Podcast: Play in new window | Download (Duration: 33:44 — 27.5MB)
Subscribe: Apple Podcasts | Android | RSS
This month we tackle a number of topics. Garrett Sterling is back again with Zack to talk about cutting edge resuscitation, ECMO, and the interplay between the two. Dual sequential defibrillation, CT after ECMO initiation, should you perform bystander CPR in the era of Covid, some US ECMO data, and an awesome 3D modeling for ECPR training models. All in one 30 minute podcast!Reverse CPR – better systolic BPs
Brown J., Rogers J., Soar J. Cardiac arrest during surgery and ventilation in the prone position: a case report and systematic review. Resuscitation. 2001;50:233–238. [PubMed] [Google Scholar]
Mazer S.P., Weisfeldt M., Bai D. Reverse CPR: a pilot study of CPR in the prone position. Resuscitation. 2003;57:279–285. [PubMed] [Google Scholar] DOI: 10.1016/s0300-9572(03)00037-6
Wei J., Tung D., Sue S.H., Wu S., van Chuang Y.C., Chang C.Y. Cardiopulmonary resuscitation in prone position: A simplified method for outpatients. Journal of the Chinese Medical Association. 2006;69:202–206. [PubMed] [Google Scholar]
SLides on Prone CPR
Risk to providers of CPR in Covid
Fear of Covid in CPR
Witnesses still providing CPR in Covid era – 53 vs. 49% in Paris
Witnesses didn't provide in Sydney
Dual Sequential Defibrillation (DSD)
Columbus Ohio Paramedics – http://dx.doi.org/10.1016/j.resuscitation.2016.08.002
San Antonio Texas – no benefit of DSD – http://dx.doi.org/10.1016/j.resuscitation.2016.06.011
Damaged Defibrillator from DSD – DOI: 10.1016/j.annemergmed.2017.04.005
Toronto – Cheskes RCT -DSD and vector change better than standard defibrillation – https://doi.org/10.1016/j.resuscitation.2020.02.010
National Data on ECMO use in US
J. Hadaya, et al., National trends in utilization and outcomes of extracorporeal support for in- and
out-of-hospital cardiac arrest, Resuscitation (2020), https://doi.org/10.1016/j.resuscitation.2020.02.034
out-of-hospital cardiac arrest, Resuscitation (2020), https://doi.org/10.1016/j.resuscitation.2020.02.034
Early CT after ECMO
https://doi.org/10.1016/j.resuscitation.2019.11.024
3d printed ECPR modeling
https://doi.org/10.1016/j.resuscitation.2020.01.032
We've had some recent episodes on ECMO physiology. Today's episode focuses on the differences between ECMO physiology in the patient in cardiogenic shock versus the one in cardiac arrest. Scott Weingart talks with Zack about how the difference between these two patient populations is HUGE! Scott also mentions details about cannulation and some critical post ECMO initiation pearls.
The U.S. has seen pre-hospital programs spring up in Paris, UK, and Australia. It 
was thought that due to billing issues this could never happen in America….but it has. Jon Marinaro and Darren Braude have accomplished this against all odds. Zack interviews the two of them on how they were able to accomplish this task amidst the many financial, logistic, and medical problems surrounding this monumental task.
In this episode, Sacha Richardson talks with Zack about a problem common to all ECPR programs- how do we confirm the placement of the wires? During chest compressions and even in patients with a pulse, confirmation of which vessel you have cannulated can be difficult. Sacha shares some tricks and trips on how to get real time confirmation of the wires. Sacha also gives us a preview of some of the exciting endeavors that he has undertaken in Melbourne with pre-hospital ECMO.
We've all heard of therapeutic hypothermia. Some of us have heard of deep hypothermia for traumatic arrest. But what about deep regional hypothermia of brain for cardiac arrest! Zack interviewed Rob Schultz, a CT surgeon resident from Calgary who is doing research on deep hypothermia of the brain using some of the tactics that are utilized in operating room. His stuff is mind blowing!
