Category Archives: CPR

IT ALL STARTED WITH A PLUNGER

Anesthesia and Analgesia just published a superb review on the current edge of CPR. But everything started with a plunger. Yup! A plunger ! In the late eighties, a son resuscitated his father with the help of a plunger. Poorly … Continue reading






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EWWW!

I found two interesting papers in EMJ. Both recently published. If you intubate a fresh frozen cadaver and ventilate you will get a transient capnography trace very similar to a trace from a living patient. I had heard about it before but … Continue reading






Posted in Airway management, Cardiology, CPR, Emergency Medicine | 1 Comment

THE ONE-TWO PUNCH

Interesting case reports on cardiac arrest patients with refractory VF. One was shocked 7 times – with a change in pad location. No luck. For the 8th shock, they hooked the patient up to a second defibrillator, and shocked him … Continue reading






Posted in CPR, Emergency Medicine | 5 Comments

COUGH CPR

There are a few magic lo-tech treatments about. There’s the precordial thump, but there’s also the self administered cough CPR. Documented in several case series from the cath labs of the 70s and 80s, coughing every 1-3 seconds was shown … Continue reading






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ANYONE CAN LEARN CPR

ANYONE can learn CPR






Posted in CPR, Humour | Leave a comment

COCHRANE + LUCAS = NO LOVE

Cochrane does it’s usual thing. Looks at available evidence, then concludes more evidence is needed, and that the use of mechanical CPR isn’t supported by this Cochrane review. The problem is that they’re missing the point of mechanical compression devices.






Posted in CPR, Uncategorized | 12 Comments

OPEN CHEST COMPRESSIONS IN MEDICAL CARDIAC ARREST

Despite all the thousands of man-hours and gazillions of money going into researching stuff like therapeutic hypothermia and adrenaline in cardiac arrest we really haven’t got the breakthrough we deserve. With the exception of pockets of excellence, ROSC rates have been … Continue reading






Posted in CPR, Emergency Medicine, Prehospital Medicine | 10 Comments

MORE EVIDENCE LINKING FEVER AND MORTALITY AFTER ROSC

A Danish study in Resuscitation sheds more light on the link between fever and mortality in post-ROSC patients. It is interesting as it fits nicely with the recently published, and highly controversial, study in NEJM that suggested hypothermia isn’t working … Continue reading






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BYSTANDER-CPR INTERACTIVE

Here’s an interesting concept worth spreading. The UK is struggling with low rates of bystander-CPR in out-of-hospital cardiac arrests. As I can remember the rate in the UK is 30% compared to 70% in the scandinavian countries. Director Martin Percy … Continue reading






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CARDIOVISION

Cardiac anaesthesia can be boring as hell. On the upside, there is no better way to get a true understanding of cardiac physiology than directly observing, actually seeing, what the heart does. This is what VF, cardioversion and sinus rythm … Continue reading






Posted in Cardiology, CPR, Emergency Medicine | 2 Comments