Emergency Medical Minute22 Jan 2024

Podcast 887: Family Presence in Cardiac Resuscitation

Contributor: Aaron Lessen MD

Educational Pearls:

A 2013 study randomized families of those in cardiac arrest into two groups:

Actively offered patients' families the opportunity to observe CPR
Follow standard practice regarding family presence (control group)

Of the 266 relatives that received offers to observe CPR, 211 (79%) accepted vs. 43% in the control group observed CPR
The study assessed a primary end-point of PTSD-related symptoms 90 days after the event

Secondary end-points included depression, anxiety, medicolegal claims, medical efforts at resuscitation, and the well-being of the healthcare team

The frequency of PTSD-related symptoms was significantly higher in the control group

Lower rates of anxiety and depression for the families who witnessed CPR

There were no effects on resuscitation efforts, patient survival, medicolegal claims, or stress on the healthcare team
If families choose to witness CPR, it's beneficial to have someone with the family to explain the process

References

1. Jabre P, Belpomme V, Azoulay E, et al. Family Presence during Cardiopulmonary Resuscitation. N Engl J Med. 2013;368(11):1008-1018. doi:10.1056/NEJMoa1203366

Summarized by Jorge Chalit, OMSII | Edited by Jorge Chalit

Denne episoden er hentet fra en åpen RSS-feed og er ikke publisert av Podme. Den kan derfor inneholde annonser.

Episoder(1165)

Podcast 1010: First Pass Intubation Success

Contributor: Travis Barlock, MD Educational Pearls: First-pass success is critical to limit complications from apnea, hypoxia, and airway trauma. Complication rate for patients intubated on the f...

29 Jun 3min

On the Streets- Zero to Rodeo

Dan Orbidan, OMS-II and Dr. Travis Barlock, MD discuss a real out of hospital call. This episode covers the implications of a pharmacologically abnormal patient presentation and the pre and post hospi...

22 Jun 35min

Carepoint Journal Club- Neurology

Carepoint Journal Club is a quarterly series with discussions about a medical topic, brought to you by Carepoint's Emergency Physicians.

15 Jun 36min

Podcast 1009: Prevention for Recurrent UTI

Contributor: Aaron Lessen, MD Educational Pearls: UTIs are commonly seen in older women We often see them taking long-term prophylactic antibiotics because of common recurrence. Around 20-30% of...

8 Jun 1min

Podcast 1008: Acupuncture for Low Back Pain in Older Adults

Contributor: Aaron Lessen, MD Educational Pearls: Back pain is a common presenting complaint in the emergency department. Challenges arise when tailoring care to elderly populations using standar...

1 Jun 2min

Podcast 1007: Caffeine Pharmacology

Contributor: Travis Barlock, MD Educational Pearls: Caffeine Geography and Types: Caffeine is found throughout the world and has evolved independently in various plants that are not evolutionarily...

25 Mai 4min

Podcast 1006: Cannabinoid Pharmacology

Contributor: Travis Barlock, MD Educational Pearls: Endocannabinoid System: THC binds CB1 and CB2 receptors in neurons and immune cells Δ9-Tetrahydrocannabinol (THC) is the main psychoactive compo...

18 Mai 5min

Podcast 1005: Balanced Fluid vs Normal Saline in Pediatric Patients

Contributor: Aaron Lessen, MD Educational Pearls: There has long been many questions about which IV fluid is best for ED resuscitation Multiple adult studies have shown no clear benefit of balance...

11 Mai 2min