Podcast 567:  Mechanical CPR….Not So Fast

Podcast 567: Mechanical CPR….Not So Fast

Contributor: Aaron Lessen, MD

Educational Pearls:

  • Mechanical CPR (machine assisted compression devices) remains a hot topic of debate in emergency medicine
  • Machine assisted CPR has been advocated to provide more consistent compressions in cardiac arrest and free up staff for other tasks.
  • However, multiple studies have shown mechanical CPR provides no significant survival benefit yet increased rates of injury to the chest and abdomen from the devices.
  • Unless a clear benefit can be found, mechanical CPR devices should not routinely replace traditional CPR in most situations
  • For prolonged transport as well as resource-limited settings, these devices still may provide the only option for sustained resuscitations

References

Bonnes, J. et al. Manual Cardiopulmonary Resuscitation Versus CPR Including a Mechanical Chest Compression Device in Out-of-Hospital Cardiac Arrest: A Comprehensive Meta-analysis From Randomized and Observational Studies. Ann Emerg Med. 2016 Mar;67(3):349-360.e3. doi: 10.1016/j.annemergmed.2015.09.023. Epub 2015 Nov 19.

Wang, P. Brooks, S. Mechanical Versus Manual Chest Compressions for Cardiac Arrest. Cochrane Database Syst Rev. 2018 Aug 20;8(8):CD007260. doi: 10.1002/14651858.CD007260.pub4.

Summarized by Jackson Roos, MS4 | Edited by Erik Verzemnieks, MD



Jaksot(1146)

On the Streets #13: Pre-hospital Cardiology Concepts

On the Streets #13: Pre-hospital Cardiology Concepts

On this episode of On the Streets, our host, Jordan Ourada, talks with cardiologist, Dr. Chirag Chauhan, about all things cardiac. Highlighted topics: Wrist versus femoral access in the cath lab The ...

20 Huhti 202241min

Podcast 774: Maggots

Podcast 774: Maggots

Contributor: Chris Holmes, MD Educational Pearls: Maggots were discovered as a therapy to help wound healing in WWI, but this fell out of favor after the discovery of penicillin One study from Israel...

19 Huhti 20225min

Podcast 773: Atrial Fibrillation Medications

Podcast 773: Atrial Fibrillation Medications

Contributor: Aaron Lessen, MD Educational Pearls: Atrial fibrillation is an irregular heart rhythm that sometimes requires rate control in setting of rapid ventricular response (RVR) Calcium channel ...

18 Huhti 20223min

Podcast 772: Firearms in Suicidal Ideation

Podcast 772: Firearms in Suicidal Ideation

Contributor: Aaron Lessen, MD Educational Pearls: Firearms are a dangerous potential method of committing suicide Death occurs in about 5-15% of suicide attempts overall, but death in suicide attempt...

12 Huhti 20224min

Podcast 771: Intubation in Cardiac Arrest

Podcast 771: Intubation in Cardiac Arrest

Contributor: Don Stader, MD Educational Pearls: In a secondary analysis of the PART trial, the mortality effect of timing of airway management for patients in cardiac arrest was examined Study looked...

11 Huhti 20223min

Podcast 770: Xylazine

Podcast 770: Xylazine

Contributor: Don Stader, MD Educational Pearls: Xylazine, referred to as tranq dope colloquially, is an FDA approved animal tranquilizer that is circulating in the illicit drug markets of the northea...

5 Huhti 20223min

Podcast 769: Pressors After Cardiac Arrest

Podcast 769: Pressors After Cardiac Arrest

Contributor: Aaron Lessen, MD Educational Pearls: Hypotension after cardiac arrest often requires a vasopressor to improve blood pressure Recent observational study from France examined outcomes of p...

4 Huhti 20223min

Mental Health Monthly #11: De-escalation: Changing Confrontation to Collaboration

Mental Health Monthly #11: De-escalation: Changing Confrontation to Collaboration

Contributor: Dr. Kimberly Nordstrom De-escalation usually takes less time than physical and chemical restraints, which leads to decreased injury to staff members, better patient trust and increased p...

30 Maalis 202216min

Suosittua kategoriassa Tiede

tiedekulma-podcast
rss-mita-tulisi-tietaa
rss-poliisin-mieli
docemilia
rss-duodecim-lehti
rss-luontopodi-samuel-glassar-tutkii-luonnon-ihmeita
utelias-mieli
rss-astetta-parempi-elama-podcast
filocast-filosofian-perusteet
rss-lapsuuden-rakentajat-podcast
rss-sosiopodi