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(MedPage Today) -- I'd seen a 78-year-old in cardiacarrest before. In fact, I've resuscitated thousands, and run countless codes in 30-plus years as an emergency medicine nurse and doctor. I'm trained to take charge, make the most of staffing.
In this part 2 of our 2-part podcast series on CardiacArrest - The When, Why & How, we discuss some of the finer art of cardiacarrest care and answer questions such as: how should we best communicate to EMS, the ED team and the family of the patient to keep the team focused, garner the most important info and keep the flow of the code going?
Methods Predefined casecontrol sub-study within the international Targeted Hypothermia versus Targeted Normothermia after Out-of-Hospital CardiacArrest (TTM2) trial. OHCA survivors at 8 of 61 TTM2 sites in Sweden, Denmark and the United Kingdom were invited. Participants were matched 1:1 to MI controls.
The critical care management of patients after cardiacarrest is burdened by a lack of high-quality clinical studies and the resultant lack of high-certainty evidence. Critical care management is crucial in patients after cardiacarrest and affects outcome.
The AHS’s Nursing Professional Development (NPD) department identified inaccuracies in data collection and minimal educational resources for improvement.Hypothesis:Would a nurse-centric Resuscitation Institute impact quality survivability metrics at an AHS?Goals:The
6 , the program will include, among networking and roundtables, the following: HRX Pitch Competition #1 CardiacArrest, the Next Digital Health Frontier: Mina K. Kathryn Zavala | Stephen Flaim | Giovanni Leo | Daniel Gottlieb | David Kim | David Roman During day two of HRX 2024, Friday, Sept.
The patient was diagnosed with esophageal reflux and was being discharged by the nurse when he had a cardiacarrest. Formula : There is not enough ST elevation in V2-V4 to be applying the LAD/early repol formula, but if it is applied, one gets 1.5 The formula results in 23.43, just above the 23.4 He was defibrillated.
If cardiacarrest from hypokalemia is imminent (i.e., CASE : Prehospital CardiacArrest due to Hypokalemia I recently had a case of prehospital cardiacarrest that turned out to be due to hypokalemia. As I indicated above, in our cardiacarrest case, after pushing 40 mEq, the K only went up to 4.2
She had home health nurse visits, and a BMP was sent the next day (the day prior to admission, presumably after 120 mEq of KCl replacement -- if she was taking as directed). If cardiacarrest from hypokalemia is imminent (i.e., It would be difficult to get a nurse to give it faster! How would you treat?
David Didlake Acute Care Nurse Practitioner Firefighter / Paramedic (ret) @DidlakeDW Expert commentary and peer review by Dr. Steve Smith [link] @smithECGBlog A 57 y/o Female with PMHx HTN, HLD, DM, and current use of tobacco products, presented to the ED with chest discomfort. See Dr. Smith’s comments below.
Researchers were not able to assess unmeasured confounding factors such as biomarker levels, socioeconomic factors, nursing care level, and medication adherence. Despite these strong statistical findings , the studys authors do warn of a few potential weaknesses due to the retrospective nature of their data.
If cardiacarrest from hypokalemia is imminent (i.e., It would be difficult to get a nurse to give it faster! During the resuscitation, I ordered 10 mEq KCl push, but the patient received 40 mEq of KCl, push (far more than recommended) The resident had ordered 40 mEq and that is what the nurses heard. Is 40 mEq too much?
Triage is backed up, and 10 minutes into your shift one of the ED nurses brings your several ECG s that has not been overread by a physician. Smith: This bizarre ECG looks like a post cardiacarrest ECG with probable acidosis or hyperkalemia in addition to OMI. Imagine you just started your ED shift. What was the pH and K?
I'll never forget when I ordered such an infusion in 1991 and then my patient started seizing and I looked up and the nurse had hung the lidocaine wide open! A retrospective 'target trial emulation' comparing amiodarone and lidocaine for adult out-of-hospital cardiacarrest resuscitation. DOI: 10.1016/j.resuscitation.2025.110515
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