The Skeptics' Guide to EM

SEPTEMBER 21, 2024

On arrival, you find a 35-year-old male, pulseless and apneic with cardio-pulmonary resuscitation (CPR) in progress by a bystander. You and your partner initiate high-quality CPR, place a supraglottic airway, establish intra-osseous (IO) access and administer epinephrine. There is drug paraphernalia scattered around the room.

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Naloxone NARCAN Overdose CPR 260

The Skeptics' Guide to EM

FEBRUARY 11, 2023

He confirms pulselessness, initiates CPR, gets a colleague to call 911, and intubates the patient on the floor. first appeared on The Skeptics Guide to Emergency Medicine. Date: February 7, 2023 Reference: Cheskes et al. Case: A 60-year-old health professional suffers a cardiac arrest while working at a clinic outside the hospital.

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The Skeptics' Guide to EM

JUNE 4, 2017

Marcel Emond is an Associate Professor, Laval University, Emergency Physician at the Level 1 Trauma Center of the CHU de Québec, […] The post SGEM#181: Did You Ever Have to Make Up Your Mind, Pan Scan or Leave Other Scans Behind? first appeared on The Skeptics Guide to Emergency Medicine. You suspect a flail chest on your clinical examination.

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OR ALS CPR ICU 130

ESO

DECEMBER 18, 2024

After reviewing over 12 million EMS incidents that took place in 2023 , the 2024 ESO EMS Index highlights two critical areas that demand attention: Early CPR and Opioid Use Disorder (OUD). The importance of early CPR The earlier CPR is performed, the better the outcome. Gender disparities were also found. Want to learn more?

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Naloxone CPR Overdose Defibrillator 52

The Skeptics' Guide to EM

APRIL 27, 2024

This is because of the ease of finding anatomic landmarks and their location away from other procedures like defibrillation, CPR, and airway management. When emergency department (ED) staff roll her to remove her clothing her humeral intraosseous (IO) is dislodged. That episode was a study comparing intravenous (IV) vs IO access for OOHCAs.

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ICU Defibrillator Paramedic CPR 231

The Skeptics' Guide to EM

JULY 22, 2023

We should focus more on high-quality CPR and early defibrillation for shockable rhythms and less on type of supraglottic airway device. Your assessment is that the patient will likely be a physiologically, but not anatomically, difficult airway. Should you go with video or direct laryngoscope?

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Emergency Medical Services Defibrillator CPR EMS 245

The Skeptics' Guide to EM

OCTOBER 24, 2020

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. SGEM#64 : Classic EM Papers (OPALS Study) * SGEM#136 : CPR – Man or Machine?

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CPR Defibrillator Advanced Life Support Emergency Medical Services 130

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?

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CPR E-9-1-1 Defibrillator Ambulance 52

NHCPS Save a Life

SEPTEMBER 29, 2023

CPR training or cardiopulmonary resuscitation is a lifesaving skill that everyone should learn, and high school students are no exception. Teaching CPR to high school students goes beyond just preparing them for emergencies. It equips them with valuable life skills that can have a lasting impact.

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NHCPS Save a Life

MAY 22, 2023

If you possess the knowledge to perform adult CPR, you have a good foundation to provide infant CPR or child CPR, as well. These differences can significantly affect the success of CPR on infants and […] The post Adult, Child, and Infant CPR: Understanding the Distinctions appeared first on SaveaLife.com.

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The Skeptics' Guide to EM

MARCH 2, 2019

It required multiple attempts which caused several prolonged interruptions in CPR. Key to survival is high-quality CPR and early defibrillation. After the patient is stabilized the medic asks you how he can improve his airway management skills during a cardiac arrest as it was difficult to intubate during compressions.

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The Skeptics' Guide to EM

SEPTEMBER 23, 2017

Case: You are the medical director of an EMS system in a large city deciding on whether to respond to all out of hospital cardiac arrests (OHCA) with ACLS capabilities, or if resources should be directed to those candidates for extracorporeal CPR. Bystander high-quality CPR can buy you some time until defibrillation.

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Life Support CPR Advanced Life Support Defibrillator 130

The Skeptics' Guide to EM

DECEMBER 25, 2021

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. They have a history of hypertension, elevated cholesterol, and smoked cigarettes for 50+ years.

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Epinephrine CPR ALS Emergency Department 130

REBEL EM

NOVEMBER 20, 2023

Early expeditious definitive hemorrhage control is a major focus in trauma resuscitation. Patients with torso hemorrhage present a clinical conundrum often requiring interventional radiology or surgery, both of which take time to mobilize. 2 Despite these recommendations there are no randomized clinical trials to help guide practice until now.

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OR Emergency Medical Technician CPR Emergency Medical Services 91

EMDocs

NOVEMBER 6, 2023

Author: Brit Long, MD (@long_brit) // Reviewed by Alex Koyfman, MD (@EMHighAK) The American Heart Association 2023 Guideline for managing cardiac arrest or life-threatening toxicity due to poisoning was recently released. This post will focus on the key parts of the guideline that affect ED evaluation and management. Top 10 Take Home Pearls 1.

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Naloxone OR BLS Overdose 113

The Skeptics' Guide to EM

MARCH 11, 2023

A fire company is on scene providing high-quality cardiopulmonary resuscitation (CPR) and has defibrillated twice with an automated external defibrillator (AED). Background: Airway management strategies for out of hospital cardiac arrest (OHCA) have been hotly debated since the dawn of CPR. Reference: Smida et al.

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CPR Defibrillator BLS Paramedic 130

Chicago EMT Training

OCTOBER 13, 2021

Next steps include submitting a copy of your NREMT certificate, CPR card, and (in IL) a completed personal history statement ( found here ) to the EMS coordinator associated with your EMT Training program. First of all, congratulations! I'm sure you walked out of there not knowing whether you passed or failed. We've been there.

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EMT EMT CPR EMS 130

St. Emlyn's

MARCH 8, 2024

St.Emlyn's - Emergency Medicine #FOAMed Is mechanical CPR associated with improved or worse outcomes in in-hospital cardiac arrest. FOAMed @stemlyns The post Is mCPR associated with better outcomes for in-hospital cardiac arrest? St Emlyn’s appeared first on St.Emlyn's.

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REBEL EM

JUNE 29, 2023

The CT FIRST Trial: Should We Pan-CT After ROSC?, REBEL EM Blog, June 1, 2023.

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The Skeptics' Guide to EM

AUGUST 14, 2021

They performed high-quality CPR and shocked the patient twice before giving amiodarone via intraosseous (IO). ACLS ( SGEM#64 ), the use of mechanical CPR ( SGEM#136 ), and pre-hospital hypothermia ( SGEM#183 ). Date: August 12th, 2021 Reference: Daya et al. first appeared on The Skeptics Guide to Emergency Medicine.

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The Skeptics' Guide to EM

FEBRUARY 25, 2023

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. Sodium bicarbonate has historically been used during CPR with the goal of alkalizing blood pH and treating metabolic acidosis.

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CPR ICU Critical Care Epinephrine 130

The Skeptics' Guide to EM

SEPTEMBER 29, 2018

Bystander CPR is initiated prior to EMS arrival. His primary interests are resuscitation, prehospital critical care, airway management, and point-of-care ultrasound. Case: A 46-year-old man has a cardiac arrest at home, witnessed by family. EMS arrives on scene and initiates high quality basic life support (BLS).

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BLS Defibrillator Critical Care CPR 130

EMDocs

APRIL 2, 2024

Today on the emDOCs cast Brit Long interviews Zachary Aust on the use of a mental model in post ROSC patients. Episode 98: Post ROSC Mental Model What’s the problem?

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CPR STEMI Epinephrine ICU 113

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. The days of technicians in this field are over.

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CPR OR BLS EMT 52

Handtevy

MARCH 14, 2018

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. If we remove these decades old requirements we can begin to reshape human behavior at the point of care, where it matters most.

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CPR Epinephrine Critical Care EMS 52

The Skeptics' Guide to EM

JANUARY 9, 2021

CPR is currently in progress with a single shock having been delivered. This has included things like therapeutic hypothermia ( SGEM#54 , SGEM#82 , SGEM#183 and SGEM#275 ), supraglottic devices ( SGEM#247 ), crowd sourcing CPR ( SGEM#143 and SGEM#306 ), and epinephrine ( SGEM#238 ).

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EMS Emergency Medical Services CPR Critical Care 130

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.

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CPR Defibrillator EMS Epinephrine 52

The Skeptics' Guide to EM

MAY 20, 2023

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. He had been having some upper respiratory symptoms in the previous days. Parents found him in bed that morning blue and unresponsive.

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CPR ALS Emergency Department EMS 130

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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CPR ICU Overdose Critical Care 52

The Skeptics' Guide to EM

DECEMBER 7, 2018

You are the first provider on scene with Emergency Medical Services (EMS) and start high-quality Cardiopulmonary Resuscitation (CPR). Case: A 51-year-old man experiences a cardiac arrest on the street. A cardiac defibrillator is hooked up and the patient is in ventricular fibrillation. He is unsuccessfully shocked.

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Epinephrine Life Support Advanced Life Support Defibrillator 130

Don't Forget the Bubbles

JUNE 19, 2024

CASP checklist for Clinical Prediction Rule (CPR) studies Is CPR clearly defined? Cervical spine injuries are a rare but serious finding following blunt trauma, affecting around 1-2% of presentations. However, there is a lack of large-scale paediatric studies, and so no validated, accurate prediction rule currently exists.

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CPR Operating Room OR Emergency Department 124

Chicago EMT Training

AUGUST 6, 2021

Duties include but are not limited to stocking, cleaning, transporting patients, performing EKGs, blood draws, and CPR. The majority of our students come from a premedical background but there are a few with other career choices such as firefighter, paramedic, law enforcement, etc. It opens many doors in various industries.

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EMT EMT Paramedic Plasma 130

The Skeptics' Guide to EM

DECEMBER 7, 2019

It is a diagnosis of exclusion that applies to infants under the age of 12 months. . * The diagnosis could have caused a great deal of anxiety in parents/caregivers. The name was not reassuring and the definition was vague. Risk stratifying BRUE patients help direct management.

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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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CPR ED EMS OR 100

NAEMSP

JANUARY 19, 2025

Authors: Rebecca Dupree, DO and Emerson Franke, MD FAEMS FAAEM Case The dreaded scenario: youre performing high quality CPR in the field, youve successfully intubated the patient, and suddenly you hear, I found their DNR form! just as youve gotten ROSC. You manage to get in contact with family and determine the patient is enrolled in hospice.

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EMS Emergency Department CPR ED 52

The Skeptics' Guide to EM

DECEMBER 2, 2017

SGEM#64 : Classic EM Papers (OPALS Study) * SGEM#136 : CPR – Man or Machine? He is currently deployed, practicing emergency medicine in an undisclosed location. DISCLAIMER: The views and opinions of this podcast do not represent the United States Government or the US Air Force.

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CPR Defibrillator ALS Emergency Response 100

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.

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EMS CPR ED Coronary 115