Acute Pulmonary Edema, PEA Arrest, LBBB, First degree AV Block, and STD maximal in V3, V4

An elderly woman had sudden SOB and 911 was called.  Medics found her with labored breathing and 75% saturations.  She was put on high flow oxygen.  After placing her in the ambulance, she had a PEA arrest.  She was intubated and ventilated, and given compression decompression CPR with theResQPod andResQPump.Aside:these 2 devices were invented by researcher Keith Lurie, who is in the Department of EM here at Hennepin; this isthe only method of CPR ever proven in a randomized trial to improve outcome in cardiac arrest see this ResQTrial, published in Lancet in 2011:Treatment of out-of-hospital cardiac arrest with an impedance threshold device and active compression decompression cardiopulmonary resuscitation improves survival with good neurological outcome: results from the ResQTrial.  This research team at Hennepin, which also includesJohanna Moore (Dept of EM) is now both studying and implementingcompression decompression CPR with additionalhead up CPR, and a new head up CPR device called theElegard.  See this study of head up CPR in porcine model:  Controlled sequential elevation of the head and thorax combined with active compression decompression cardiopulmonary resuscitation and an impedance threshold .  Read more about the Elegard here atEMS world: Raises Head, Looks Around: The State of Elevated CPRCase continuedAfter 2 doses of epinephrine, ROSC was achieved.The patient arrived intubated a...
Source: Dr. Smith's ECG Blog - Category: Cardiology Authors: Source Type: blogs