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AUG
26

Episode 47 – ETI Attempts and Outcomes in Out of Hospital Cardiac Arrest

The EMS Lighthouse Project


EMSLightHouseBlog

Episode 47
ETI Attempts and Outcomes in Out of Hospital Cardiac Arrest

In this episode, Dr. Jarvis discusses a paper that is hot off the presses and that he’s super excited to talk about. The good folks up in Seattle, WA, and the Seattle FD looked at their cardiac arrest survival rates as a function of the number of intubation attempts needed to secure the airway. Results from this trial might help explain the 2.9% improved survival with King LT vs ETI that we saw in the PART trial. Join us to hear all the juicy details.

As always, if you like the pod, give us a 5-star rating wherever you get your pods. If you have any questions, drop us a note:

This email address is being protected from spambots. You need JavaScript enabled to view it. or @DrJeffJarvis ]This email address is being protected from spambots. You need JavaScript enabled to view it. or @MikeVerkest.

You can also follow the pod on Twitter at @EMSLighthouseProject. 

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Show Notes

Papers reviewed: 

  1. Wang HE, Schmicker RH, Daya MR, et al. Effect of a strategy of initial laryngeal tube insertion vs endotracheal intubation on 72-hour survival in adults with out-of-hospital cardiac arrest: A randomized clinical trial. JAMA 2018. 320, 769-778.
  2. Murphy DL, Bulger NE, Harrington BM et al.Sayre MR. Fewer Tracheal Intubation Attempts are Associated with Improved Neurologically Intact Survival Following Out-of-Hospital Cardiac Arrest. Resuscitation 2021; S0300-9572(21)00248.
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JUL
28

Episode 46 – 2020 EMS LLSA Review with Dr. Casey Patrick

The EMS Lighthouse Project


EMSLightHouseBlog

Episode 46
2020 EMS LLSA Review with Dr. Casey Patrick

Every other year board certified EMS physicians must take an open book quiz over 20-25 papers felt by the American Board of Emergency Medicine (ABEM) to be something all EMS physicians should know. Dr. Jarvis and Dr. Casey Patrick (@cpatrick_89) from Montgomery County Health District EMS gave a lecture reviewing the 2020 ABEM EMS LLSA articles at the recent meeting of the Texas Chapter of NAEMSP. We got together right after our lecture to record this podcast going over these articles. Join us from the Cavalier Room at the Historic Menger Hotel (@mengerhotel) in downtown San Antonio, literally next door to the Alamo.

 

 

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Show Notes

Papers reviewed:

  • Benger JR, Kirby K, Black S, et al. Effect of a strategy of a supraglottic airway device vs tracheal intubation during out-of-hospital cardiac arrest on functional outcome: The airways-2 randomized clinical trial. JAMA 2018; 320, 779-791.
  • Bosson N, Sanko S, Stickney RE et al. Causes of Prehospital Misinterpretations of ST Elevation Myocardial Infarction. Prehosp Emerg Care 2017; 21, 283-290.
  • Fischer PE, Perina DG, Delbridge TR et al. Spinal Motion Restriction in the Trauma Patient - A Joint Position Statement. Prehosp Emerg Care 2018; 22, 659-661.
  • Jarvis JL, Gonzales J, Johns D, Sager L. Implementation of a Clinical Bundle to Reduce Out-of-Hospital Peri-intubation Hypoxia. Annals of Emergency Medicine 2018; 72, 272-279.
  • Klebacher R, Harris MI, Ariyaprakai N et al. Incidence of Naloxone Redosing in the Age of the New Opioid Epidemic. Prehospital Emergency Care 2017; 21, 682-687.
  • Kupas DF, Melnychuk EM, Young AJ. Glasgow Coma Scale Motor Component (”Patient Does Not Follow Commands”) Performs Similarly to Total Glasgow Coma Scale in Predicting Severe Injury in Trauma Patients. Ann Emerg Med 2016; 68, 744-750.e3.
  • Nishijima DK, Gaona SD, Waechter T et al. Out-of-Hospital Triage of Older Adults With Head Injury: A Retrospective Study of the Effect of Adding “Anticoagulation or Antiplatelet Medication Use” as a Criterion. Ann Emerg Med 2017; 70, 127-138 e6.
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