The Skeptics Guide to Emergency Medicine

SGEM#380: OHCAs Happen and You’re Head Over Heels – Head Elevated During CPR?


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Date: October 18th, 2022
Reference: Moore et al. Head and thorax elevation during cardiopulmonary resuscitation using circulatory adjuncts is associated with improved survival. Resuscitation 2022
Guest Skeptic: Clay Odell is a Paramedic, Firefighter, and registered nurse (RN).
Case: You are the Chief of your local Fire and EMS Department, and an individual contacts you saying he saw a piece on TV about a “Heads Up” CPR device, and he wants to donate half the cost and has his checkbook out.
Background: We have covered Out of Hospital Cardiac Arrests (OHCAs) many, many times on the SGEM. This includes epinephrine for OHCA, target temperature management, mechanical CPR, supraglottic airways, steroids, hands on defibrillation and many more topics.

* SGEM#50: Under Pressure Journal Club: Vasopressin, Steroids and Epinephrine in Cardiac Arrest
* SGEM#54: Baby It’s Cold Outside: Pre-hospital Therapeutic Hypothermia in Out of Hospital Cardiac Arrest
* SGEM#59: Can I Get a Witness: Family Members Present During CPR
* SGEM#64: Classic EM Paper: OPALS Study
* SGEM#107: Can’t Touch This: Hands on Defibrillation
* SGEM#136: CPR – Man or Machine?
* SGEM#143: Call Me Maybe for Bystander CPR
* SGEM#152: Movin’ on Up – Higher Floors, Lower Survival for OHCA
* SGEM#162: Not Stayin’ Alive More Often with Amiodarone or Lidocaine in OHCA
* SGEM#189: Bring Me To Life in OHCA
* SGEM#238: The Epi Don’t Work for OHCA
* SGEM#247: Supraglottic Airways Gonna Save You for an OHCA?
* SGEM#275: 10th Avenue Freeze Out – Therapeutic Hypothermia after Non-Shockable Cardiac Arrest
* SGEM#306: Fire Brigade and the Staying Alive APP for OHCAs in Paris
* SGEM#314: OHCA – Should you Take ‘em on the Run Baby if you Don’t get ROSC?
* SGEM#329: Will Corticosteroids Help if…I Will Survive a Cardiac Arrest?
* SGEM#336: You Can’t Always Get What You Want – TTM2 Trial
* SGEM#344: We Will…We Will Cath You – But should We After An OHCA Without ST ...
...more
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The Skeptics Guide to Emergency MedicineBy Dr. Ken Milne