The Skeptics' Guide to EM

OCTOBER 22, 2022

Case: You are the Chief of your local Fire and EMS Department, and an individual contacts you saying […] The post SGEM#380: OHCAs Happen and You’re Head Over Heels – Head Elevated During CPR? Background: We have covered Out of Hospital Cardiac Arrests (OHCAs) many, many times on the SGEM.

CPR 52

CPR Hyperthermia / Hypothermia Resuscitation EMS 52

RebelEM

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. Impedance threshold device application.

CPR 52

CPR Outcomes Resuscitation EMS 52

RebelEM

AUGUST 21, 2023

Mild Hypercapnia or Normocapnia after Out-of-Hospital Cardiac Arrest. PMID: 37318140 Clinical Question: Does mild hypercapnia in adults with coma who have been resuscitated following out-of-hospital cardiac arrest provide favorable neurological outcomes in 6 months compared to normocapnia? Paper: Eastwood G, et al. N Engl J Med.

Hospitals 77

Hospitals Resuscitation Outcomes CPR 77

Emergency Medicine Journal

SEPTEMBER 27, 2023

Jiun-Hao Yu and colleagues’ study 2 also mentioned that before and during the pandemic, the performance of bystander CPR in public places remained similar, whereas bystander CPR at home increased during the pandemic period. However, research conducted by Keita Shibahashi’s group suggests otherwise.

Resuscitation 40

Resuscitation Hospitals CPR Research 40

The Skeptics' Guide to EM

FEBRUARY 25, 2023

2022 Date: February 15, 2023 Guest Skeptic: Dr. Carlie Myers is Pediatric Critical Care Attending at Cincinnati Children’s Hospital Medical Center. Case: A 6-month-old boy presents to […] The post SGEM#394: Say Bye Bye Bicarb for Pediatric In-Hospital Cardiac Arrest first appeared on The Skeptics Guide to Emergency Medicine.

Pediatrics 52

Pediatrics Hospitals CPR Resuscitation 52

AED Leader

MAY 12, 2024

High school students Brody Graham and Grant Lichfield, members of Hadway’s track team, immediately acted, performing CPR on their coach in a critical moment of need. The fast actions of his students, especially Graham and Lichfield, who were performing CPR on a person for the first time, were instrumental in his survival.

CPR 52

CPR Hospitals 52

Emergency Medicine Journal

MAY 23, 2023

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.

Resuscitation 40

Resuscitation CPR Hospitals Documentation/Coding 40

PulmCCM

JANUARY 29, 2024

automated external cooling system) for all arrest patients (with any presenting rhythm, occurring in- or out-of-hospital) maintained for at least 24 hours; longer periods of fever prevention (which AHA now calls “temperature control”) for persistently comatose patients are also considered reasonable. PEA and asystole).

Seizures 115

Seizures CPR Documentation/Coding Hyperthermia / Hypothermia 115

Emergency Medicine Journal

JULY 24, 2023

Background Improving out-of-hospital cardiac arrest (OHCA) prognosis within the working-age population is important, but no studies have investigated the effects of COVID-19 pandemic specifically on the working-age population with OHCAs. to 1.14)), along with DAI-CPR attempts (59.5% vs 62.3% (crude OR 1.12, 95% CI 1.09

Resuscitation 52

Resuscitation Outcomes CPR Hospitals 52

AED Leader

MAY 6, 2024

Coach L detailed how Tinley was visibly struggling and that they immediately knew to use the AED alongside performing CPR, actions that were crucial in her revival. Transferred to the University of Michigan CS Mott Children’s Hospital for care, Tinley’s sudden ventricular fibrillation (V-fib) caught everyone by surprise.

CPR 52

CPR Hospitals 52

AED Leader

APRIL 22, 2024

It is estimated that over 350,000 cases of out-of-hospital cardiac arrests occur annually in the United States alone. CPR Feedback High-quality CPR is critical in maintaining blood flow to vital organs until professional medical help arrives. It is a life-threatening emergency that requires immediate intervention.

CPR 52

CPR Shock Resuscitation Operations 52

The Skeptics' Guide to EM

FEBRUARY 3, 2023

Temperature Control After In-Hospital Cardiac Arrest: A Randomized Clinical Trial. September 2022 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician and the creator of the #FOAMed project called www.First10EM.com Case: You are working an overnight shift at a small rural hospital. Circulation. Circulation.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Hospitals Outcomes Documentation/Coding 52

The Skeptics' Guide to EM

APRIL 27, 2024

Reference: Tanner et al, A retrospective comparison of upper and lower extremity intraosseous access during out-of-hospital cardiac arrest resuscitation. Reference: Tanner et al, A retrospective comparison of upper and lower extremity intraosseous access during out-of-hospital cardiac arrest resuscitation. Prehospital Emergency Care.

Resuscitation 87

Resuscitation Airway Management EMS Outcomes 87

JournalFeed

MARCH 16, 2024

Source: Extracorporeal cardiopulmonary resuscitation versus conventional CPR in cardiac arrest: an updated meta-analysis and trial sequential analysis.

CPR 52

CPR Resuscitation Hospitals Outcomes 52

AED Leader

DECEMBER 31, 2023

He received CPR, was fitted with an implantable cardioverter defibrillator in the hospital, and was discharged after five days. On 16 December 2023, soccer captain Tom Lockyer suffered a cardiac arrest and collapsed during a match at Vitality Stadium in Bournemouth.

CPR 52

CPR Resuscitation Hospitals 52

AED Leader

DECEMBER 31, 2023

He received CPR, was fitted with an implantable cardioverter defibrillator in the hospital, and was discharged after five days. On 16 December 2023, soccer captain Tom Lockyer suffered a cardiac arrest and collapsed during a match at Vitality Stadium in Bournemouth.

CPR 52

CPR Resuscitation Hospitals 52

The Bottom Line

FEBRUARY 27, 2023

In patients with refractory out-of-hospital cardiac arrest (OHCA) and an initial ventricular arrhythmia, does extracorporeal cardiopulmonary resuscitation (ECPR), as compared with conventional CPR (CCPR), improve survival with a favourable neurologic outcome

CPR 62

CPR Resuscitation Outcomes Hospitals 62

AED Leader

OCTOBER 5, 2023

Ambulance worker Shaun McBride suddenly collapsed after strapping 72-year-old patient Tommy Stewart into a vehicle for transfer from Glen O’Dee Hospital in Banchory to Aberdeen Royal Infirmary in Scotland. Mr. Stewart couldn’t reach the horn but yelled for help until a hospital caterer came out and nurse Freya Smith-Nicol was alerted.

CPR 52

CPR Shock Hospitals 52

AED Leader

NOVEMBER 13, 2023

Eric Smith was hospitalized after a cardiac arrest near his home at Marine Barracks Washington on Sunday 29 October. At the time of the cardiac arrest, bystanders called 9-1-1 and started CPR. He had been performing the duties of the top two marines and only sleeping for 5 hours a night prior to the episode.

CPR 52

CPR Hospitals 52

AED Leader

NOVEMBER 13, 2023

Eric Smith was hospitalized after a cardiac arrest near his home at Marine Barracks Washington on Sunday 29 October. At the time of the cardiac arrest, bystanders called 9-1-1 and started CPR. He had been performing the duties of the top two marines and only sleeping for 5 hours a night prior to the episode.

CPR 52

CPR Hospitals 52

Taming the SRU

MAY 10, 2024

Factors associated with worse outcomes in the setting of a TCA: Firearm involvement Self-inflicted injury PEA with a rate <40bpm Wide-complex rhythm (excluding VT) Number of pre-hospital procedures Role of chest compressions in TCA: Chest compressions are unlikely to be helpful in the setting of a traumatic cardiac arrest.

Leadership 73

Leadership CPR Head Injuries Outcomes 73

EMDocs

MARCH 20, 2024

“Code,” “No Code,” “CPR,” “resuscitation,” etc. But what if – while you ’ re here in the hospital – your heart were to stop beating or your breathing stop and you died a natural death, [PAUSE for patient’s reflection] would you want us to do anything about that?”

Documentation/Coding 88

Documentation/Coding Hospice Resuscitation CPR 88

JournalFeed

DECEMBER 23, 2023

Monday Spoon Feed: For the majority of out-of-hospital cardiac arrest (OHCA) patients undergoing standard (30:2 compressions:breaths) cardiopulmonary resuscitation (CPR) prior to definitive airway placement, bag-valve mask (BVM) ventilations did not achieve adequate lung volumes most of the time.

CPR 52

CPR Resuscitation Hospitals 52

Don't Forget the Bubbles

JUNE 30, 2023

She was intubated at the scene and transported to your ED, with cardiopulmonary resuscitation (CPR) performed en route. Despite good quality CPR, there is no ROSC. Despite good quality CPR, there is no ROSC. Despite good quality CPR, there is no ROSC. Emergency Medical Services found her apneic and pulseless.

Hyperthermia / Hypothermia 145

Hyperthermia / Hypothermia Military CPR EKG/ECG 145

The Skeptics' Guide to EM

MAY 20, 2023

Guest Skeptic: Dr. Kat Priddis is a paediatric emergency medicine consultant and trauma director at Watford General Hospital. Guest Skeptic: Dr. Kat Priddis is a paediatric emergency medicine consultant and trauma director at Watford General Hospital. They started cardiopulmonary resuscitation (CPR) until EMS arrived.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Pediatrics CPR Hospitals 52

Taming the SRU

SEPTEMBER 15, 2023

ultrasound grand rounds: bedside dvt studies - family presence in the ed/icu - r1 clinical knowledge: aicd - r3 small groups: difficult airway management Ultrasound grand rounds: DVT studies WITH Dr. minges Why should we perform bedside DVT studies in the ED? ETT onto a fiberoptic scope. ETT onto a fiberoptic scope.

CPR 79

CPR Burns Airway Management Wellness 79

Taming the SRU

MARCH 27, 2024

Effect of prehospital high-dose glucocorticoid on hemodynamics in patients resuscitated from out-of-hospital cardiac arrest: a sub-study of the STEROHCA trial. Crit Care 2024;28(1):28. In this study, the authors aim to assess the hemodynamic effects of prehospital high-dose glucocorticoid treatment in resuscitated comatose OHCA patients.

Resuscitation 87

Resuscitation Outcomes CPR Hospitals 87

The Skeptics' Guide to EM

MARCH 11, 2023

A Retrospective Nationwide Comparison of the iGel and King Laryngeal Tube Supraglottic Airways for Out-of-Hospital Cardiac Arrest Resuscitation. A Retrospective Nationwide Comparison of the iGel and King Laryngeal Tube Supraglottic Airways for Out-of-Hospital Cardiac Arrest Resuscitation. Date: March 8, 2023 Reference: Smida et al.

Basic Life Support 52

Basic Life Support Airway Management CPR Resuscitation 52

The Skeptics' Guide to EM

NOVEMBER 13, 2021

Date: November 10th, 2021 Reference: Andersen, et al: Effect of Vasopressin and Methylprednisolone vs Placebo on Return of Spontaneous Circulation in Patients With In-Hospital Cardiac Arrest. Vasopressin and Methylprednisolone for In-Hospital Cardiac Arrests first appeared on The Skeptics Guide to Emergency Medicine. JAMA Sept 2021.

Advances Cardiac Life Support (ACLS) 40

Advances Cardiac Life Support (ACLS) Hospitals Emergency Department Resuscitation 40

The Skeptics' Guide to EM

FEBRUARY 11, 2023

NEJM 2022 Guest Skeptic: Dr. Sean Moore is an emergency physician working in Kenora Ontario, where he is Chief of Staff at Lake of the Woods District Hospital, Northern Medical Director for the Ornge air medical transport program and associate medical director with CritiCall Ontario. An anesthetist is working with him for the procedures.

Shock 54

Shock CPR Hyperthermia / Hypothermia Hospitals 54

PulmCCM

JUNE 5, 2023

veterans’ hospitals did not show a mortality reduction from low-dose methylprednisolone. Patients receiving hydrocortisone required more insulin, but did not have higher observed rates of hospital-acquired infections or gastrointestinal bleeding. iatrogenic or hospital-acquired) were excluded.

Advances Cardiac Life Support (ACLS) 96

Advances Cardiac Life Support (ACLS) Documentation/Coding CPR Shock 96

The Skeptics' Guide to EM

DECEMBER 2, 2017

Association Between Tracheal Intubation During Adult In-Hospital Cardiac Arrest and Survival. DISCLAIMER: The views and opinions of this podcast do not […] The post SGEM#197: Die Trying – Intubation of In-Hospital Cardiac Arrests first appeared on The Skeptics Guide to Emergency Medicine. Reference: Andersen et al.

Hospitals 40

Hospitals CPR Resuscitation Documentation/Coding 40

ED ECMO

FEBRUARY 23, 2021

Make sure to get CPR Certification Cleveland so you can always be prepared in case of any emergency. Zack invited Brian Grunau to discuss these topics as well as a recent ECPR paper out of Norway and study dealing with signs of life during CPR. What strategy gives the most benefit to the most people? Resuscitation. 2021.01.038.

CPR 52

CPR Resuscitation Hospitals Outcomes 52

The Skeptics' Guide to EM

MAY 8, 2021

CPR is initiated and a hospital rapid response team is called. Background: Cardiac arrests have high morbidity and mortality rates both in-hospital cardiac arrests (IHCAs) and out of hospital cardiac arrests (OHCAs). This contrasts with what the public sees watching CPR being done on TV.

CPR 52

CPR Hyperthermia / Hypothermia EMS Documentation/Coding 52

AED Leader

SEPTEMBER 7, 2023

A radiologist on the scene started CPR, which doctors continued for two hours at Texas Medical Center before pronouncing Sammy dead. After eight weeks in hospital and 58 days in rehab, Sammy is back in school full-time and remains active with the help of a wheelchair during the day. His family considers his survival a miracle.

CPR 52

CPR Stroke Hospitals 52

The Skeptics' Guide to EM

OCTOBER 24, 2020

Mobile Smartphone Technology Is Associated With Out-of-hospital Cardiac Arrest Survival Improvement: The First Year “Greater Paris Fire Brigade” Experience. Mobile Smartphone Technology Is Associated With Out-of-hospital Cardiac Arrest Survival Improvement: The First Year “Greater Paris Fire Brigade” Experience.

CPR 52

CPR Hyperthermia / Hypothermia Resuscitation EMS 52

The Skeptics' Guide to EM

DECEMBER 25, 2021

Disclaimer: “While I am proud to be attending this institution, my opinions expressed here are mine alone and do not represent my residency program, hospitals I work at, or any other affiliated organizations.” Case: An EMS crew arrives at the home of a 68-year-old suffering from a witnessed out-of-hospital cardiac arrest (OHCA).

CPR 52

CPR Administration Outcomes Hospitals 52