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Emergency Medicine Cases

Ep 170 Cardiac Arrest – PoCUS Integration, Communication Strategies, E-CPR, Calling the Code

Emergency Medicine Cases

Dr. Anton Helman

Education, Health & Fitness, Courses, Medicine, Science

4.7602 Ratings

🗓️ 7 June 2022

⏱️ 63 minutes

🧾️ Download transcript

Summary

In this part 2 of our 2-part podcast series on Cardiac Arrest - The When, Why & How, we discuss some of the finer art of cardiac arrest care and answer questions such as: how should we best communicate to EMS, the ED team and the family of the patient to keep the team focused, garner the most important info and keep the flow of the code going? How should we integrate PoCUS into cardiac arrest care so we do not interrupt the core components, yet we gain valuable data? What are the indications for consideration of ECPR/ECMO in cardiac arrest? What factors need to be taken into consideration to decide on when to terminate resuscitation of the cardiac arrest patient - when to call the code? and many more...

Transcript

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0:00.0

Welcome to the Emergency Medicine Cases podcast.

0:05.0

I'm your host, Dr. Anton Hellman, bringing you Canada's brightest minds in emergency medicine from EMC studios in Toronto.

0:13.9

EM cases is part of SREMI, Schwartz-Risman Emergency Medicine Institute, the nonprofit organization dedicated to improving EM care through research

0:21.1

and education. The opinions expressed on this podcast are intended for information and education

0:24.3

purposes only and should not be used to diagnose treat or prevent any medical condition,

0:26.4

nor should they be used as a substitute for medical advice and qualified practicing physician.

0:30.9

In part one of our two-part series on cardiac arrest, when, how, and why with Sarah Gray,

0:36.6

Burke Tillman, Scott Weingart, and Rob Sombard.

0:39.0

We delved into the core components of cardiac arrest care, chest compressions, defibrillation,

0:45.7

drugs, and airway.

0:47.7

In this part two, we're going to talk about some of the finer art, shall we say, of

0:52.7

cardiac arrest care.

0:54.0

We're going to elucidate how best to communicate to EMS, to the finer art, shall we say, of cardiac arrest care. We're going to elucidate how

0:55.2

best to communicate to EMS, to the ED team, and to the family of the patient, so that we're

1:01.2

focused. We garner the most information we can and keep the flow of the code going like a symphony

1:07.5

orchestra. We're going to talk about how to integrate Pocus into cardiac arrest care so we don't

1:12.8

interrupt the core components.

1:14.8

We're going to talk about hemodynamic monitoring logistics, art lines and such.

1:19.1

We'll talk about indications for mechanical therapies like ECMO, and we'll end with the end

1:25.8

of cardiac arrest care calling the code, when we should stop our

1:29.2

resuscitation efforts, which sounds simple, but is actually pretty nuanced.

1:33.8

So let's start with communication strategies.

...

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