Summary

In this episode of the Overrun Podcast, hosts Ed Bauter and Dan Schwester engage with Josh Kimbrell and Judah Kreinbrook to discuss their recent research on cardiac arrest, focusing on the critical delays in defibrillation and chest compressions. The conversation explores the implications of these delays, the phenomenon of rearrest, and the importance of a tactical pause in emergency medical services (EMS) to optimize patient care. The discussion emphasizes the need for quality improvement in pre-hospital care and the potential for future research to enhance outcomes for patients experiencing cardiac arrest.

Takeaways

Delays in defibrillation and chest compressions are significant.
A substantial percentage of patients may rearrest during transport.
Tactical pauses can optimize patient care before moving them.
Quality improvement in EMS is essential for better outcomes.
Understanding the factors leading to rearrest is crucial.
Monitoring and measuring patient responses during transport is vital.
The research highlights the fragility of patients post-ROSC.
Engaging with medical directors can lead to better protocols.
The need for further research in pre-hospital cardiac arrest care is evident.
Awareness of the risks associated with patient movement is critical.

Sound bites

“We have to admit there is a problem.”
“We should consider a bundle of care here.”
“We need to pay attention to our patients.”

Keywords

cardiac arrest, defibrillation, chest compressions, rearrest, EMS, patient care, emergency medicine, quality improvement, pre-hospital care, medical research

Chapters

00:00 Introduction to the Study and Participants
01:08 Exploring Post-Arrest Care and Delays
04:14 Analyzing Rearrest Patterns and Defibrillation Delays
11:37 Understanding Movement and Its Impact on Rearrest
17:32 Practical Implications and Future Directions
19:02 Understanding Physiological Instability in Patients
19:57 The Importance of Tactical Pauses
21:53 Exploring the Role of Technology in Patient Monitoring
23:46 Optimizing Patient Care Post-ROSC
25:32 Navigating ECMO Guidelines and Patient Transport Decisions
28:10 The Need for Research in EMS Practices
30:50 Quality Improvement in Emergency Medical Services
34:26 Final Thoughts on Patient Monitoring and Care

OverrunEMS.com

Paper: https://pubmed.ncbi.nlm.nih.gov/40850145/