FEELing for a Pulse and Shocking Asystole with Walt Lubbers

Curbside to Bedside

Content provided by Curbside to Bedside. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Curbside to Bedside or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://player.fm/legal.

5+ y ago 43:59

MP3•Episode home

Archived series ("Inactive feed" status)

When? This feed was archived on March 07, 2023 12:27 (1y ago). Last successful fetch was on October 14, 2022 04:01 (1+ y ago)

Why? Inactive feed status. Our servers were unable to retrieve a valid podcast feed for a sustained period.

What now? You might be able to find a more up-to-date version using the search function. This series will no longer be checked for updates. If you believe this to be in error, please check if the publisher's feed link below is valid and contact support to request the feed be restored or if you have any other concerns about this.

This podcast is based on the Focused echocardiographic evaluation in life support and peri-resuscitation of emergency patients (FEEL) Study, and inferences made from it.

The study was to determine the feasibility of prehospital ultrasound, but there were more astonishing results:

74.5% of patients in (pseudo) PEA had cardiac activity.
35% of patients in (suspected) asystole had cardiac activity.

We brought on EMS Physician Walt Lubbers to answer whether or not ultrasound would inform our decision making or alter how we manage a patient in cardiac arrest.

What we really wanted to know is 1) should we shock asystole "just in case" it could be very fine VF, and 2) would the presence of cardiac activity on ultrasound change how we manage a patient in cardiac arrest.

We discussed in detail some cardiac arrest physiology and referenced a video lecture and studies cited by Dr. Peter Kudenchuk from the Resuscitation Academy.

29 episodes

#Alternative Health #Criticalcare #Emergencymedicalservices #Foamems #Nursing #Prehospitalmedicine #Trauma #Fitness #Emergency Medicine #Science #Medicine #Curbside To Bedside #EMS #EMT #FOAM #Paramedic