Patient Schematic. Perkins GD et al The Lancet, 385, 2015,
|
|
- Stuart Austin
- 8 years ago
- Views:
Transcription
1 Lancet March 2015
2 Patient Schematic Perkins GD et al The Lancet, 385, 2015,
3 Background Adequate CPR is critical for survival for CA patients Maintenance of high-quality compressions during OHCA is difficult because: small number of crew present fatigue patient access competing tasks (eg, defibrillation, vascular access) difficulty of performing resuscitation in a moving vehicle Perkins GD et al The Lancet, 385, 2015,
4 Background Mechanical compression devices have been developed to automate and potentially improve CPR Prior trials have been equivocal: Load distributing band mechanical device: One trial terminated early because of the worsened long-term outcomes in treated patients The CIRC trial reported it was equivalent to manual CPR The LINC trial assessed the LUCAS device and concluded it did not result in improved outcomes The purpose of this study was to assess whether LUCAS-2 was better than manual CPR for the improvement of 30 day survival in OHCA adults Perkins GD et al The Lancet, 385, 2015,
5 LUCAS-2 CPR Device
6 Methods On-line training included: access to online training resources the study protocol and procedures how to operate the LUCAS-2 device importance of high-quality CPR Face-to-face training included hands-on device deployment practice, with a resuscitation manikin emphasized the importance of rapid deployment with minimum CPR interruptions A competency checklist was completed before the LUCAS-2 could be deployed
7 Results From 4/10-6/13, 4471 patients were enrolled Very few adverse events 40% of the pts in the LUCAS-2 group did not receive mechanical chest compression Reasons for non-use : crew not trained 78 Crew error 168 no device in vehicle 26; unsuitable patients 102 Pts too large (n-58) or too small (n=22), other pt reasons (n=22) not possible to use device 140 reason unknown 110
8 Results Patient characteristics Age 71 63% male presumed cardiac in 86% witnessed in 61% bystander CPR in 43% Initial rhythm: VF 34% VT 1% PEA 25 Asystole 50% Perkins GD et al The Lancet, 385, 2015,
9 Results No serious adverse events were reported. Seven clinical adverse events in the LUCAS-2 group chest bruising 3 chest laceration 2 blood in mouth 2 15 device incidents occurred during operational use alarms sounded 4 Device stopped working 7 other 4 No adverse or serious adverse events were reported in the control group. Perkins GD et al The Lancet, 385, 2015,
10 Outcomes
11 Outcomes No change if included only cases where LUCAS-2 used appropriately
12 Subgroup Analysis
13 Conclusions The LUCAS-2 did not improve the primary outcome of survival to 30 days Neurological outcomes were marginally worse There was lower survival in patients presenting with an initially shockable rhythm
14 Potential Reasons for Results Increased training may have improved CPR quality in the control group Low numbers of patients treated: avg of 1 control and 1 LUCAS-2 a year Interruptions in CPR during device deployment could cause reduced cardiac and cerebral perfusion. Slightly more patients received epinephrine after randomization in the LUCAS group, which might increase cardiac instability and impair cerebral microcirculation Deployment of LUCAS before the first shock is likely to have led to a shock delays, which might reduce survival
15 Journal American College of Cardiology Dec 2014
16 Background International resuscitation guidelines recommend giving epinephrine every 3-5 min during CA resuscitation Prior observational and randomized trials have shown that epinephrine was associated with: greater likelihood of ROSC No difference in long-term survival Epinephrine effects (potential double edged sword): Increases coronary and cerebral perfusion pressure which can help achieve ROSC May exert adverse effects post ROSC which: contribute to myocardial dysfunction increase oxygen requirements cause microcirculatory abnormalities Dumas F, et al JACC 2014;64:
17 Methods Included pts with OHCA who had ROSC, and were admitted to a large Parisian CA receiving hospital from 1/00-8/12 OHCA resuscitation performed by an emergency team, which includes at least 1 EM MD Patients in whom the resuscitation process fails are not transported to the hospital Most patients who achieve ROSC are brought to the CA receiving hospital, admitted to the ICU, and treated according to standard resuscitative guidelines including coronary angiography and mild therapeutic hypothermia Dumas F, et al JACC 2014;64:
18 Results A total of 1,646 patients achieved ROSC and were admitted to the hospital Pt characteristics: age 60 ± 16 years male 71% Initial shockable rhythm 54% Coronary angiography was performed in 63% and PCI in 44% Therapeutic hypothermia 70% Nearly three-fourths of patients received epinephrine as part of OHCA resuscitation Dumas F, et al JACC 2014;64:
19 Patient Flow Patient outcomes are presented according to treatment with or without EPI during resuscitation. Dumas F, et al JACC 2014;64:
20 Dumas F, et al JACC 2014;64: Patient Arrest Characteristics
21 Association Between Outcome and Early Dose of EPI and According to the Initial Rhythm Dumas F, et al JACC 2014;64:
22 Outcome according to duration of CA and administration of epinephrine Dumas F, et al JACC 2014;64:
23 Conclusions The use of epinephrine during resuscitation of OHCA was associated with a worse neurological outcome The adverse association was not modified by post-rosc interventions such as PCI or therapeutic hypothermia Later first administration and increasing epinephrine dose response was associated with worse outcomes
24 Caveats/Limitations Single center and may not be generalizable to all communities Not known why about 25% of pts not given epinephrine Observational design which precludes any causal relationship between use of epinephrine and outcome Epinephrine may be considered a surrogate marker of severity of the CA Those receiving epinephrine had less favorable prognostic characteristics (older, less likely to have a witnessed event, and less likely to have a shockable rhythm, longer duration of resuscitation)
Journal reading. Method. Introduction. Measurement. Supervisor: F1 徐 英 洲 Presentor:R1 劉 邦 民 103.04.14
Journal reading Supervisor: F1 徐 英 洲 Presentor:R1 劉 邦 民 103.04.14 Introduction Epinephrine usage in CPR Pro: Ability to augment BP and increased coronary perfusion through systemic vasoconstriction Cons:
More informationThe 5 Most Important EMS Articles EAGLES 2014
The 5 Most Important EMS Articles EAGLES 2014 Corey M. Slovis, M.D. Vanderbilt University Medical Center Metro Nashville Fire Department Nashville International Airport Nashville, TN VanderbiltEM.com
More informationResuscitation Could this new model of CPR hold promise for better rates of neurologically intact survival?
Cover report by Gordon A. Ewy, MD, Michael J. Kellum, MD, & Bentley J. Bobrow, MD CARDIOCEREBRAL Resuscitation Could this new model of CPR hold promise for better rates of neurologically intact survival?
More informationUpdate on Small Animal Cardiopulmonary Resuscitation (CPR)- is anything new?
Update on Small Animal Cardiopulmonary Resuscitation (CPR)- is anything new? DVM, DACVA Objective: Update on the new Small animal guidelines for CPR and a discussion of the 2012 Reassessment Campaign on
More informationEpinephrine in CPR. The 5 Most Important EMS Articles EAGLES 2014. Epi vs No-Epi Take Homes 2/28/2014. VF/VT (1990 Pairs) Epi vs No-Epi
The 5 Most Important EMS Articles EAGLES 214 Corey M. Slovis, M.D. Vanderbilt University Medical Center Metro Nashville Fire Department Nashville International Airport Nashville, TN nephrine in CPR VF/VT
More information2015 Interim Resources for BLS
2015 Interim Resources for BLS Original Release: November 25, 2015 Starting in 2016, new versions of American Heart Association online courses will be released to reflect the changes published in the 2015
More informationACLS Provider Manual Comparison Sheet Based on 2010 AHA Guidelines for CPR and ECC. BLS Changes
ACLS Provider Manual Comparison Sheet Based on 2010 AHA Guidelines for CPR and ECC CPR Chest compressions, Airway, Breathing (C-A-B) BLS Changes New Old Rationale New science indicates the following order:
More information2015 Interim Resources for HeartCode ACLS
2015 Interim Resources for HeartCode ACLS Original Release: November 25, 2015 Starting in 2016, new versions of American Heart Association online courses will be released to reflect the changes published
More informationROC CONTINUOUS CHEST COMPRESSIONS STUDY (CCC): MEDICAL CARDIAC ARREST MEDICAL DIRECTIVE
ROC CONTINUOUS CHEST COMPRESSIONS STUDY (CCC): MEDICAL CARDIAC ARREST MEDICAL DIRECTIVE An Advanced Care Paramedic will provide the treatment based on the randomization scheme and as prescribed in this
More informationWhat is the Future of Epinephrine in Cardiac Arrest? Pros and Cons
What is the Future of Epinephrine in Cardiac Arrest? Pros and Cons Melissa L. Thompson Bastin, PharmD., BCPS Komal A. Pandya, PharmD., BCPS 0 Presenter Disclosure Information Melissa L. Thompson Bastin,
More informationEMBARGOED FOR RELEASE
Systems of Care and Continuous Quality Improvement Universal elements of a system of care have been identified to provide stakeholders with a common framework with which to assemble an integrated resuscitation
More informationResuscitation in cardiac arrest the role of the HEMS physician
Resuscitation in cardiac arrest the role of the HEMS physician Dr Anne Weaver Consultant in Emergency Medicine & Pre-hospital Care AIRMED World Congress Rome 2014 Aims Describe standard care for cardiac
More information2015 AHA /ECC updates for BLS: Compression rate and depth - how to perform and monitor
2015 AHA /ECC updates for BLS: Compression rate and depth - how to perform and monitor 范 文 林 醫 師 2016/04/10 Reinforced Chest compressions are the key component of effective CPR. Characteristics of chest
More informationResuscitation 83 (2012) 327 332. Contents lists available at SciVerse ScienceDirect. Resuscitation
Resuscitation 83 (2012) 327 332 Contents lists available at SciVerse ScienceDirect Resuscitation jo u rn al hom epage : www.elsevier.com/locate/resuscitation Clinical Paper Outcome when adrenaline (epinephrine)
More informationACLS Study Guide BLS Overview CAB
ACLS Study Guide The ACLS Provider exam is 50-mutiple choice questions. Passing score is 84%. Student may miss 8 questions. For students taking ACLS for the first time or renewing students with a current
More informationNew Approaches for Prehospital Cardiac Arrest Management 2010 NCEMSF Conference
New Approaches for Prehospital Cardiac Arrest Management 2010 NCEMSF Conference Mark E. Pinchalk, MS, EMT-P Paramedic Crew Chief City of Pittsburgh EMS Out of Hospital Cardiac Arrest Poor outcomes: Arizona
More informationOfficial Online ACLS Exam
\ Official Online ACLS Exam Please fill out this form before you take the exam. Name : Email : Phone : 1. Hypovolemia initially produces which arrhythmia? A. PEA B. Sinus tachycardia C. Symptomatic bradyarrhythmia
More informationQuestion-and-Answer Document 2010 AHA Guidelines for CPR & ECC As of October 18, 2010
Question-and-Answer Document 2010 AHA Guidelines for CPR & ECC As of October 18, 2010 Q: What are the most significant changes in the 2010 AHA Guidelines for CPR & ECC? A: Major changes for all rescuers,
More informationHelicopter emergency medical services (HEMS) response to out-of-hospital cardiac arrest
Lyon and Nelson Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2013, 21:1 ORIGINAL RESEARCH Open Access Helicopter emergency medical services (HEMS) response to out-of-hospital cardiac
More informationCardiac Arrest: General Considerations
Andrea Gabrielli, MD, FCCM Cardiac Arrest: General Considerations Cardiopulmonary resuscitation (CPR) is described as a series of assessments and interventions performed during a variety of acute medical
More information2015 AHA Guidelines for CPR and ECC: Time for a Change Michael Sayre, MD University of Washington Emergency Medicine. Disclosures
2015 AHA Guidelines for CPR and ECC: Time for a Change Michael Sayre, MD University of Washington Emergency Medicine Disclosures Medtronic Foundation: Research Grant Physio Control: EMS Fellowship Program
More informationIt is recommended that the reader review each medical directive presented in this presentation along with the actual PCP Core medical directive.
It is recommended that the reader review each medical directive presented in this presentation along with the actual PCP Core medical directive. This presentation will highlight the changes and any new
More informationTeam Leader. Ensures high-quality CPR at all times Assigns team member roles Ensures that team members perform well. Bradycardia Management
ACLS Megacode Case 1: Sinus Bradycardia (Bradycardia VF/Pulseless VT Asystole Out-of-Hospital Scenario You are a paramedic and arrive on the scene to find a 57-year-old woman complaining of indigestion.
More informationResuscitation in congenital heart disease. Peter C. Laussen MBBS FCICM Department Critical Care Medicine Hospital for Sick Children Toronto
Resuscitation in congenital heart disease Peter C. Laussen MBBS FCICM Department Critical Care Medicine Hospital for Sick Children Toronto Evolution of Congenital Heart Disease Extraordinary success: Overall
More informationAMERICAN HEART ASSOCIATION 2010 ACLS GUIDELINES: WHAT EVERY CLINICIAN NEEDS TO KNOW
AMERICAN HEART ASSOCIATION 2010 ACLS GUIDELINES: WHAT EVERY CLINICIAN NEEDS TO KNOW Joseph Heidenreich, MD Texas A&M Health Science Center Scott & White Memorial Hospital Scott & White Memorial Hospital
More informationPercent pulseless cardiac events monitored or witnessed (pediatric patients): Percent of pulseless cardiac events monitored or witnessed
RESUSCITATION RFACT SHEET Get With The Guidelines -Resuscitation is the American Heart Association s collaborative quality improvement program demonstrated to improve adherence to evidence-based care of
More informationDavid Chase, MD; Angelo Salvucci, MD; Rafael Marino, MBA, Nancy Merman, RN; Katy Hadduck, RN
1; ;. I ~;' ~ t 1 1". 1';J s' Ii 1 David Chase, MD; Angelo Salvucci, MD; Rafael Marino, MBA, Nancy Merman, RN; Katy Hadduck, RN Purpose: The King Airway (KA) is inserted blindly with no or minunal interruption
More informationHigh Performance CPR Toolkit
Toolkit HIGH PERFORMANCE CPR TOOL KIT This tool kit is free to EMS agencies interested in implementing high performance CPR into their programs. The materials have been developed to provide step-by-step
More informationPulseless Emergencies
Pulseless Emergencies Nicole M. Acquisto, Pharm.D., BCPS Emergency Medicine Clinical Pharmacy Specialist University of Rochester Medical Center Nothing to disclose Disclosures Objectives Understand the
More informationMichigan Adult Cardiac Protocols CARDIAC ARREST GENERAL. Date: May 31, 2012 Page 1 of 5
Date: May 31, 2012 Page 1 of 5 Cardiac Arrest General This protocol should be followed for all adult cardiac arrests. Medical cardiac arrest patients undergoing attempted resuscitation should not be transported
More information2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care
2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Presenter Name Disclosures
More informationDEBRIEFING GUIDE. The key components of an optimal code response: 1. Early recognition that the patient is deteriorating or has become unresponsive.
DEBRIEFING GUIDE I N T R O D U C T I O N Debriefing has been shown to improve clinical behavior during cardiac resuscitation and, as such, has become a recommended procedure in the 2010 American Heart
More informationScience Driving the Future of Resuscitation: ACLS
Paris Hotel and Casino Las Vegas, Nevada Science Driving the Future of Resuscitation: ACLS Joseph P. Ornato, MD, FACP, FACC, FACEP Professor & Chairman, Dept. of Emergency Medicine Professor, Internal
More informationCardiac Arrest Pediatric Ventricular Fibrillation / Pulseless Ventricular Tachycardia Protocol revised October 2008
Cardiac Arrest Pediatric Ventricular Fibrillation / Pulseless Ventricular Tachycardia Protocol revised October 2008 Preamble In contrast to cardiac arrest in adults, cardiopulmonary arrest in pediatric
More informationUtilizing the Cath Lab for Cardiac Arrest
Utilizing the Cath Lab for Cardiac Arrest Khaled M. Ziada, MD Director, Cardiovascular Catheterization Laboratories Gill Heart Institute, University of Kentucky UK/AHA Strive to Revive Symposium May 2013
More informationCardiac Arrest - Ventricular Fibrillation / Pulseless Ventricular Tachycardia Protocol revised October 2008
Cardiac Arrest - Ventricular Fibrillation / Pulseless Ventricular Tachycardia Protocol revised October 2008 Preamble Survival from cardiorespiratory arrest for patients who present with ventricular fibrillation
More informationCARDIAC RESUSCITATION: A compazuson of 30:2 AND ccc cpr on ADMINISTRATION. A Thesis Submitted to the Honors Collese MAY 2011
CARDIAC RESUSCITATION: A compazuson of 30:2 AND ccc cpr on BYSTANDER WILLINGNESS AND THE TIMING AND ROUTE OF EPINEPHRINE ADMINISTRATION By Sarah Nicole Peer A Thesis Submitted to the Honors Collese In
More informationSudden Cardiac Arrest- Focusing on the Unsolved Problems
Sudden Cardiac Arrest- Focusing on the Unsolved Problems Wen-Jone Chen MD, PhD, FESC Professor of Medicine, Department of Emergency Medicine, National Taiwan University, Taipei, Taiwan Superintendent,
More informationVasopressors. Judith Hellman, M.D. Associate Professor Anesthesia and Perioperative Care University of California, San Francisco
Vasopressors Judith Hellman, M.D. Associate Professor Anesthesia and Perioperative Care University of California, San Francisco Overview Define shock states Review drugs commonly used to treat hypotension
More informationACLS Defibrillation Protocols With the ZOLL Rectilinear Biphasic Waveform AHA/ERC Guidelines 2005
ACLS Defibrillation Protocols With the ZOLL Rectilinear Biphasic Waveform AHA/ERC Guidelines 2005 Introduction: The purpose of this document is to outline the equivalent biphasic protocols specific to
More informationImpact of Manual CPR on Increasing Coronary Perfusion Pressure
Impact of Manual CPR on Increasing Coronary Perfusion Pressure In sudden cardiac arrest cases, the ability to adequately perfuse the brain and heart during resuscitation is of critical importance. The
More informationHeart of America Medical Center EMR, EMT, EMT-Intermediate & AEMT Protocols
USE OF THE LUCAS DEVICE TO PROVIDE EXTERNAL CHEST COMPRESSIONS IN PATIENTS SUFFERING CARDIAC ARREST Purpose This procedure describes the appropriate methods to apply, operate, and discontinue the LUCAS
More informationMaryland Public Access AED Update SERMA CONFERENCE May 23, 2013
Maryland Public Access AED Update SERMA CONFERENCE May 23, 2013 Lisa Myers, RN, MS Director, Cardiac and Special Programs Maryland Institute for Emergency Medical Services Systems Objectives Describe AED
More informationCardiac Arrest VF/Pulseless VT Learning Station Checklist
Cardiac Arrest VF/Pulseless VT Learning Station Checklist VF/VT 00 American Heart Association Adult Cardiac Arrest Shout for Help/Activate Emergency Response Epinephrine every - min Amiodarone Start CPR
More informationavailable at www.sciencedirect.com journal homepage: www.elsevier.com/locate/resuscitation
Resuscitation (2008) 79, 424 431 available at www.sciencedirect.com journal homepage: www.elsevier.com/locate/resuscitation CLINICAL PAPER Defibrillation or cardiopulmonary resuscitation first for patients
More information2011 Pediatric Advanced Life Support (PALS) Classroom Course & Materials Frequently Asked Questions (FAQs) As of November 3, 2011
2011 Pediatric Advanced Life Support (PALS) Classroom Course & Materials Frequently Asked Questions (FAQs) As of November 3, 2011 Course Information Q: What is the PALS Course? A: The American Heart Association
More informationDO YOU LIVE IN A CARDIAC READY COMMUNITY?
DO YOU LIVE IN A CARDIAC READY COMMUNITY? If someone in your community suffers a sudden cardiac arrest tomorrow, how likely is he or she to survive due to rapid access to life-saving treatment? Cities
More informationObjectives. Cardiac Arrest by the Numbers. Where would you want to collapse in V-FIB? 7/31/14
Objectives David Glendenning Education Coordinator New Hanover Regional Medical Center EMS Review CPR technique and sequence Review recent evidence & current studies in the use of ACLS medications Review
More informationCardiac arrest management Connie J. Mattera, NWC EMSS
Stayin alive Contemporary Cardiac Arrest Management Connie J. Mattera, M.S., R.N., EMT-P CMATTERA@nch.org www.nwcemss.org Upon completion the participant will identify priorities of care for pts in cardiac
More informationE C C. American Heart Association. Advanced Cardiovascular Life Support. Written Exams. May 2011
E C C American Heart Association Advanced Cardiovascular Life Support Written Exams Contents: Exam Memo Student Answer Sheet Version A Exam Version A Answer Key Version A Reference Sheet Version B Exam
More informationGuidelines for CPR and ECC
H i g h l i g h t s o f t h e 2010 American Heart Association Guidelines for CPR and ECC Contents Major Issues Affecting All Rescuers 1 Lay Rescuer Adult CPR 3 Healthcare Provider BLS 5 Electrical Therapies
More informationThe management of cardiac arrest
CHAPTER 6 The management of cardiac arrest LEARNING OBJECTIVES In this chapter you will learn: How to assess the cardiac arrest rhythm and perform advanced life support 6.1. INTRODUCTION Cardiac arrest
More informationLocal Anaesthetic Systemic Toxicity. Dr Thomas Engelhardt, MD, PhD, FRCA Royal Aberdeen Children s Hospital, Scotland
Local Anaesthetic Systemic Toxicity Dr Thomas Engelhardt, MD, PhD, FRCA Royal Aberdeen Children s Hospital, Scotland Conflict of interest None Overview Local anesthetic systemic toxicity (LAST) Background
More informationNATIONAL AMBULANCE SERVICE ONE LIFE PROJECT
February 2015 NATIONAL AMBULANCE SERVICE ONE LIFE PROJECT Improving patient outcomes from Out Of Hospital Cardiac Arrest David Hennelly AP MSc Jan 2015 THE ONE LIFE PROJECT IS BEING LED BY THE NATIONAL
More informationUse of the A-B-C basic life support sequence.
Basic Life Support A change in the basic life support (BLS) sequence of steps for trained rescuers from A-B-C (Airway, Breathing, Chest compressions) to C-A-B (Chest compressions, Airway, Breathing) for
More informationMedical management of CHF: A New Class of Medication. Al Timothy, M.D. Cardiovascular Institute of the South
Medical management of CHF: A New Class of Medication Al Timothy, M.D. Cardiovascular Institute of the South Disclosures Speakers Bureau for Amgen Background Chronic systolic congestive heart failure remains
More informationPurpose To guide registered nurses who may manage clients experiencing sudden or unexpected life-threatening cardiac emergencies.
Emergency Cardiac Care: Decision Support Tool #1 RN-Initiated Emergency Cardiac Care Without Cardiac Monitoring/Manual Defibrillator or Emergency Cardiac Drugs Decision support tools are evidence-based
More informationBASIC LIFE SUPPORT - ADULT
BASIC LIFE SUPPORT - ADULT First Issued by/date BKW PCT May 2003 Issue Version Purpose of Issue/Description of Change 3 Policy reviewed. No changes in procedure or legislation since policy revised 12 months
More informationIn-hospital resuscitation. Superseded by
6 In-hospital resuscitation Introduction These guidelines are aimed primarily at healthcare professionals who are first to respond to an in-hospital cardiac arrest and may also be applicable to healthcare
More informationResuscitation of the Pediatric Patient with Pulmonary Hypertension
Resuscitation of the Pediatric Patient with Pulmonary Hypertension David L. Wessel, MD Senior Vice President IKARIA Distinguished Professor of Critical Care Medicine Children s National Medical Center
More informationCPR/AED for Professional Rescuers and Health Care Providers HANDBOOK
CPR/AED for Professional Rescuers and Health Care Providers HANDBOOK TABLE OF CONTENTS SECTION 1: THE PROFESSIONAL RESCUER The Duty to Respond 2 Preventing the Spread of Bloodborne Pathogens 3 Taking Action
More informationOUT-OF-HOSPITAL CARDIAC ARREST A STRATEGY FOR SCOTLAND
OUT-OF-HOSPITAL CARDIAC ARREST A STRATEGY FOR SCOTLAND OUT-OF-HOSPITAL CARDIAC ARREST A STRATEGY FOR SCOTLAND The Scottish Government, Edinburgh 2015 Crown copyright 2015 This publication is licensed
More informationIU Health ACLS Study Guide
IU Health ACLS Study Guide Preparing for your upcoming ACLS Class REVISED SEPTEMBER 2011 ON APRIL 1, 2011 WE BEGAN TEACHING THE 2010 AHA GUIDELINES. WE HIGHLY RECOMMEND REVIEWING THE NEW ALGORYHMS FOUND
More informationCARING FOR THE CRITICALLY ILL PATIENT Vasopressin, Steroids, and Epinephrine and Neurologically Favorable Survival After In-Hospital Cardiac Arrest
CARING FOR THE CRITICALLY ILL PATIENT Vasopressin, Steroids, and Epinephrine and Neurologically Favorable Survival After In-Hospital Cardiac Arrest A Randomized Clinical Trial FREE Spyros D. Mentzelopoulos,
More informationAktuelle Literatur aus der Notfallmedizin
05.02.2014 Aktuelle Literatur aus der Notfallmedizin prä- und innerklinisch Aktuelle Publikationen aus 2012 / 2013 PubMed hits zu emergency medicine 12,599 Abstract OBJECTIVES: Current American Heart
More informationDevelopment of a National Out-of-Hospital Cardiac Arrest Surveillance Registry. ICEM Singapore 2010
Development of a National Out-of-Hospital Cardiac Arrest Surveillance Registry ICEM Singapore 2010 Bryan McNally, MD, MPH Assistant Professor of Emergency Medicine Emory University School of Medicine Atlanta,
More informationIs there a role for adrenaline during cardiopulmonary resuscitation?
REVIEW C URRENT OPINION Is there a role for adrenaline during cardiopulmonary resuscitation? Jerry P. Nolan a and Gavin D. Perkins b Purpose of review To critically evaluate the recent data on the influence
More informationFactors Predicting Outcome of Cardiopulmonary Resuscitation among Elderly Malaysians: A retrospective study
ORIGINAL ARTICLE Factors Predicting Outcome of Cardiopulmonary Resuscitation among Elderly Malaysians: A retrospective study Nik Azlan, NM MEm Med (UKM), Siti Nidzwani, MM MMed (Anaes) UKM Department of
More informationPractical ACLS Megacode Testing and Training Scenario Set for SimPad. Consolidated Instructor Manual. Frances Wickham Lee, DBA
Practical ACLS Megacode Testing and Training Scenario Set for SimPad Consolidated Instructor Manual Frances Wickham Lee, DBA Scenario Authors: Frances Wickham Lee, DBA John Walker, BHS John Schaefer, MD
More informationHIGHLIGHTS. of the 2015 American Heart Association. Guidelines Update for CPR and ECC
HIGHLIGHTS of the 2015 American Heart Association Guidelines Update for CPR and ECC Contents Introduction..............................................1 Ethical Issues............................................3
More informationACLS PRE-TEST ANNOTATED ANSWER KEY
ACLS PRE-TEST ANNOTATED ANSWER KEY June, 2011 Question 1: Question 2: There is no pulse with this rhythm. Question 3: Question 4: Question 5: Question 6: Question 7: Question 8: Question 9: Question 10:
More informationNational Registry of EMTs Continued Competency Program. (NREMT Recertification Requirements) BETA Version 2
National Registry of EMTs Continued Competency Program (NREMT Recertification Requirements) BETA Version 2 Massachusetts providers Issue date: 5/1/2013 The Four Principles of Continued Competency Professional
More informationAdding IV Amiodarone to the EMS Algorithm for Cardiac Arrest Due to VF/Pulseless VT
Adding IV Amiodarone to the EMS Algorithm for Cardiac Arrest Due to VF/Pulseless VT Introduction Before the year 2000, the traditional antiarrhythmic agents (lidocaine, bretylium, magnesium sulfate, procainamide,
More informationThe Sepsis Puzzle: Identification, Monitoring and Early Goal Directed Therapy
The Sepsis Puzzle: Identification, Monitoring and Early Goal Directed Therapy Cindy Goodrich RN, MS, CCRN Content Description Sepsis is caused by widespread tissue injury and systemic inflammation resulting
More informationPresent : PGY 王 淳 峻 Supervisor: F1 王 德 皓 991109
Present : PGY 王 淳 峻 Supervisor: F1 王 德 皓 991109 Interventions to prevent cardiac arrest + Airway management + Ventilation support + Treatment of bradyarrhythmias & Tachyarrhythmias Treat cardiac arrest
More informationREFERRAL HOSPITAL. The Importance of Door In Door Out Time DIDO
REFERRAL HOSPITAL The Importance of Door In Door Out Time DIDO Time to Treatment is critical for STEMI patients For patients with ST-segment elevation myocardial infarction (STEMI), percutaneous coronary
More informationPaediatric Advanced Life Support
Paediatric Advanced Life Support Introduction There is concern that resuscitation from cardiac arrest is not performed as well as it might because the variations in guidelines for different age groups
More informationRedefining the NSTEACS pathway in London
Redefining the NSTEACS pathway in London Sotiris Antoniou Consultant Pharmacist, Cardiovascular Medicine, Barts and The London NHS Trust and Project Lead, North East London Cardiovascular and Stroke Network
More informationOutcomes of Rapid Defibrillation by Security Officers after Cardiac Arrest in Casinos
Outcomes of Rapid Defibrillation by Security Officers after Cardiac Arrest in Casinos Terence D. Valenzuela, M.D., M.P.H., Denise J. Roe, Dr.P.H., Graham Nichol, M.D., M.P.H., Lani L. Clark, B.S., Daniel
More informationHow To Be A Medical Flight Specialist
Job Class Profile: Medical Flight Specialist Pay Level: CG-36 Point Band: 790-813 Accountability & Decision Making Development and Leadership Environmental Working Conditions Factor Knowledge Interpersonal
More informationAutomated External Defibrillators (AED) Program Oversight
Automated External Defibrillators (AED) Program Oversight DISTRICT AED/HEALTH COORDINATOR 1. Coordinate school/district CPR/AED training 2. Work with schools to select and maintain CPR/AED trained personnel
More informationAdult, Child, and Infant Written Exam CPR Pro for the Professional Rescuer
Adult, Child, and Infant Written Exam CPR Pro for the Professional Rescuer Instructions: Read each of the following questions carefully and then place an X over the correct answer on the separate answer
More informationBasic life support (BLS) Techniques
module Basic life support (BLS) Techniques 1 01 04. Basic Cardio Pulmonary Resuscitation (CPR) 08. Adult basic life support sequence, according to European Resuscitation Guidelines 12. Recognition of cardiorespiratory
More informationAll Intraosseous Sites Are Not Equal
All Intraosseous Sites Are Not Equal Clinical Data Suggests the Sternal IO Route Improves Patient Outcomes Current Guidelines, (such as AHA) indicate that Intraosseous Infusion (IO) is a rapid, safe and
More informationSuccess Manual and Cheat Sheet Notes to Pass Your Basic Life Support (BLS) Course
Success Manual and Cheat Sheet Notes to Pass Your Basic Life Support (BLS) Course Written by: Jay Snaric, MS And Kimberly Hickman, RN CPR St. Louis 44 Meramec Valley Plaza St. Louis MO 63088 www.stlcpr.com
More informationMission: Lifeline North Texas STEMI Workshop. The Model STEMI Referring Center (non-pci capable) Trisha Wren, RN, BSN
STEMI Workshop The Model STEMI Referring Center (non-pci capable) Trisha Wren, RN, BSN Faculty Disclosure Information Trisha Wren, RN, BSN The Model STEMI Referring Center (non PCI capable) FINANCIAL DISCLOSURE:
More informationCrash Cart Drugs Drugs used in CPR. Dr. Layla Borham Professor of Clinical Pharmacology Umm Al Qura University
Crash Cart Drugs Drugs used in CPR Dr. Layla Borham Professor of Clinical Pharmacology Umm Al Qura University Introduction A list of the drugs kept in the crash carts. This list has been approved by the
More informationThe American Heart Association Guidelines Including Pediatric Resuscitation
Lesson 3 The American Heart Association Guidelines Including Pediatric Resuscitation Sharon E. Mace, MD, FACEP, FAAP Objectives On completion of this lesson, you should be able to: 1. List the correct
More informationManagement of Pediatric Emergencies: Current Evidence from Cochrane/ other Systematic Reviews
Indian Journal of Emergency Pediatrics 119 Volume 3 Number 3, July - September 2011 Management of Pediatric Emergencies: Current Evidence from Cochrane/ other Systematic Reviews Clinical Question: Is Vasopressin
More informationManagement of Adult Cardiac Arrest
73991_CH27_page68-73.qxd 6/6/11 3:54 PM Page 68 27.68 Section 5 Medical Guidelines for Performing a 12-Lead ECG The only way to learn how to obtain a 12-lead ECG is to practice with the equipment itself.
More informationAdvanced Cardiovascular Life Support Case Scenarios
Advanced Cardiovascular Life Support Case Scenarios ACLS Respiratory Arrest Case Out-of-Hospital Scenario You are a paramedic and respond to the scene of a possible cardiac arrest. A young man lies motionless
More informationInitial Cardiac Rhythm Correlated to Emergency Department Survival
ORIGINAL RESEARCH Initial Cardiac Rhythm Correlated to Emergency Department Survival Rade B. Vukmir Critical Care Medicine Associates, Sewicley, PA 15143, U.S.A. Department of Emergency Medicine, University
More informationREVIEW ARTICLE. arrest is a major public health
REVIEW ARTICLE for Cardiac Arrest A Systematic Review and Meta-analysis KoKo Aung, MD, MPH; Thwe Htay, MD Background: The current guidelines for cardiopulmonary resuscitation recommend vasopressin as an
More information33 Successful Systems
Chapter 33 / Out-of-Hospital Resuscitation 649 33 Successful Systems for Out-of-Hospital Resuscitation Paul E. Pepe, MD, FACEP, FACP, FCCM, Lynn P. Roppolo, MD, and Leonard A. Cobb, MD, FACP CONTENTS INTRODUCTION
More informationAHA Consensus Statement
AHA Consensus Statement Cardiopulmonary Resuscitation Quality: Improving Cardiac Resuscitation Outcomes Both Inside and Outside the Hospital A Consensus Statement From the American Heart Association Endorsed
More informationPerioperative Cardiac Evaluation
Perioperative Cardiac Evaluation Caroline McKillop Advisor: Dr. Tam Psenka 10-3-2007 Importance of Cardiac Guidelines -Used multiple times every day -Patient Safety -Part of Surgical Care Improvement Project
More informationEPINEPHRINE IS WIDELY USED IN
CARING FOR THE CRITICALLY ILL PATIENT Prehospital Epinephrine Use and Survival Among Patients With Out-of-Hospital Cardiac Arrest Akihito Hagihara, DMSc, MPH Manabu Hasegawa, MD Takeru Abe, MA Takashi
More informationResuscitation 82 (2011) 1138 1143. Contents lists available at ScienceDirect. Resuscitation
Resuscitation 82 (2011) 1138 1143 Contents lists available at ScienceDirect Resuscitation j ourna l h o me pag e: www. elsevier.com/locate/resuscitation Clinical paper Effect of adrenaline on survival
More informationJournal of American Science 2014;10(5) http://www.jofamericanscience.org
Effect of Frequent Application of Code Blue Training Program on the Performance of Pediatric Nurses Ghada Saeed AL-Ghamdi 1 ; Magda Aly Essawy 2 and Dr. Mohammad Al-Qahtani 3 1 College of Nursing, University
More informationResuscitation 81 (2010) 1219 1276. Contents lists available at ScienceDirect. Resuscitation. journal homepage: www.elsevier.com/locate/resuscitation
Resuscitation 81 (2010) 1219 1276 Contents lists available at ScienceDirect Resuscitation journal homepage: www.elsevier.com/locate/resuscitation European Resuscitation Council Guidelines for Resuscitation
More information