2023 ILCOR Summary
2023 ILCOR Summary Statement on Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care (ECC)
Topics covered in this video:
By following these recommendations, hopefully we can improve the chances of survival in patients with cardiac arrest
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Salter-Harris Fractures or Physeal Fractures
What is a physeal fracture?
Take Home Message.
ACLS Made Easy
Key Points - Time is critical in cardiac emergencies; act promptly to save lives. - Ensure the safety of the scene and prevent injury. - Focus on early CPR and quick defibrillation in BLS. - Oropharyngeal airways should not be used with conscious patients. - Properly position the mask during CPR. - IV or IO routes are preferred for drug delivery; ET route is discouraged. - Minimize interruptions during CPR after delivering a shock. - Targeted temperature management is used after the return of spontaneous circulation. - Confirm asystole twice in two separate leads. - Immediate defibrillate ventricular fibrillation and pulseless ventricular tachycardia. - Treat reversible causes of cardiac arrest including the 5 H and 5 T. - Capnography is a valuable tool in resuscitation. Aim for EtCO2 of at least 10 mm Hg and ideally above 20 mm Hg. Conclusion
Strategies for High-Performing Healthcare Providers:
I. Slow down and prioritize A. Recognize the importance of pacing oneself B. Prioritize tasks and patients II. Enhance communication and collaboration A. Improve communication with nurses and healthcare team B. Discuss disposition early with patients III. Utilize technology for efficiency A. Take advantage of computers in the room B. Utilize electronic medical records (EMR) features IV. Optimize note-taking practices A. Keep notes concise and use dictation software B. Complete notes before patient discharge V. Focus on efficient patient disposition A. Make disposition a priority B. Regularly review patient statuses and plan ahead VI. Manage interruptions effectively A. Set boundaries for non-critical interruptions B. Utilize drive-bys for updates and face time Combat Application Tourniquet (CAT)
Some CAT tourniquets have a time indicator on the strap, which is used to record the time when the tourniquet was applied. This is important because tourniquets should not be left on for an extended period to avoid complications such as limb damage or necrosis. Velcro or Hook-and-Loop Fastener. The tourniquet strap usually has a Velcro or hook-and-loop fastener that helps to secure the strap in place after it's tightened. Here are the step-by-step procedures for applying the Combat Application Tourniquet Step 1. Place the tourniquet around the injured limb, 2 to 3 inches proximal to the bleeding site, directly to the skin. Step 2. Pull the strap tightly around the limb but not over the rod, and fasten it back on itself with the Velcro. Pull the strap tightly enough that the tips of three fingers cannot slide between the strap and the limb. Step 3. Twist the windlass rod to further tighten the strap until the bleeding is controlled. Step 4. Secure the windlass rod inside the windlass clip to lock it in place. Step 5. Check for bleeding and distal pulse. If bleeding is not controlled or distal pulses are present, consider additional tightening or applying a second CAT above and side-by-side to the first. Step 6. The time of application should be recorded. Now, lets recap the basic step-by-step operation of a CAT tourniquet. Take home message. The Combat Application Tourniquet (CAT) is a device used to control severe blood loss from the body's extremities. It is a simple yet effective tool that can save lives if used correctly. The CAT is designed to be used in both military and civilian settings and is the official tourniquet of the U.S. Army. Remember to follow the step-by-step procedures for applying the CAT and use it as a last resort for blood control management. |
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