The Skeptics' Guide to EM

NOVEMBER 16, 2019

Case: A 59-year-old […] The post SGEM#275: 10th Avenue Freeze Out – Therapeutic Hypothermia after Non-Shockable Cardiac Arrest first appeared on The Skeptics Guide to Emergency Medicine. She had a witnessed arrest, and CPR was initiated by bystanders. Background: We have covered therapeutic hypothermia many times on the SGEM.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia EMS Research Documentation/Coding 40

EMDocs

NOVEMBER 6, 2023

Patients with severe agitation from sympathomimetic poisoning require sedation to manage hyperthermia and acidosis, to prevent rhabdomyolysis and injury, and to allow evaluation for other life-threatening conditions. Life-Threatening Cocaine Toxicity We recommend rapid external cooling for life-threatening hyperthermia from cocaine poisoning.

Poisoning 103

Poisoning Hyperthermia / Hypothermia Seizures Administration 103

Taming the SRU

JULY 19, 2023

Fundamentals of ECMO - leadership curriculum - ultrasound GR - macgyver techniques fundamentals of ecmo WITH dr. bonomo ECPR from the ED: The ideal patients: Young patients with refractory VF/VT arrest ≤ 30 min since arrest onset Poisonings with cardiogenic shock Severe hypothermia with arrest Massive PE with arrest Key points: Good CPR/advanced ACLS (..)

Ultrasounds 98

Ultrasounds Leadership Hyperthermia / Hypothermia Poisoning 98

The Skeptics' Guide to EM

JUNE 24, 2017

Induction of Therapeutic Hypothermia During Out-of-Hospital Cardiac Arrest Using a Rapid Infusion of Cold Saline
The RINSE Trial (Rapid Infusion of Cold Normal Saline). Induction of Therapeutic Hypothermia During Out-of-Hospital Cardiac Arrest Using a Rapid Infusion of Cold Saline
The RINSE Trial (Rapid Infusion of Cold Normal Saline).

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia CPR Resuscitation EMS 40

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?

CPR 52

CPR Hyperthermia / Hypothermia Resuscitation EMS 52

The Skeptics' Guide to EM

MAY 8, 2021

CPR is initiated and a hospital rapid response team is called. This contrasts with what the public sees watching CPR being done on TV. Use of Corticosteroids in Cardiac Arrest – A Systematic Review and Meta-Analysis. The resuscitation team arrives and ACLS protocols are continued.

CPR 52

CPR Hyperthermia / Hypothermia EMS Documentation/Coding 52

EMDocs

JANUARY 8, 2024

For patients with OHCA, use of steroids during CPR is of uncertain benefit. Extracorporeal CPR Use of ECPR for patients with cardiac arrest refractory to standard ACLS is reasonable in select patients when provided within an appropriately trained and equipped system of care. COR 2b, LOE B-R. COR 2b, LOE C-LD. COR 2b, LOE C-LD.

Seizures 95

Seizures Shock CPR Hyperthermia / Hypothermia 95

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. Case: A 60-year-old health professional suffers a cardiac arrest while working at a clinic outside the hospital. An anesthetist is working with him for the procedures.

Shock 56

Shock CPR Hyperthermia / Hypothermia Hospitals 56

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).

Basic Life Support 52

Basic Life Support Airway Management CPR Resuscitation 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 ).

EMS 52

EMS Resuscitation CPR Hyperthermia / Hypothermia 52

The Skeptics' Guide to EM

AUGUST 14, 2021

They performed high-quality CPR and shocked the patient twice before giving amiodarone via intraosseous (IO). This has included the classic paper from Legend of EM Dr. Ian Stiell on BLS vs. ACLS ( SGEM#64 ), the use of mechanical CPR ( SGEM#136 ), and pre-hospital hypothermia ( SGEM#183 ).

Shock 52

Shock CPR Hyperthermia / Hypothermia EMS 52

ACEP Now

APRIL 3, 2024

Early work on TTM in 2002 showed benefit to cooling to 33 degrees Celsius, which subsequently influenced international resuscitation guidelines to recommend mild hypothermia at 32 degrees to 34 degrees Celsius in 2005. degrees Celsius. 5,6 In 2021, the TTM2 trial was published. degrees Celsius for 72 hours. Click to enlarge.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Resuscitation Outcomes Hospitals 40

Greater Sydney Area HEMS

APRIL 15, 2023

Don’t forget that every ambulance has a maternity kit with bunny rugs, surgical gown, umbilical cord clamps, nappy, tiny warm hat… Consider reducing the risk of hypothermia by working inside the ambulance, and warming the vehicle, particularly in winter. This will take around a minute and often is the most intervention that is required!

Hospitals 85

Hospitals Resuscitation Hyperthermia / Hypothermia Teamwork 85

Don't Forget the Bubbles

JUNE 26, 2023

The team start CPR, and this is emergently converted to extra-corporeal cardiopulmonary resuscitation via the open sternotomy wound. The JET is treated by deepening sedation (to minimise exogenous and endogenous catecholamines), optimizing electrolytes and active mild hypothermia.

Operations 127

Operations Research Hyperthermia / Hypothermia Hospitals 127

RebelEM

DECEMBER 19, 2022

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. On the topic of EMS and similar to the pilot study, there was an incredibly high amount of bystander CPR performed. Thus limiting the external validity of this paper’s findings.

EMS 52

EMS CPR Shock Resuscitation 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. Still, after a quick Google search, you realise that hypothermia potently affects potassium shift from the extracellular to the intracellular and extravascular spaces. Despite good quality CPR, there is no ROSC.

Hyperthermia / Hypothermia 145

Hyperthermia / Hypothermia Military CPR EKG/ECG 145

Dr. Smith's ECG Blog

OCTOBER 26, 2020

In total, he received approximately 40 minutes of CPR and 7 defibrillation attempts. The patient received therapeutic hypothermia at 33 degrees C for 24 hours. EMS found the patient in VFib and performed ACLS for 26 minutes then obtained ROSC. I do not see clear evidence of OMI or reperfusion at this time.

EKG/ECG 40

EKG/ECG Hyperthermia / Hypothermia CPR Wellness 40

PulmCCM

MARCH 10, 2025

This is part of a series of articles on the duration of CPR for in-hospital cardiac arrest. An index to all posts in the series can be found here: Introduction Although cardiopulmonary resuscitation (CPR) is performed on more than 250,000 people in U.S. The other half range between 15 and 30 minutes, with a median of about 21 minutes.

CPR 52

CPR Hospitals Hyperthermia / Hypothermia Resuscitation 52

Don't Forget the Bubbles

FEBRUARY 5, 2025

In the bleeding trauma patient, fluid resuscitation aims to avoid the diamond of death (acidosis, coagulopathy, hypothermia and hypocalcaemia). When blood products are available, evidence suggests using a balanced approach, transfusing a 1:1:1 FFP:platelets:pRBC ratio. These should be given as boluses of 5-10ml/kg. General Medical Council.

Domestic Violence 57

Domestic Violence Fluid Resuscitation Head Injuries Sexual Assault 57

EMDocs

JANUARY 16, 2024

Some authors recommend not starting chest compressions in hypothermia unless there is no organized cardiac activity (e.g., 2 In reality you may start compressions before you confirm that hypothermia was the primary cause of cardiac arrest. Obtaining a core temperature early in any arrest suspected to be from hypothermia is key.

Hyperthermia / Hypothermia 95

Hyperthermia / Hypothermia Resuscitation CPR EMS 95

PulmCCM

JANUARY 29, 2024

Patients presenting with hypothermia should not be warmed too quickly (allowing their temperature to increase by <0.5°C/hour). Epinephrine remains the drug of choice during CPR Epinephrine remains the first-line therapy for cardiac arrest due to non-shockable rhythms (i.e., ECMO used as CPR is referred to as ECPR.)

CPR 115

CPR Seizures Documentation/Coding Hyperthermia / Hypothermia 115

Emergency Medicine Cases

DECEMBER 6, 2016

The post Best Case Ever 52 – Pediatric Hypothermia Cardiac Arrest appeared first on Emergency Medicine Cases. DeCaen tells his Best Case Ever showing us the value of orchestrated team work and a great example of the saying, "they're not dead until they're warm and dead".

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Pediatrics EMS CPR 52

Dr. Smith's ECG Blog

FEBRUARY 8, 2022

On arrival, CPR was continued and core temperature was measured at 18° C (64.4° First described in 1953 ( by Dr. John Osborn ) — these Osborn waves are most commonly associated with significant hypothermia ( usually not seen until core temperature is below 90°F ). Chest compressions and ventilation were begun.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia CPR EKG/ECG Resuscitation 40

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. Key to survival is high-quality CPR and early defibrillation. What should you tell him? Background: We have covered OHCA many times on the SGEM.

Airway Management 52

Airway Management CPR Hyperthermia / Hypothermia Outcomes 52

ACEP Now

OCTOBER 11, 2024

Optimally, bystander CPR, including the administration of rescue breaths, should be initiated prior to arrival of emergency medical services. And while epidemiology of these cases varies by geographic location, the assessment and management are largely consistent regardless of patient population.

Pediatrics 52

Pediatrics Hyperthermia / Hypothermia Emergency Department Resuscitation 52

Advanced Emergency Nursing from AENJ

SEPTEMBER 13, 2016

Validation of methods of controlling the unprotected natural airway; comparisons of methods of artificial respiration, validating mouth-to-mouth as the most effective means, training and popularizing mouth-to-mouth, and linking and coordinating external cardiac massage (the Johns Hopkins Group) to be Steps A, B, & C of CPR. " Peter J.

CPR 40

CPR Resuscitation Emergency Nursing Basic Life Support 40

Mind The Bleep

OCTOBER 17, 2024

Of the medical conditions reported, hypothermia was the largest group – the vast majority mild. Each year a team usually reports CPR being delivered. On the severest end of the spectrum, polytrauma was encountered in 7%, and concerns over a spinal injury in 7%. What medical care can teams provide?

Soft Tissue Injuries 52

Soft Tissue Injuries Seizures Ambulance Services Teamwork 52

Mind The Bleep

FEBRUARY 9, 2024

Whilst some patients may not be for CPR or intubation and ventilation, they may be appropriate for other treatment options offered in ITU, such as inotropes. The ICU team are aware that this patient may require therapeutic hypothermia, continuous cardiac monitoring and may deteriorate to the point of arrest.

Hospitals 52

Hospitals Resuscitation Fluid Resuscitation Shock 52

RebelEM

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. Only 51 of 138 patients randomized to the delayed CAG received the allocated intervention. Bougouin, W., Varenne, O.,

Hospitals 66

Hospitals Outcomes EKG/ECG Resuscitation 66

PulmCCM

JANUARY 20, 2025

Who Writes the CPR Guidelines? How Evidence-Based Are the CPR Guidelines? Most of the CPR guidelines are based on a very low-quality body of evidence (retrospective observational studies, simulation-based studies, etc). These suggestions came from studies testing CPR on manikins, not live patients. ° Celsius.

CPR 75

CPR Resuscitation Hyperthermia / Hypothermia Seizures 75

Taming the SRU

JUNE 6, 2023

mg/kg of IBW Seek to match a patient's minute ventilation with TV and RR after intubation Intentionally match patient's intrinsic RR noted prior to intubation Note that healthy lungs can handle 8 mL/kg, based on IBW, if that is useful for compensation Secure your ETT Thomas Tube Holder is a new ETT holder on Air Care for ETT down to size 6.5

Documentation/Coding 85

Documentation/Coding Seizures Psychiatric Wellness 85

Don't Forget the Bubbles

JANUARY 6, 2025

Reviewed by: Mikaeel Jaffer Article 2: Does the duration of pre-hospital CPR affect neurological outcomes? This retrospective cohort study aimed to determine the association between CPR duration (from initiation pre-hospital by emergency medical services) and neurological outcomes in paediatric out-of-hospital cardiac arrest (OHCA).

Dislocations 57

Dislocations CPR Ultrasounds Resuscitation 57