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CPR Update Series Part 2 – Depth of Compression

In Medical Concepts by Stuart NethertonLeave a Comment

Editor’s note: This post marks the second in a series of posts outlining the evidence surrounding various aspects of CPR by Dr. Stu Netherton. Follow along as he covers Rate of Compression, Depth of Compression, Chest Wall Recoil, Minimizing Interruptions, and Avoiding Excessive Ventilation. To guide the depth of our compressions during CPR, the 2015 AHA guidelines state: “During manual CPR, rescuers should perform chest compressions at a depth of at least 2 …

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HiQuiPs: Preparation Part 2 – Stakeholder Engagement and Behavior Change

In Education & Quality Improvement, HiQuiPs by TaherLeave a Comment

You have recently finished a review of incidents that have been flagged in your ED. You have chosen a pertinent issue to tackle, formed a core group to work on the project, and formulated a SMART aim statement after reading our last HiQuiPs post. The median time for obtaining 12-lead ECGs is 13 minutes, while guidelines recommend less than 10 minutes.1 Your aim is to decrease the initial 12-lead ECG acquisition time by …

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CPR Update Part 1 – Rate of Compression

In Medical Concepts by Stuart NethertonLeave a Comment

Editor’s note: This post marks the first in a series of posts outlining the evidence surrounding various aspects of CPR by Dr. Stu Netherton Follow along over the next 5 weeks as he covers Rate of Compression, Depth of Compression, Chest Wall Recoil, Minimizing Interruptions, and Avoiding Excessive Ventilation. As early as 1892 Dr. Friedrich Maass, a resident at that time, documented that chest compressions at a rate of 120 successfully resulted in …

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Sirens to Scrubs: Acute Coronary Syndromes, Part One – Beyond Door-to-Balloon

In Sirens to Scrubs, Working in EM by Richard ArmourLeave a Comment

Emergency Medical Services receives a 9-1-1 call for a 52-year-old female suffering with chest pain. As Paramedics rush to the scene, they discuss the physiology of Acute Coronary Syndromes…  About Sirens to Scrubs Sirens to Scrubs was created with the goal of helping to bridge the disconnect between pre-hospital and in-hospital care of emergency patients. The series offers in-hospital providers a glimpse into the challenges and scope of practice of out-of-hospital care while …

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Blood & Clots Series: How do I manage acute VTE in pregnancy?

In Blood & Clots, Medical Concepts by Eric Tseng2 Comments

All the content from the Blood & Clots series can be found here. CanMEDS Roles addressed: Medical Expert, Collaborator Case Description You’re an EM resident seconded off-service on your internal medicine rotation,  and it’s your night on call. The emergency physician asks you to see a pregnant patient with acute pulmonary embolism. Your patient is a 32 year old G3P2 female at 33 weeks gestational age. Her previous pregnancies were uneventful spontaneous vaginal …