scott weingart cutting edge intra-arrest care

62

Upload: oliflower

Post on 06-May-2015

9.971 views

Category:

Health & Medicine


2 download

DESCRIPTION

Weingart tackles the dogma and evidence around resuscitation algorithms brings us the concept of truly advanced life support.

TRANSCRIPT

Page 1: Scott Weingart Cutting Edge Intra-Arrest Care
Page 2: Scott Weingart Cutting Edge Intra-Arrest Care
Page 3: Scott Weingart Cutting Edge Intra-Arrest Care

Post

Page 4: Scott Weingart Cutting Edge Intra-Arrest Care
Page 5: Scott Weingart Cutting Edge Intra-Arrest Care

Cookbook

Page 6: Scott Weingart Cutting Edge Intra-Arrest Care
Page 7: Scott Weingart Cutting Edge Intra-Arrest Care

Nihilism

Page 8: Scott Weingart Cutting Edge Intra-Arrest Care

ACLS

Page 9: Scott Weingart Cutting Edge Intra-Arrest Care

Push hard &

fast

Page 10: Scott Weingart Cutting Edge Intra-Arrest Care

Truly Advanced

Cardiac Life Support for

Resuscitationists

Page 11: Scott Weingart Cutting Edge Intra-Arrest Care

t

Page 12: Scott Weingart Cutting Edge Intra-Arrest Care

Max Harry Weil

Disease-a-Month 1997

Page 13: Scott Weingart Cutting Edge Intra-Arrest Care

Airway

Page 14: Scott Weingart Cutting Edge Intra-Arrest Care
Page 15: Scott Weingart Cutting Edge Intra-Arrest Care
Page 16: Scott Weingart Cutting Edge Intra-Arrest Care

Convert to Tube ASAP

Page 17: Scott Weingart Cutting Edge Intra-Arrest Care
Page 18: Scott Weingart Cutting Edge Intra-Arrest Care

Custom Bent Bonfils Fiberoptic Stylet

Page 19: Scott Weingart Cutting Edge Intra-Arrest Care
Page 20: Scott Weingart Cutting Edge Intra-Arrest Care

Breathing

Page 21: Scott Weingart Cutting Edge Intra-Arrest Care

Grossman On Combat

Page 22: Scott Weingart Cutting Edge Intra-Arrest Care

Hook them to the Ventilator

Page 23: Scott Weingart Cutting Edge Intra-Arrest Care

Set Peak Pressure Limit to > 100 cm H20

Page 24: Scott Weingart Cutting Edge Intra-Arrest Care

Set the rate low

Page 25: Scott Weingart Cutting Edge Intra-Arrest Care

Circulation

Page 26: Scott Weingart Cutting Edge Intra-Arrest Care

Quality Compressions

Page 27: Scott Weingart Cutting Edge Intra-Arrest Care
Page 28: Scott Weingart Cutting Edge Intra-Arrest Care

Eliminate Peri-Shock

Pause

ROC Primed Resus 2014;85:336

Page 29: Scott Weingart Cutting Edge Intra-Arrest Care

Look-Through Rhythm Analysis

Page 30: Scott Weingart Cutting Edge Intra-Arrest Care
Page 31: Scott Weingart Cutting Edge Intra-Arrest Care
Page 32: Scott Weingart Cutting Edge Intra-Arrest Care
Page 33: Scott Weingart Cutting Edge Intra-Arrest Care

Crit Care Med 2013;41:1782 LINC - JAMA. 2014;311(1):53-61

Sandra Ware on resus.me

Page 34: Scott Weingart Cutting Edge Intra-Arrest Care

STEMIs go to Lab; Even if Coding

Circulation 2012;126(13):1605

Page 35: Scott Weingart Cutting Edge Intra-Arrest Care

Drugs

Page 36: Scott Weingart Cutting Edge Intra-Arrest Care

Epi

The PACA Trial: Jacobs et al Resuscitation. 2011;82(9):1138

Page 37: Scott Weingart Cutting Edge Intra-Arrest Care

VSE

JAMA. 2013;310(3):270 Arch Intern Med 2009;169(1):15

Page 38: Scott Weingart Cutting Edge Intra-Arrest Care

Esmolol

Emergency Department Use of Esmolol in Refractory Ventricular Fibrillation

--Driver, Plummer, Smith

Page 39: Scott Weingart Cutting Edge Intra-Arrest Care

Nitroprusside?

Prolonged Adult Cardiac Arrest With Enhanced Cardiopulmonary Resuscitation and Sodium

Nitroprusside Yannopoulos’ Group

Page 40: Scott Weingart Cutting Edge Intra-Arrest Care

Monitoring

Page 41: Scott Weingart Cutting Edge Intra-Arrest Care

Femoral Arterial Line

Page 42: Scott Weingart Cutting Edge Intra-Arrest Care

Epi Dosing by DBP

Resuscitation 2013;84:696 | Crit Care Med 2013;41:2698 JAMA 1990;263(8):1107 | Resus 2014;85:350

Page 43: Scott Weingart Cutting Edge Intra-Arrest Care
Page 44: Scott Weingart Cutting Edge Intra-Arrest Care
Page 45: Scott Weingart Cutting Edge Intra-Arrest Care
Page 46: Scott Weingart Cutting Edge Intra-Arrest Care
Page 47: Scott Weingart Cutting Edge Intra-Arrest Care
Page 48: Scott Weingart Cutting Edge Intra-Arrest Care

RUSH

Page 49: Scott Weingart Cutting Edge Intra-Arrest Care

Human Factors

Page 50: Scott Weingart Cutting Edge Intra-Arrest Care

Quiet

Page 51: Scott Weingart Cutting Edge Intra-Arrest Care

emcrit.org/smacc

Page 52: Scott Weingart Cutting Edge Intra-Arrest Care

ECPR

Page 53: Scott Weingart Cutting Edge Intra-Arrest Care

Image from ep monthly

Page 54: Scott Weingart Cutting Edge Intra-Arrest Care
Page 55: Scott Weingart Cutting Edge Intra-Arrest Care

Time to CPR and Premorbid State

Matters

Page 56: Scott Weingart Cutting Edge Intra-Arrest Care

Time of the Code doesn’t

matter!

Page 57: Scott Weingart Cutting Edge Intra-Arrest Care

Too Good to Die!

Page 58: Scott Weingart Cutting Edge Intra-Arrest Care
Page 59: Scott Weingart Cutting Edge Intra-Arrest Care

Cookbook X

Page 60: Scott Weingart Cutting Edge Intra-Arrest Care

Cardiac Arrest Resuscitation

by Resuscitationists

Page 61: Scott Weingart Cutting Edge Intra-Arrest Care
Page 62: Scott Weingart Cutting Edge Intra-Arrest Care