JC: Can HEMS improve patient outcome in Traumatic Cardiac Arrest? St Emlyn’s — St.Emlyn’s

By ketaminh Jan 27, 2019 / Leave a comment

St.Emlyn’s – Emergency Medicine #FOAMed This week we are briefly looking at an interesting paper that suggests that HEMS services have much to offer in the management of traumatic cardiac arrest (TCA). We know that outcomes from TCA are poor, though arguably similar to the outcomes in medical cardiac arrest, but there is the possibility… via… Continue Reading

CPR in TCA: A TLA PSA — The Collective

By ketaminh Oct 12, 2018 / Leave a comment

‘Don’t compress the chest in traumatic arrest…’ That’s the narrative. But Alan Garner has questions. Do you do chest compressions in traumatic cardiac arrest (TCA)? Don’t be dopey, right? Compressions are not important compared with seeking and correcting reversible causes. Indeed you can just omit the compressions altogether and transport the patient without them as… Continue Reading

Laryngeal tube outperforms ETT in OHCA

By ketaminh May 19, 2018 / Leave a comment

#Resuscitation Outcomes Consortium Pragmatic Airway Resucitation Trial : Laryngeal Tube vs. ETT. 72 hr survival (18.2% vs 15.3%), ROSC (27.9% vs 24.1%), hospital survival (10.8% vs 8.0), neurologically intact discharge (7.0% vs 5.0) all favoring LT with p=0.02 or less. pic.twitter.com/2NPnngxn5W — Russell Griffin LP, FP-C (@ResusFliteMedic) May 17, 2018

Awake and Dead?

By ketaminh Jan 31, 2018 / Leave a comment

What do you do in cardiac arrest when your patient is “awake and dead” (CPR-IC)? It is a growing phenomenon and we take a mini deep dive on some of the more recent literature and techniques.#FOAMed #FOAMems #FOAMcc #ACLS #CardiacArresthttps://t.co/LJ0xzFDu6p pic.twitter.com/RjpCUYEJbY — Chip with TOTAL EM (@the_TOTAL_EM) January 30, 2018

New arrhythmia guidelines 2017

By ketaminh Dec 14, 2017 / Leave a comment

Being a resuscitation educator commonly requires discussion of the dilemmas of arrhythmia management. This is an area we don’t delve into everyday so achieving true ‘expertise’ is a challenge. Guidelines often come to the rescue in such life-threatening and time dependent situations. The American Heart Association (AHA) has released updated recommendations for the management of […]… Continue Reading

Traumatic cardiac arrest with Ashleigh Lowther

By ketaminh Mar 24, 2017 / Leave a comment

Follow her on Twitter! @ashleighlowther The app mentioned for civilians response to terrorist incident is called Citizen Aid Really good app – “Citizen Aid” – that’s well worth downloading..especially given today’s events. Stay safe peeps… pic.twitter.com/cbpR0AYTcq — Clive Lewis MP (@labourlewis) March 22, 2017

You dont take plastic?

By ketaminh Jan 25, 2017 / 1 Comment

Findings do not support early tracheal intubation for adult in-hospital #cardiacarrest https://t.co/KZAA4hvOFY — JAMA (@JAMA_current) January 24, 2017

FROM Death We MUST learn

By ketaminh Apr 22, 2016 / 1 Comment

Don’t miss the comments at the bottom!I was sent this ECG with the following information:A 37 year old female with no comorbidities, a non-smoker, with no known hyperlipidemia and no family h/o of CAD presented to ED with central chest pain since 5 hours with no radiation, increased by moving her arms and associated with SOB.…… Continue Reading

A perfect resuscitation saves a patient

By ketaminh Apr 18, 2016 / Leave a comment

https://player.vimeo.com/video/162091745?autoplay=0&loop=1 This was contributed by Dr. Johanna Moore, one of my Hennepin Colleagues who researches CPR, along with Keith Lurie and Demetris Yannopoulos. She translated her research knowledge into a spectacular resuscitation.Case A 54 year old male presented via ambulance to the Emergency Department (ED) in cardiac arrest. He was found down outside a clinic,… Continue Reading