Emergency Medicine

CPR using chest compressions only is better than standard CPR

cpr chest compressions
A new study, published in the journal Circulation, has found that long term survival is better in patients who receive CPR with chest compressions only compared to standard CPR which is a combination of chest compression and mouth to mouth resuscitation. When a person suffers from a cardiac arrest, it has been noted that the bystanders are so intimidated by the procedure of standard CPR that they end up performing no CPR at all. It is in these circumstances that chest compression CPR has been...

Taking Car Crash Victims directly to Trauma Center may save Their Lives

Statistics reveal that less than 50% of the victims of a car crash are taken directly to a trauma center, thereby wasting crucial time. Less than 50% of the patients taken to a nearby hospital following a car crash are later referred to a trauma center. This is because the EMS personnel often fail to assess the severity of injuries. Moreover, in many cases lack of proper means of transportation or the sheer distance of a trauma center from the point of accident, works to the victim’s...

Intramuscular Midazolam not inferior to Intravenous Lorazepam in treating Status Epilepticus

Terminating prolonged seizures in patients with status epilepticus is of paramount importance. If seizures are not terminated early, it may lead to brain injury, prolonged hospitalization and even death in extreme cases. It is estimated that almost 55,000 patients develop status epilepticus annually in the US alone. The standard practice to control the seizures during pre-hospital emergency care is through intravenous injection of lorazepam. However, it is often difficult to accomplish, even by...

Beta Blocker use in Resuscitation of Cardiac Arrests due to Ventricular Fibrillations

The mortality figures associated with cardiac arrest continue to remain high and have bothered the physicians for a long time. At present, epinephrine is recommended as the choice of drug to be used during cardio-pulmonary resuscitation because it causes peripheral vasoconstriction due to its alpha adrenergic effect. This, in turn, increases the coronary blood flow and the coronary perfusion pressure making defibrillation a possibility. However, it may increase the oxygen consumption by the...

It is better to go for Defibrillation rather than Continuing with CPR beyond One Minute

A recent study conducted by Ottawa Hospital Research Institute (OHRI), the University of Ottawa and the Resuscitation Outcomes Consortium (ROC) has shown that extending the period of initial cardiopulmonary resuscitation (CPR) by paramedics and other emergency personnel from one to three minutes does not seem to add any benefit to the patient. Published in the New England Journal of Medicine, it is the largest randomized cardiac arrest trial in the world. The study has helped to resolves a...

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