CPR Study

[944S]

Here (http://www.latimes.com/news/science/la-sci-cpr16mar16,0,5097959.story?coll=la-home-headlines) is an interesting new study out calling for the removal of mouth to mouth ventilations in CPR.

[MmacFN]

hehe

Makes alot of sense to me. If your not perfusing the alveoli capillary membrane when why ventilate? Every study currently done by ILCOR has failed to prove that even the best CPR moves blood from the right side of the heart, through the lungs and back out the aorta. Even the ETCO2 studies done on pts under CPR failed to prove "perfusion and circulation".

Thats why in 2005 the AHA has yet again stressed that the only time for intubation during a code is AFTER they return to spontanious circulation or DURING CPR. No stopping for intubation. Makes total sense.

Add to that the fact that unless yer family im NOT doing rescue breaths on yah :P

[RAYMAN]

Ah, Mike...I'm heart broken.....

bwhahahahaha

I agree

[assilem]

hey mike
heard a paramedic talk about impedance threshold valves - feeling pedal pulses on big 300+ lb guy during CPR. have you seen that in the field?

[MmacFN]

Hey

Yah i was involved in a mini-trail at a local hospital.

This is the resqpod that we used:

http://www.advancedcirculatory.com/CET/podmedium.jpg

To be honest, we didnt see a difference at all. However, the company insisted that it could increase circ. up to 40%. Unfortunately like cold fusion, noone has reproduced these results.

As for what that fellow told you, i dont believe him. People are barely capable of finding a pulse on morbidly obese pts in the first place but when they are coding? Hard to believe. I like to call thats stuff EMS myths. :)

We found the thing cumbersome and with no effect on a coding pt who was intubated with capnography monitoring. Since then and when i had the original lecture on it at a regional faculty meeting i havent heard or read a single thing about it. Seems it has all but disappeared.

[assilem]

not sure if we used that one or not. did yours have the metronome, with a tiny red light that blinks to remind staff when to bag the pt (with the new aha guidelines)

[MmacFN]

Yup

Thats the one ;)