What are the essential elements of High Performance CPR?
Adult High Performance CPR (HP-CPR) Demo at the South Carolina Resuscitation Academy!
Hilton Head Island Fire Rescue: Tim Santini, Jon Ceiply, Shane Marstiller, Sean Kavlick
What is High Performance CPR?
High Performance CPR typically consists of expertly performed BLS with strict attention to:
Minimally interrupted chest compressions
Ensuring optimal rate (100-120)
Ensuring adequate depth (2 – 2.4″ or 5 – 6 cm)
Allowing full chest recoil (avoid leaning)
Rotate rescuer on compressions every 2 minutes
Controlled ventilations
Only enough for chest rise (300 – 400 ml)
Pausing only 2-3 seconds to ve...
Source: EMS 12-Lead - November 10, 2017 Category: Cardiology Authors: Tom Bouthillet Tags: Cardiac Arrest Training videos High Performance CPR SCRA2017 South Carolina Resuscitation Academy Source Type: research
High Performance CPR (HP-CPR) at the South Carolina Resuscitation Academy
High Performance CPR (HP-CPR) Demo at the South Carolina Resuscitation Academy!
See also:
High Performance CPR – Performance Not Protocol!
CPR First? Or Defibrillation First? (Source: EMS 12-Lead)
Source: EMS 12-Lead - November 10, 2017 Category: Cardiology Authors: Tom Bouthillet Tags: Cardiac Arrest Training videos High Performance CPR SCRA2017 South Carolina Resuscitation Academy Source Type: research
Rapid Prehospital Evolution of STEMI
82 year old male, in good physical shape, stops at a cafe for lunch after cycling for an hour. Witnesses report a syncopal episode lasting approximately 30 seconds. Patient history significant for prior MI requiring 3 stents. No other significant history.
Patient denies any CP, SOB, N/V, lightheadedness. In fact, he denies any complaints at this time, and questions whether or not he should just go home. You do ask whether his cool, soaked shirt was the result of his workout, and he says no.
Here is the ECG1 acquired on scene (T-0):
ECG2 acquired enroute (T+9):
ECG3 enroute (T+16):
ECG4 Hospit...
Source: EMS 12-Lead - August 13, 2017 Category: Cardiology Authors: David Baumrind Tags: 12 lead ecg Cases ems-health-safety patient-management training-development 12-Lead ECG acute STEMI case study David Baumrind ems12lead.com subtle STEMI Source Type: research
Triaging Triage ECGs
I’ve spent nine years working in an emergency department, which means I’ve also spent nine years performing electrocardiograms at triage. With a couple thousand waiting-room ECGs under my belt, I’ve noticed a few things:
A lot of ECGs are ordered at triage.
Many of them are performed on low-risk patients.
Very few of those ECGs lead to a change in initial management.
Oh, and one more thing:
Most physicians hate signing triage ECGs.
I can’t say I blame them. Triage ECGs interrupt their workflow and, worse than just slowing them down, that distraction can lead to errors. As an additional frustrati...
Source: EMS 12-Lead - March 11, 2017 Category: Cardiology Authors: Vince DiGiulio Tags: Original Articles Vince DiGiulio Source Type: research
ECG Mixtape: Vol. 2
Welcome to the second installment in our ECG Mixtape series! It looks like this will be an irregular publication while we streamline our process of picking cases and getting permission to reproduce them. Enjoy!
Pick of the Week
This weeks top pick comes from cardiologist Dr. Gianni Manzo in São Paulo, Brazil, who shared this case on the Figure 1 app [note: the app and site require free registration to view cases].
A 78 year old male presented with a chief complaint of “oppressive” chest pain. The patient’s past cardiac history was significant for coronary artery bypass graft (CABG) surgery and pacemaker...
Source: EMS 12-Lead - February 13, 2017 Category: Cardiology Authors: Vince DiGiulio Tags: ECG Mixtape Vince DiGiulio Source Type: research
Hacked By RxR HaCkEr
(Source: EMS 12-Lead)
Source: EMS 12-Lead - January 16, 2017 Category: Cardiology Authors: Vince DiGiulio Tags: ECG Mixtape Vince DiGiulio Source Type: research
ECG Mixtape: Vol. 1
Welcome to the start of a new series here at EMS 12-Lead. With the ECG Mixtapes we’ll compile some of the week’s best ECG’s from around the world of social media and #FOAMed. As High Fidelity taught us, “The making of a great compilation tape, like breaking up, is hard to do and takes ages longer than it may seem.” Please dig deeper into the cases that interest you.
Pick of the Week
This week’s top pick comes from Mohd Faried over at the EKG Club on Facebook.
Click the image for a link to the original post on Facebook.
The patient, a 58 year old female, presented with chest pain x 1 hour...
Source: EMS 12-Lead - January 16, 2017 Category: Cardiology Authors: Vince DiGiulio Tags: ECG Mixtape Vince DiGiulio Source Type: research
Hacked By GeNErAL
(Source: EMS 12-Lead)
Source: EMS 12-Lead - October 15, 2016 Category: Cardiology Authors: David Baumrind Tags: 12 lead ecg Cases ems-health-safety patient-management training-development 12-Lead ECG case study David Baumrind EMS 12-Lead ems12lead.com Paramedic Prehospital 12-Lead ECG blog Source Type: research
Snapshot Case- No Day at the Beach
It is a beautiful summer afternoon when you and your partner are called to the beach for a “swimmer in distress”.
Upon your arrival, you find a 48 year old male sitting on a beach towel, appearing to be in some distress.
You are told that he was swimming in the ocean when he began to struggle, and was pulled out by bystanders.
Patient tells you that he developed a constant sharp pain in his chest, along with pain in his right arm, probably from overdoing the swimming he thinks. He says he feels a little better now.
He has no history, takes no meds, and tells you this has never happened before. He denies shortne...
Source: EMS 12-Lead - October 15, 2016 Category: Cardiology Authors: David Baumrind Tags: 12 lead ecg Cases ems-health-safety patient-management training-development 12-Lead ECG case study David Baumrind EMS 12-Lead ems12lead.com Paramedic Prehospital 12-Lead ECG blog Source Type: research
59 Year Old Female: Intermittent Head Pain (Conclusion)
This is the conclusion to Wednesday’s post; if you haven’t seen it, I highly suggest checking out the original case description and initial ECG.
Wednesday’s case introduced a 59 year old woman with a chief complaint of intermittent occipital head pain for about 10 days. Recently, it had started radiating into her neck and upper back/shoulders. This was her initial ECG and it is clearly abnormal:
Figure 1. EKG on arrival at the ED.
The computer identifies it as showing left ventricular hypertrophy (LVH) with secondary ST and T-wave abnormalities (which we call a “strain pattern” or just “...
Source: EMS 12-Lead - September 9, 2016 Category: Cardiology Authors: Vince DiGiulio Tags: Cases Vince DiGiulio Source Type: research
59 Year Old Female: Intermittent Head Pain
One of my co-workers told me that she wants to see more case studies.
A 59-year-old female presents to the emergency department with a chief complaint of “head pain that comes and goes.”
She describes the pain as a dull ache in her occiput that’s been striking without warning a couple of times per day for the past ten days. Over the last three days she’s noted that it has also been radiating into her neck and upper back/shoulders.
Onset – 10 days prior
Provocation/Palliation – None that she can identify
Quality – Dull ache that gradually worsens over the first few minutes
Radiation...
Source: EMS 12-Lead - September 7, 2016 Category: Cardiology Authors: Vince DiGiulio Tags: Cases Vince DiGiulio Source Type: research
59 Year Old Female: Intermittent Head Pain (Part 1)
One of my co-workers told me that she wants to see more case studies.
A 59-year-old female presents to the emergency department with a chief complaint of “head pain that comes and goes.”
She describes the pain as a dull ache in her occiput that’s been striking without warning a couple of times per day for the past ten days. Over the last three days she’s noted that it has also been radiating into her neck and upper back/shoulders.
Onset – 10 days prior
Provocation/Palliation – None that she can identify
Quality – Dull ache that gradually worsens over the first few minutes
Radiation...
Source: EMS 12-Lead - September 7, 2016 Category: Cardiology Authors: Vince DiGiulio Tags: Cases Vince DiGiulio Source Type: research
No, doubling the paper speed will not reveal hidden P-waves
Apparently I went to the Rick Bukata School of Article Titling.
A 22-year-old male presents with agitation and delirium after smoking an unknown substance that an equally unknown person on the street offered him. You note a rapid radial pulse at around 150 bpm and attach him to the cardiac monitor:
Figure 1. Initial rhythm at normal paper speed (25 mm/s).
Well now we’re in a tough spot. It’s difficult to tell whether Fig. 1 shows sinus tachycardia or some non-sinus narrow-complex tachycardia (we’ll use the colloquial shorthand of “SVT” to include all those other options on the differential, i...
Source: EMS 12-Lead - June 22, 2016 Category: Cardiology Authors: Vince DiGiulio Tags: Original Articles Vince DiGiulio Source Type: research
RCP de Alto Desempa ño – ¡Rendimiento sobre Protocolo!
Esta entrada es un complemento a Pit-Crew CPR en Adultos y Pit-Crew CPR Pediátrica.
En concreto, esta es la forma en la que hemos modificado nuestro proceso de formación tras asistir a la Resuscitation Academy en Seattle / King County.
Durante el re-entrenamiento, cada rescatador debe experimentar cada posición al menos dos veces. Dicho de otro modo: se ejecuta el ejercicio, parar y cambiar, ejecutar el ejercicio, parar y cambiar. ¡Esta práctica es muy bien recibida por los técnicos de emergencias médicas y paramédicos! Resulta divertido ver como el rendimiento mejora con el tiempo.
Eso es lo que se...
Source: EMS 12-Lead - June 14, 2016 Category: Cardiology Authors: Tom Bouthillet Tags: Uncategorized RCP de Alto Desempaño Reanimación Cardiopulmonar Source Type: research
