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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

WORLD EMERGENCY MEDICINE SOCIETIES

Emergency Suprapubic Catheter Placement

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domingo, 17 de diciembre de 2017

POCUS & RCP

R.E.B.E.L.EM - December 14, 2017 - By Anand Swaminathan
"Background: The provision of high-quality compressions with minimal interruptions is central to the management of cardiac arrest. Along with defibrillation, high-quality compressions are the only interventions proven to improve patient-oriented outcomes. Recently, point-of-care ultrasound (POCUS) has gained greater use in cardiac arrest care for determination the cause of arrest as well as guiding the resuscitation and interventions. Performance of POCUS during arrest can be challenging particularly in terms of obtaining cardiac windows. Among these challenges is obtaining images of the heart during compressions. As a result, cardiac POCUS is often performed during rhythm checks when there is a scheduled pause in compressions. Despite the potential benefit from POCUS in cardiac arrest, prolonged interruptions in compressions while attempting to get optimal windows is unlikely to benefit the patient and, may be harmful.
Clinical Question: Does the use of POCUS during cardiac arrest care alter the duration of pauses in compressions?
Authors Conclusions: “In this prospective cohort trial of 24 patients with CA, POCUS during CPR pauses was associated with longer interruptions in CPR.”
Our Conclusions:
The use of intra-arrest POCUS was associated with an increased length of rhythm checks and, thus, an increased length in compression interruptions."