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VentMonkey

VentMonkey

BS, FP-C, CCP-C
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Tremendous indeed. I'm interested to hear anyone's take on in who has actually had exposure and/ or experience to it, and their thoughts are on it.
 
First time I am hearing about this but who knows. As of right now (at least last I knew) we don't even have our own medical director for the county. We are using ICEMAs medical director under a mutual aid agreement. AMR is also going to be getting a new medical director in the next year.

Since the start of last year we implemented the pit crew CPR with non stop compressions and ventilations on every 10th compression. Focused has move away from intubation being the gold standard for full arrests and now it is on whatever airway a provider can get without having to stop compressions.
 
Looks like a systems approach full of buzzwords, promises, and you have to show up and pay to see the content. I'm sure it works way better than not having a systemic approach. No links to research results? Sounds like a money maker!
 
So the story I am getting is that this is being implemented by their county contracted FD already (Cal Fire). Apparently it was pushed by the county's previous medical director before he left the position vacant (red flag number one, IMO).

It's a CCR-style sounding approach with less emphasis on ETI (nothing new here), and no defbrillation on a shockable rhythm with an ETCO2 less than 20 cmH2O.

I don't know if the county contracted ambulance service is going to implement it as well, and I also don't know if this has to do with Cal Fire's approach (or lack there of) of prehospital EMS. Riverside guys, again, please feel free to elaborate if you know of any insightful info.

It seems really straightforward, and hard to screw up. I do agree though that the promises seem tremendous, and to me it sounds "too good to be true" for something that no other system nationwide has implemented, let alone by a medical director who left it in the hands of a neighboring counties director until the next guy comes along and fills the vacany.

Skeptical? Perhaps.
 
VentMonkey said:
It's a CCR-style sounding approach with less emphasis on ETI (nothing new here), and no defbrillation on a shockable rhythm with an ETCO2 less than 20 cmH2O.
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No defibrillation on a shockable rhythm with ETCO2 < 20cm H2O...what's the rationale for that?
 
IMG_2126.GIF
 
CalFire surely isn't doing that out in the desert area. We and they are still defibing any shockable rhythm
 
Remi said:
Was wondering the same.
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If capno isn't 20 or greater the heart isn't capable (according to them) of excepting electrical energy. Shocking below 20 will likely send them into asystole where above will convert them to a sustainable rhythm.

The above statement is a ver batum text sent from my buddy. By them I assume he means the doctor(s) implemting this?

I guess it's supposed to be part of their next EMS protocol update. I'm not 100% sure, again, I don't work out there. I just wondered if anyone else had any working knowledge of such an approach to CPR/CCR/ROSC.

If I hear anything further, I will post it. I'm always interested in learning different ways to "skin" a proverbial "cat" though.
 
VentMonkey said:
If capno isn't 20 or greater the heart isn't capable (according to them) of excepting electrical energy. Shocking below 20 will likely send them into asystole where above will convert them to a sustainable rhythm.

The above statement is a ver batum text sent from my buddy. By them I assume he means the doctor(s) implemting this?

I guess it's supposed to be part of their next EMS protocol update. I'm not 100% sure, again, I don't work out there. I just wondered if anyone else had any working knowledge of such an approach to CPR/CCR/ROSC.

If I hear anything further, I will post it. I'm always interested in learning different ways to "skin" a proverbial "cat" though.
Click to expand...

Hmmm. Never heard of that.
 
Is there some research to back that claim?
 
Summit said:
Is there some research to back that claim?
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I asked this same question. I can't find any, but if or when I do, I will be sure to update everyone.
 
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