Category Archives: CPR

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 | 11 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 | 9 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

Posted in Cardiology, CPR, Emergency Medicine | Leave a comment

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

HEART RATE MONITOR WATCHES IN AVALANCHES

Heart rate monitor watches are becoming increasingly popular in outdoor sports. That has resulted in some interesting case reports where heart rate recordings have been downloaded and analysed from victims´watches. The most recent one was published in Resuscitation. It details … Continue reading

Posted in CPR, Emergency Medicine, Prehospital Medicine, SAR, Uncategorized, Wilderness Medicine | 7 Comments

ENDOTRACHEAL AND SUPRAGLOTTIC AIRWAYS IN CPR

A study in SJTREM compares CPR hands-off times with various airway devices. It reinforces what we already know. In order to maintain hands-off times within CPR guideline recommendations the endotracheal tube is not a realistic option for inexperienced EMTs.

Posted in Airway management, CPR, ECLS, Emergency Medicine, Prehospital Medicine, Tech | 4 Comments

LUCAS

Here is some iPhone footage from the OR that demonstrates how effective mechanical compressions can be. The patient is a hypothermic cardiac arrest victim. He was put on LUCAS2 as a bridge to ECMO-cannulation. On this transesophageal echo view the … Continue reading

Posted in CPR, ECLS, Emergency Medicine | Leave a comment

YOU SAY GURNEY, THEY SAY TROLLEY, I SAY BÅRHELVETE

I didn´t know what a gurney was (I do now), but I did know that performing effective CPR while transporting a patient, through a hospital or in a road ambulance, is hard. I didn´t know it was this bad though. … Continue reading

Posted in CPR, Emergency Medicine | Leave a comment