Mar 08 2022
Prehospital Cardiac Arrest – Is Advanced Airway or BVM Best?
Spoon Feed
Endotracheal tube or supraglottic airway vs bag-valve mask airway management in prehospital cardiac arrest made no difference in neurologically favorable survival at 30-days when controlled for clinical differences.
Dec 13 2021
Is ETCO2 the Crystal Ball for Predicting Outcomes in Trauma?
Spoon Feed
End tidal CO2 (ETCO2) measurements in the pre-hospital setting on intubated trauma patients were more predictive of mortality and need for massive transfusion than systolic blood pressure (SBP) and shock index (SI). However, while performing better, ETCO2 still only performed at the level of ‘fair.’
Nov 30 2021
How Many Medics Does It Take to Get ROSC? No Joke!
Spoon Feed
Larger numbers of EMS personnel at the scene of an out-of-hospital cardiac arrest (OHCA) resuscitation were associated with improved patient outcomes.
Nov 05 2021
To the Choppa! Best Practice in Air Ambulance Utilization
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Air ambulances should only be used to accomplish the patient centered goals of providing initiation or continuation of locally unavailable advanced care, expedite delivery for time sensitive conditions, and/or assist with extrication from remote locations in which ground EMS would be unfeasible.
Oct 25 2021
What CPR Strategy is Best? Continuous Compressions or 30:2?
Spoon Feed
During cardiopulmonary resuscitation, when correctly done, a chest compression strategy of 30 compressions followed by 2 breaths (30:2) was associated with higher survival than continuous chest compressions (CCC). However, there was significantly less adherence to the 30:2 strategy when compared to CCC.
Oct 11 2021
First Troponin in the Truck? EMS Lab Draw for Chest Pain
Spoon Feed
Blood samples drawn by EMS can be safely and accurately integrated into ED chest pain diagnostic pathways, reducing ED length of stay for some patients.
Oct 05 2021
What’s the Optimal Timing for Advanced Airway Placement in OHCA?
Spoon Feed
In a secondary analysis of PART, timing of advanced airway placement (either SGA or ETI) was not associated with survival to hospital discharge in patients who suffered out-of-hospital cardiac arrest.
Sep 30 2021
Prehospital Airway Management
Spoon Feed
There was no clear winner between bag valve mask, supraglottic airway, or endotracheal intubation when patients needed ventilatory support or airway protection in the prehospital setting.
Sep 21 2021
ETCO2 and OHCA with PEA
Spoon Feed
A rising ETCO2 in the setting of out-of-hospital cardiac arrest (OHCA) due to PEA has a higher chance of achieving return of spontaneous circulation (ROSC). If the change in ETCO2 is >20 mmHg during resuscitation, CPR efforts should be continued.
Aug 27 2021
Why First-Pass Success Matters in Arrest
Spoon Feed
An increasing number of intubation attempts by EMS was independently associated with worsened odds of survival to hospital discharge with favorable neurologic outcome among patients treated for out-of-hospital cardiac arrest.