😍 Proud of our MICA paramedics for another successful launch of a world-first clinical trial: Today the #PANDA trial enrolled its 1st patient! The #PANDA trial will end the long-standing debate around the optimal vasoactive agent for cardiogenic shock in the prehospital setting

Exciting work on false electrical capture during transcutaneous pacing for unstable bradycardia. We found many patients transported by an EMS system in NY had false capture.

Takeaway: new strategies (other than pulse palpation) needed to reliably verify capture. Joshua Kimbrell

More thoughts on why Head Up CPR isn’t ready for Widespread Adoption.

Apologies for the title, it didn’t get cleaned up in copy editing.

tandfonline.com/doi/full/10.10…

Pretty excited about this one...thanks to David Olvera​ and the team for working on this. Well-designed checklists with an eye toward HFE can be helpful in prehospital/CCT airway management

sciencedirect.com/science/articl…

Updated ACLS guidance recommends against the routine use of calcium and bicarb. We need to focus on what has been proven to save lives, which is high-performance CPR and timely defibrillation.

ResuscitationAcademy said it best. Where you live should not determine IF you live.

2/2

TheResusRoom Rob Fenwick James Yates ZOLL EMS and Fire ZOLLHospital TheResusRoom Events & Courses Please reconsider the terminology. It is recurrent VF. Only 5% of patients with three consecutive shocks have true persistent VF. See our lastest findings from our ARREST group (poster at ReSS, article in progress): ahajournals.org/doi/10.1161/ci…

An honor to contribute and as always only made possible by the amazing #UWashEMS team Catherine R. Counts Michael Sayre Molly Van Dyke Nick Johnson and more!

Finally, full text online of the performance of the Queen of Hearts PM Cardio AI app:
@PMcardioBot Robert Herman, MD Pendell Meyers

International evaluation of an artificial intelligence–powered electrocardiogram model detecting acute coronary occlusion myocardial infarction…

Mark Staveley recently experienced sudden cardiac arrest, and Seattle firefighter/EMTs and paramedics responded promptly to the scene. Over the weekend, he was able to reunite with some of the SFD members who helped to provide life-saving treatment. (1/2)

Which vasopressor should you use post ROSC for OHCA? #UWashEMS isn't ready to commit, but there were definitely differences between the Epi and Norepi cohorts. doi.org/10.1080/109031…

Thanks for the great review of Bonnie Snyder, MD's work on use of small adult ventilation bags during cardiac arrest.

We plan to measure tidal volume in a subset of patients in the FACT study: newsroom.uw.edu/news-releases/….

Catherine R. Counts Nick Johnson
doi.org/10.1016/j.resu…

Debating rocuronium vs. succinylcholine for RSI?

New research from #UWashEMS shows that within Seattle Fire Dept. they have similar Cormack-Lehane grades, first-pass success, & rates of peri-intubation hypoxemia.

Full Paper: tandfonline.com/doi/full/10.10…

Should EMS have feedback devices for ventilation? #ReSS23 ILCOR Ziad Nehme Nick Johnson The Council of Ambulance Authorities
Bag-Valve-Mask Ventilation and Survival from Out-of-Hospital Cardiac Arrest: A Multicenter Study. | Circulation ahajournals.org/doi/10.1161/CI…

I agree w Demetris Yannopoulos. 'There is no concordant preclinical evidence to support any widespread clinical application of the device and independent verification... is warranted before this intervention is even tested in cardiac arrest patients.'

Super proud: Bonnie Snyder, MD leveled up in Tableau, Molly Van Dyke wrote Stata code to measure peak ETCO2 for each breath, & Catherine R. Counts encouraged Stryker Emergency Care to update the breath detector code.

Next step is to measure tidal volumes. Stay tuned.

doi.org/10.1016/j.resu…

A long time coming to publish these findings!

TLDR: Use of a small adult ventilation bag during OHCA was associated with lower odds of ROSC at the end of EMS care, an unexpected finding.

Thank you Michael Sayre Molly Van Dyke Catherine R. Counts Nick Johnson and team! UW Emergency Medicine

Metronomes during #CPR work!
I'm excited to share our recent publication showing that when a metronome is on during an #OHCA , the CPR rate is more controlled. Thanks to #UWashEMS for the opportunity to work on this project.

sciencedirect.com/science/articl…

The PATCH Team, led by Russell Gruen, a study of pre-hospital TXA for severe trauma in adults at high risk of acute traumatic coagulopathy treated in advanced trauma systems, has been published today in NEJM. #CCR23 Here’s a summary of what we did...
nejm.org/doi/full/10.10…

Dr. Cobb relentlessly worked to improve the system of emergency cardiac care. From patient #1 he reviewed what went well and what might be done better. His humility and sharp assessment encouraged others to believe in his vision. I am grateful to have known and learned from him.

We lost a Great today: Dr. Leonard Cobb (1926-2023). Dr. Cobb helped create the RAF and spent 40yrs leading Seattle Medic One. His advice is timeless: there are no magic bullets; stick to quality CPR, and always measure/improve
your system. Seattle Fire Dept. UW Medicine @global_RA