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JUN
29

Episode 45 – ESO Ketamine Paper from Eagles

The EMS Lighthouse Project


EMSLightHouseBlog

Episode 45 – ESO Ketamine Paper from Eagles

Ketamine is a wonder drug. Ketamine is a tool of systemic racism. Ketamine is impossible to overdose. Ketamine is an inappropriate drug used for inappropriate purposes.

So much controversy. What should we believe? When in doubt, follow the data. Dr. Jeff Jarvis reviews a very timely paper just released in Annals of Emergency Medicine using the 2019 Data Collaborative data set that aims to describe the characteristics of patients getting ketamine as well as the potential deaths associated with it.

As an added bonus, Drs. Remle Crowe and Brent Myers join Dr. Jarvis for an interview about their paper and the controversies surrounding ketamine use.

 

 

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Show Notes

Papers reviewed:

1. Fernandez AR, Bourn SS, Crowe RP, Bronsky ES, Scheppke KA, Antevy P, Myers JB. Out-of-Hospital Ketamine: Indications for Use, Patient Outcomes, and Associated Mortality. Annals of Emergency Medicine 2021.

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JUN
10

Episode 44 – OHCA Update from Bend, OR

The EMS Lighthouse Project


EMSLightHouseBlog

Episode 44 – OHCA Update from Bend, OR

What is the impact of on-scene resuscitation vs intra-arrest transport on outcomes? Could the differences in first-pass success between ETI and King LT have accounted for the differences in outcome in the PART trial? How about differences in compression interruptions? In this episode recorded on the road in Bend, Oregon, Dr. Jarvis reviews three new papers that address just these questions. He then has an interview and Petar and Amber Hossick about how Bend Fire Rescue has implemented tenets of improvement science to impact survival in their community.

 

 

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Show Notes

Papers reviewed:

  1. Grunau B, Kime N, Leroux B et al. Association of Intra-arrest Transport vs Continued On-Scene Resuscitation With Survival to Hospital Discharge Among Patients With Out-of-Hospital Cardiac Arrest. JAMA 2020; 324(11), 1058-1067.
  2. Lesnick JA, Moore JX, Zhang Y et al. Airway Insertion First Pass Success and Patient Outcomes in Adult Out-of-Hospital Cardiac Arrest: The Pragmatic Airway Resuscitation Trial. Resuscitation 2020
  3. Wang H, Jaureguibeitia X, Aramendi E et al. Airway Strategy and Chest Compression Quality in the Pragmatic Airway Resuscitation Trial. Resuscitation 2021
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