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SGEM#462: Spooky Scary Access – IV or IO for OHCA

The Skeptics' Guide to EM

Guest Skeptic: Missy Carter is a PA currently practicing in critical care after having attended the University of Washington's MEDEX program. After starting cardiopulmonary resuscitation (CPR), you note pulseless electrical activity (PEA) on the monitor. October 31, 2024 NEJM Access to the SGEM Podcast episode at this LINK.

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Pre Hospital Extracorporeal CPR (ECPR) in the UK: The Sub30 study

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed This feasibility study described the delivery of ECMO CPR (ECPR) for the first time in the UK The post Pre Hospital Extracorporeal CPR (ECPR) in the UK: The Sub30 study appeared first on St.Emlyn's.

CPR
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Unpacking CDC Guidelines on Masks, Vehicle Ventilation and Post-Exposure Protocols

JEMS

EMS guidelines, as per CDC recommendations, do not require N95 use for routine transport of TB or Covid patients unless aerosol-generating procedures like intubation or CPR are performed. Surgical masks, combined with proper vehicle ventilation protocols, suffice for most encounters.

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The Importance of Gastric Decompression and Ventilation Management During Cardiac Arrest Care

JEMS

For example, bystander CPR is hands-only, and education has increased the actions taken before we get on the scene. Effective, high-quality CPR is the first and most vital part of this. Many systems use continuous compressions and mechanical CPR devices to improve cardiac output. He is also a QA/QI specialist and educator.

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EMS is Not a Business Model and We Are Paying the Price

JEMS

The Economic and Clinical Infrastructure of EMS Is Under Siege These proposed reforms, if implemented, would have devastating, systemic consequences for emergency care in the United States. Medicaid is not merely a budget line, it is the engine that funds readiness, access, and critical care delivery in EMS systems.

EMS
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Using Extracorporeal Membrane Oxygenation as Life-Sustaining Therapy

ACEP Now

Chao is a clinical instructor of emergency medicine and health care ethics fellow at Michigan Medicine in Ann Arbor, Mich. Dr. Hall is an assistant professor of emergency medicine and cardiothoracic critical care, New York University Grossman School of Medicine in New York, N.Y. The race to reinvent CPR. The New Yorker.

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Episode 72: CPR-induced consciousness with Jack Howard

Critical Care Scenarios

We discuss the phenomenon of CPR-induced consciousness (i.e. patients demonstrating awakeness during resuscitation) with Jack Howard, Intensive Care Paramedic at Ambulance Victoria in the northern suburbs of Melbourne, Australia, and first author on a recent literature review and Delphi-derived expert guideline on CPRIC management.

CPR