Does POCUS Degrade CPR Quality?
Point of care ultrasound may be very useful during CPR, but it should not get in the way of chest compressions. If you're going to use it, get in there quick and get out of the way or choose a view that allows continuous chest compressions (i.e. subxiphoid).
Is PALS Wrong? Rapid Bolus Did Worse
PALS recommends giving a fluid bolus to children in shock over 5-10minutes. This study showed that giving it more slowly, over 15-20 minutes likely decreased the need for mechanical ventilation.
When to Terminate Resuscitation for Rural EMS
The universal basic life support termination of resuscitation (BLS-TOR) rule was effective in reducing futile transports in a rural EMS system.
LVAD = Tight Sphincter
LVADs and other mechanical circulatory support devices are increasing used. We need to know the basics of how they work and how to troubleshoot them.
Why We Use Targeted Temperature Not Hypothermia
Targeted temperature management, with a goal of 36°C in unconscious post-arrest patients, appears to be as effective as the more aggressive target of 33°C.
Why We Used Therapeutic Hypothermia Post-arrest
Therapeutic hypothermia appeared to be a very promising therapy for patients resuscitated after VF. It turns out, strict normothermia and avoidance of hyperthermia was actually what mattered most.
Low Tidal Volume Neuroprotective Post-Arrest
Simply dialing down the tidal volume < 8 mL/kg improves neurologically-intact survival post-arrest.
CPR Induced Consciousness
Some manifestation of CPR-induced consciousness occurs about 1% of the time and should not alter the resuscitation efforts.
CPR Compression Rate of 130
Compression rates faster than the recommended 100-120 may result in improved ROSC.
Drones Save the Drowning
Drones could help find drowning victims almost 4 minutes sooner than a large team of lifeguards.