Ultrasound guided CPR Part 1.  How we’re doing it wrong.  #foamed

Ultrasound guided CPR Part 1.  How we're doing it wrong.  #foamed

So listen up people!  You’re doing cardiac arrest resuscitation all wrong!  What’s wrong with you?!?!  Ok, that’s a little harsh.  We’re not really saying that at all.  We just think, based on recent evidence and new technology, that it could be done a little better and we’re gonna explain what we mean.  Accept our humble apologies for the rude beginning.

Also, BIG change to SonoNorway.com.  You all were rather adamant, and you’re getting your way.  The course is being moved from the boat to an incredible location in Oslo.  Go to Sononorway.com for more information.  There are a few spots left, but this is what people asked for, so those spots will be gone super quick.
We’ll have part 2 of this ultrasound guided resuscitation podcast up for you in no time.  Check back soon!
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  1. Wow!!!!!!!!!!!!!!!!!!!!!!Great Blog.

  2. This is probably a “known unknown” * – but should compressions by continued if there is no pulse/no signs of life – but reasonable cardiac activity on echo?

    *I try to quote Don Rumsfeld whenever possible

  3. If you are placing an arterial line during your codes — why do you need ultrasound for a pulse check? You can look up and see it on the monitor if you have an arterial line– if it’s there perfect, hold compressions — if it’s not, continue your resuscitation. I do think that looking at the heart is helpful to get an idea of how much stunned myocardium is present (ie need for epi gtt, urgent cards eval– PVAD, IABP(ie in appropriate cases), etc etc) as well as looking for cardiac standstill to help guide me to a stopping point. Would love to hear your and others’ thoughts!

  4. One other comment on pulse checks, I’ve been doing doppler on some points of the femoral artery to confirm a pulse as well. Also, I do it during compressions to show everyone that the pulse that they generally think is the femoral artery is actually the femoral vein (ie mostly for education and personal reasons — I hate to hear someone yell out they have a good pulse during compressions without even thinking to look at the EtCO2 or arterial line BP). Not sure if anyone else is doing this or not but I’ve heard that we only guess if a pulse is present 80ish% of the time and doppler pretty much confirms it for me — if I don’t have an arterial line. Thanks for the great progressive podcasts!

  5. Hey guys! I was just wondering if you could share a source on that final clip from the episode showing compressions during a TEE. One of my favorite topics to read about is the literature examining the actual physiology involved in chest compressions and never saw this particular clip before.

  6. […] US in Cardiac Arrest […]

  7. […] Ultrasound Podcast: Ultrasound guided CPR Part 1. How we’re doing it wrong. […]

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