Is CPR clearly defined? Yes Would the rule’s results modify your decision about managing the patient or the information you can give them? Yes Did the population from which the rule was derived include an appropriate spectrum of patients?

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CPR Operating Room OR Emergency Department 124

The Overrun Podcast

MAY 23, 2024

The conversation covers topics such as compression-only CPR, the controversy surrounding head-up CPR, the use of band and piston-driven devices, and the potential of extracorporeal cardiopulmonary resuscitation (eCPR). Technology, such as ultrasound and real-time information sharing, has the potential to enhance trauma resuscitation.

CPR 52

CPR BLS EMS Life Support 52

The Overrun

JULY 5, 2019

They carry the same CPR card in their wallets as I do, they readily use the brains between their ears, so why are we made to perform futile efforts on a patient who didn’t want the help to begin with? A clinically primitive mindset; no heartbeat bad, CPR good, liability avoided.

CPR 52

CPR OR BLS EMT 52

Handtevy

APRIL 10, 2019

Bystander CPR, 2. Telephone CPR (T-CPR), and 3. Using a different lens to evaluate these links in the chain of survival may provide a different perspective, and inform the way forward. Bystander CPR In the United States today, children in cardiac arrest have less than a 50% likelihood of receiving bystander CPR.

CPR 52

CPR Advanced Life Support EMS Epinephrine 52

REBEL EM

JUNE 1, 2023

The authors did not give detailed information on why patients were excluded particularly in the SDCT enrollment period when the vast majority of ROSC patients were not included. Bystander CPR, a known predictor of good outcomes, was more common in the SDCT cohort than in the standard care cohort. Small sample size of patients.

Coronary 145

Coronary Defibrillator CPR ALS 145

EMT Training Station

FEBRUARY 26, 2024

A) Start CPR, you cant use an AED on a wet patient. B) Expose the patients chest, dry off the chest, apply AED, start CPR. C) Make sure the scene is safe, expose the patients chest, dry with a towel, start CPR while your partner applies the AED D) Expose the patients chest, apply AED, Start CPR. C) Informed consent.

EMT 98

EMT EMT CPR Ambulance 98

Dr. Smith's ECG Blog

JULY 9, 2024

His family started CPR and called EMS, who arrived to find him in ventricular fibrillation. Further information is not available. Written by Pendell Meyers A man in his 50s was found by his family in cardiac arrest of unknown duration. 15 minutes after EMS arrival, after at least 6 defibrillations, the patient achieved sustained ROSC.

Defibrillator 116

Defibrillator STEMI CPR EMS 116

The Skeptics' Guide to EM

NOVEMBER 13, 2021

Cardiopulmonary resuscitation (CPR) is in progress. However, cardiac arrest is something we regularly treat in the emergency department, and we need more high-quality data to inform our care. The monitor shows a non-shockable rhythm. Epinephrine is provided and you quickly place an advanced airway.

Epinephrine 100

Epinephrine Critical Care Life Support Emergency Department 100

Dr. Smith's ECG Blog

SEPTEMBER 3, 2023

I sent it to 5 of my OMI friends without any clinical information or outcome and all 5 independently responded with exactly the same diagnosis: "reperfused inferior OMI". 3-vessel disease can make resuscitation very difficult, since CPR does not perfuse diseased vessels as well as one would like.

Defibrillator 135

Defibrillator Coronary STEMI CPR 135

Don't Forget the Bubbles

NOVEMBER 29, 2023

This is referred to as CPR I nduced C onsciousness ( CPRIC ). Education and re-education should be offered where this information or knowledge is lacking, whether in the pre-hospital or hospital settings. In some patients, highly effective chest compressions may lead to regained consciousness.

E-9-1-1 135

E-9-1-1 Emergency Department ED CPR 135

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.

Defibrillator 109

Defibrillator CPR Epinephrine Life Support 109

REBEL EM

SEPTEMBER 14, 2023

Did they get bystander CPR? We don’t know any of this information unfortunately and all are key in patient selection The median lactate level before revascularization was 6.9mmol/L (Range 4.6 What was their initial rhythm? This makes me think these patients were down for some time.

Life Support 136

Life Support Coronary CPR ICU 136

REBEL EM

AUGUST 21, 2023

Background Information: Cardiac arrest is a devastating event that imposes considerable human and financial burdens. 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.

E-9-1-1 98

E-9-1-1 Critical Care CPR ALS 98

International Journal of Paramedicine

APRIL 3, 2024

This study sought to assess the accuracy of chest electrode placement by EMS and clinical personnel in one geographic area, to identify patterns of misplacement to inform future training and continuing education, and to compare two methods of assessing electrode placement.

EMS 52

EMS Emergency Medical Services CPR 52

ECG Medical Training

MAY 25, 2017

This is an extremely important topic especially for EMS systems that are implementing High Performance CPR , because it is very predictable that you are going to see a lot more patients with return of pulses in the field, and if you don’t have a plan, lots of things can go wrong before arriving at the hospital.

CPR 52

CPR STEMI EMS Ambulance 52

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. During the briefing, the team reviews essential information from the previous shift's reports, including patient details, medications administered, and potential ongoing issues.

EMT 52

EMT EMT Emergency Medical Technician Defibrillator 52

Don't Forget the Bubbles

MAY 10, 2023

They’re getting CPR. Synthesise the information into something that makes sense. What information is available, and do I have it? Synthesising the information into something that makes sense What’s going to happen? All information shared in the debrief is confidential.” …You burst into resus. This is means.:-

Emergency Department 91

Emergency Department ED CPR OR 91

EMDocs

JANUARY 17, 2024

She received cardiopulmonary resuscitation (CPR) and standard advanced cardiovascular life support (ACLS). When emergency medical services (EMS) arrived, she was in asystole with an empty, recently full, bottle of benzonatate 100 mg capsules.

E-9-1-1 89

E-9-1-1 Overdose Emergency Medical Services Life Support 89

Don't Forget the Bubbles

JULY 26, 2023

Are we focused on the immediate presentation and therefore not using all the possible information to hone in on the possibilities? Mum (first aid trained) gave back blows and started CPR. Based on the information from the rhythm strip and the response to DC cardioversion, this child has had a VF arrest. www.cats.nhs.uk/wp-content/uploads/guideline-intubation.pdf

ALS 98

ALS ED OR CPR 98

REBEL EM

DECEMBER 19, 2022

Background Information: Double external defibrillation (DED) is an intervention often used to treat refractory ventricular fibrillation (RVF). In fact, 4000 paramedics in total were not only trained in the study protocol but also given a rigorous evaluation of their ability to perform CPR.

Defibrillator 52

Defibrillator Paramedic CPR EMS 52

NCOAE

MARCH 8, 2021

covering prehospital medical providers — recognizes three levels of EMTs/paramedics: EMT: EMTs provide non-invasive life-support services, such as cardiopulmonary resuscitation (CPR), administering oxygen, performing automated external defibrillation, basic and advanced airway management, and administering authorized medications.

EMT 52

EMT EMT Emergency Medical Technician AEMT 52

Paramedic Training Spot

NOVEMBER 29, 2021

Besides going over the basic lifesaving skill of Cardiopulmonary Resuscitation, or CPR, you will learn the legal side of medicine, such as HIPAA, and emergencies that bring not only the end, but a new start, to life. The EMT class book in New Jersey may seem daunting, but the information in it can, and will, save somebody’s life.

EMT 52

EMT EMT EMR Emergency Medical Technician 52

REBEL EM

NOVEMBER 20, 2023

The median Injury Severity Score was 41 The median age was 41 23% required prehospital CPR All were tachycardic and hypotensive prehospital REBOA+SC group had lower median SBP compared with in the SCA group 84 mm Hg vs 99 mm Hg REBOA group had higher median Abbreviated Injury Scores for the head region.

OR 91

OR Emergency Medical Technician CPR Emergency Medical Services 91

EMT Training Station

FEBRUARY 11, 2024

If the victim is unresponsive, CPR is initiated immediately. This rapport can also provide valuable information about the incident, aiding in our assessment and treatment decisions. It helps in making informed decisions for the next steps in treatment. Communicating with the Victim Effective communication is key.

EMT 98

EMT EMT Emergency Medical Technician First Aid 98

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%. Exposure impairs information sharing and overall team collaboration. They underestimated the impact of this exposure. Incivility affects more than just the direct recipient.

E-9-1-1 105

E-9-1-1 Critical Care CPR ICU 105

NCOAE

OCTOBER 14, 2022

To become an ER Technician, you need your EMT credential, Basic Cardiac Life Support (BCLS) certification, CPR certification, and other credentials based on the location in which you work. Obtaining your EMT certification first gives you a unique perspective of how that information is received on the other end.

EMT 52

EMT EMT Emergency Medical Technician Firefighter 52

Dr. Smith's ECG Blog

OCTOBER 3, 2017

I sent this ECG with no clinical information to Dr. Smith. This rhythm reportedly produced no palpable pulse, and CPR was continued. 30 seconds later, however, the patient began spontaneously moving and CPR was discontinued. Beats 4, 6, and 7 are narrow, as the rhythm is trying to resume from above the ventricles.

CPR 52

CPR Defibrillator STEMI ED 52

TIMER

SEPTEMBER 28, 2022

This includes providing life-saving epinephrine to a patient having an allergic reaction, splinting a patient’s wounds following a car accident, or even performing CPR on a person experiencing cardiac arrest. They have received training in performing CPR and basic medical care. The post What Is Right for You: EMT Or Paramedics?

EMT 40

EMT EMT Paramedic Emergency Medical Technician 40

BoostPrep

APRIL 26, 2022

EMT Airway, Respiration, & Ventilation Practice Test Time limit: 0 Quiz Summary 0 of 10 Questions completed Questions: Information You have already completed the quiz before. Apply an AED Begin CPR Correct Incorrect Question 2 of 10 2. Provide two minutes of CPR prior to attaching the AED. Hence you can not start it again.

EMT 52

EMT EMT Emergency Medical Technician CPR 52

REBEL EM

MARCH 30, 2023

There are differences within the demographic: More women in the delayed group Delayed group had higher witnessed arrest and bystander CPR Delayed group had more non-shockable rhythms Protocol violations were common. There is very little information on the methodology of the meta-analysis.

Coronary 66

Coronary CPR OR ICU 66

Handtevy

FEBRUARY 27, 2024

Handtevy Mobile addresses the complex challenges of medication dosing, equipment sizing, and provides CPR assistance tailored for pediatric patients—all pre-calculated to eliminate any confusion upon a child’s arrival in the ED.

Emergency Department 52

Emergency Department Emergency Medical Services CPR ED 52

Don't Forget the Bubbles

OCTOBER 7, 2024

Prolonged CPR should be considered as outcomes are generally good, even if asystole is the presenting rhythm. What is the source of electricity (and is there ongoing risk to others)? Was the voltage high or low (as below)? Where were the contact points and the length of the contact?

ACS 80

ACS Life Support OR CPR 80

First Responders Foundation

JULY 31, 2024

These programs might include open houses at fire stations, community CPR classes, or public safety demonstrations. For more information, visit First Responders Foundation , or contact us. The post How Your Donations Make a Difference in Supporting First Responders appeared first on First Responders Foundation.

First Responder 52

First Responder Public Safety Mental Health Services Firefighter 52

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

E-9-1-1 52

E-9-1-1 CPR ICU ALS 52