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Medical Malpractice Insights: Speaking in “Code”

EMDocs

Chuck Pilcher, MD, FACEP Editor, Medical Malpractice Insights Editor, Med Mal Insights Speaking in “Code” Discussing resuscitation options with patients nearing end of life “A kinder, gentler approach would benefit everyone.” “Code,” “No Code,” “CPR,” “resuscitation,” etc.

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Decoding Code Status: A Goals of Care Framework

EM Ottawa

In general, the public perception of CPR is filled with inaccuracies, and recently the New Yorker wrote about the Hidden Harms of CPR.

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Ep 170 Cardiac Arrest – PoCUS Integration, Communication Strategies, E-CPR, Calling the Code

Emergency Medicine Cases

In this part 2 of our 2-part podcast series on Cardiac Arrest - The When, Why & How, we discuss some of the finer art of cardiac arrest care and answer questions such as: how should we best communicate to EMS, the ED team and the family of the patient to keep the team focused, garner the most important info and keep the flow of the code going?

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emDOCs Podcast – Episode 98: Post ROSC Mental Model

EMDocs

Check the pulse RSI= Resuscitation Sequence Intubation Hypoxia, Hypotension, and Acidosis are the reason patients code during/post intubation These patients are super high risk for all 4 Optimize first pass success – Induction agent + paralytic Unconscious patients will still have muscle tone Induction Ketamine or Etomidate at half doses (i.e.,

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The Latest in Critical Care, 1/29/24 (Issue #27)

PulmCCM

Read the document for all the details (it’s not long). Epinephrine remains the drug of choice during CPR Epinephrine remains the first-line therapy for cardiac arrest due to non-shockable rhythms (i.e., three shocks with 2 minutes CPR in between) have been performed. ECMO used as CPR is referred to as ECPR.)

Seizures 115
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Bystander cardiopulmonary resuscitation and cardiac rhythm change over time in patients with out-of-hospital cardiac arrest

Emergency Medicine Journal

Background Whether and how bystander cardiopulmonary resuscitation (CPR) modifies the cardiac rhythm after out-of-hospital cardiac arrest (OHCA) over time remains unclear. The first documented cardiac rhythm was compared between patients who received bystander CPR and those who did not, using a 1:2 propensity score-matched analysis.

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Issue #3: The Latest in Critical Care, 6/5/23

PulmCCM

Read in Journal of Critical Care ECMO vs CPR for pre-hospital resuscitation after cardiac arrest. Check out the preliminary program , and use code PULMCCM15 to get 15% off the attendance fees. makes me long for an adequately powered randomized trial. They really go the extra mile in the Netherlands.