EMS Medical Directors Chart the Future of EMS at Annual Gathering of Eagles
The Metropolitan Medical Directors Coalition (AKA “Eagles”) 21st Annual Retreat (AKA “Eagle Creek”) was held Wednesday and Thursday, February 27 and 28, at the Dallas Sheraton Hotel under the leadership of Paul Pepe, MD. The closed, invitation-only retreat is attended by 70 medical directors from the most-populated metropolitan EMS systems as well as 18 EMS fellows—33% of the nation’s current EMS fellows. This group oversees EMS for a combined population of over 114 million people in the United States and abroad, with representatives from Canada; Germany; New Zealand; Italy; Amsterdam, The Netherland; Bangkok, ...
Source: JEMS: Journal of Emergency Medical Services News - February 28, 2019 Category: Emergency Medicine Authors: A.J. Heightman, MPA, EMT P Tags: Top Story News Exclusive Articles Patient Care Administration and Leadership Operations Source Type: news

EMS Medical Directors Chart the Future of EMS at Annual Gathering of Eagles
The Metropolitan Medical Directors Coalition (AKA “Eagles”) 21st Annual Retreat (AKA “Eagle Creek”) was held Wednesday and Thursday, February 27 and 28, at the Dallas Sheraton Hotel under the leadership of Paul Pepe, MD. The closed, invitation-only retreat is attended by 70 medical directors from the most-populated metropolitan EMS systems as well as 18 EMS fellows—33% of the nation’s current EMS fellows. This group oversees EMS for a combined population of over 114 million people in the United States and abroad, with representatives from Canada; Germany; New Zealand; Italy; Amsterdam, The Netherland; Bangkok, ...
Source: JEMS Operations - February 28, 2019 Category: Emergency Medicine Authors: A.J. Heightman, MPA, EMT P Tags: Top Story News Exclusive Articles Patient Care Administration and Leadership Operations Source Type: news

Palm Beach County Sees Results After Instituting a Bundle of Care Approach to Resuscitation
Palm Beach County, Florida, is home to 1.4 million residents and is host to many more visitors each year as a major tourist destination. It’s a sprawling, multicultural and diverse socioeconomic demographic with extremes of age. In 2015, based upon disappointing resuscitation rates, the bundle of care approach was instituted by the county’s new EMS medical directors. Within three months, resuscitation rates improved dramatically, and in the ensuing years, have remained at over double their prior level. How did this occur, and what are the implications for enhancing cardiac arrest survival across other jurisdictions? In...
Source: JEMS Patient Care - February 27, 2019 Category: Emergency Medicine Authors: Kenneth A. Scheppke, MD Tags: Cardiac & Resuscitation Top Story Exclusive Articles Patient Care Heart of America Source Type: news

Active Intrathoracic Pressure Regulation During Resuscitation
Active intrathoracic pressure regulation (aIPR) is a novel therapy approved for the treatment of low blood flow states, such as cardiac arrest. This therapy is delivered with a device called the CirQPOD that’s inserted into a standard respiratory circuit between the patient and a means to provide positive pressure ventilation (e.g., bag-valve balloon or mechanical ventilator). Between each positive pressure ventilation, aIPR decrease intrathoracic pressure to subatmospheric levels, which subsequently enhances blood return to the heart and increases stoke volume, cardiac output, arterial blood pressures and coronary perfu...
Source: JEMS Patient Care - February 27, 2019 Category: Emergency Medicine Authors: Nicolas Segal, MD, PhD Tags: Cardiac & Resuscitation Top Story Exclusive Articles Patient Care Heart of America Source Type: news

Minnesota Resuscitation Consortium Advanced Perfusion & Reperfusion Cardiac Life Support Strategy for Out-of-Hospital Refractory V Fib
Approximately 400,000 people in the United States suffer out-of-hospital cardiac arrest (OHCA) each year. One-third present to EMS with a shockable rhythm (v fib/v tach). Of these patients with an initial shockable rhythm, 50% are refractory to treatment resulting in prolonged duration of resuscitation and poor outcomes.1,2 The Minnesota Resuscitation Consortium (MRC) initiated the Advanced Perfusion and Reperfusion Cardiac Life Support Strategy for Out-of-Hospital Refractory Ventricular Fibrillation (v fib) in December 2015, in an effort to improve survival outcomes for patients suffering refractory v fib arrest. Extracor...
Source: JEMS Patient Care - February 27, 2019 Category: Emergency Medicine Authors: Jason Bartos, MD, PhD Tags: Cardiac & Resuscitation Top Story Exclusive Articles Patient Care Heart of America Source Type: news

REBOA and SAAP: Aortic Interventions for Resuscitation
REBOA Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) involves the use of an aortic balloon catheter to limit blood loss caudal to the inflated balloon in patients with severe, uncontrolled truncal and junctional hemorrhage. Initially described during the Korean War, aortic balloon occlusion for hemorrhage control in trauma was reported sporadically over the ensuing decades without general adoption into clinical practice. This has changed in the past decade in response to injury patterns observed in the combat theaters of the Middle East. Preclinical studies in U.S. military research labs characterized th...
Source: JEMS Patient Care - February 27, 2019 Category: Emergency Medicine Authors: James E. Manning, MD Tags: Cardiac & Resuscitation Top Story Exclusive Articles Patient Care Heart of America Source Type: news

Indocyanine Green Laser Angiography in Tumescence Indocyanine Green Laser Angiography in Tumescence
What benefits might indocyanine green laser angiography offer in the assessment of tissue perfusion during breast surgery?ePlasty, Open Access Journal of Plastic Surgery (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - February 22, 2019 Category: Consumer Health News Tags: Plastic Surgery & Aesthetic Medicine Journal Article Source Type: news

Alternate Resuscitation Target Does Not Cut Sepsis Mortality Alternate Resuscitation Target Does Not Cut Sepsis Mortality
A peripheral perfusion resuscitation strategy was not superior to the standard lactate-level testing currently used in patients with early septic shock in the five-country ANDROMEDA-SHOCK trial.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - February 19, 2019 Category: Consumer Health News Tags: Critical Care News Source Type: news

Children with severe traumatic brain injury, intracranial pressure, cerebral perfusion pressure, what does it mean? A review of the literature - Lovett ME, O'Brien NF, Leonard JR.
Severe traumatic brain injury is a leading cause of morbidity and mortality in children. In 2003 the Brain Trauma Foundation released guidelines that have since been updated (2010) and have helped standardize and improve care. One area of care that remains... (Source: SafetyLit)
Source: SafetyLit - February 18, 2019 Category: International Medicine & Public Health Tags: Age: Infants and Children Source Type: news

Head-Up CPR May Improve Neurologically Intact Survival Rates
Head-up CPR is a novel concept in resuscitation that has the potential to improve neurologically intact survival after cardiac arrest. Inspired by the clinical question of whether patients in cardiac arrest should be transported either head-up or feet-up in a small elevator, an initial animal study was performed in 2014. In this swine model of cardiac arrest, pigs underwent five-minute periods of automated CPR with an impedance threshold device (ITD-16) in the traditional supine position, then with a 30-degree whole-body head-up tilt, and then a 30-degree whole-body head-down tilt. The cerebral blood flow and cerebral perf...
Source: JEMS Patient Care - February 15, 2019 Category: Emergency Medicine Authors: Johanna C. Moore, MD, MS Tags: Cardiac & Resuscitation Top Story Exclusive Articles Patient Care Heart of America Source Type: news

EXTEND: More Evidence of tPA Benefit 9 Hours After Stroke EXTEND: More Evidence of tPA Benefit 9 Hours After Stroke
Past research showed MRI imaging can identify patients best suited for therapy; new results now show that CT perfusion imaging also works for patient selection.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - February 13, 2019 Category: Consumer Health News Tags: Neurology & Neurosurgery News Source Type: news

Size and time impact outcomes when mechanical clot removal used for large core strokes
(American Heart Association) Patient outcomes with large core stroke damage are worse the larger the core volume and the longer the time lapse between stroke onset and treatment. Perfusion imaging may help identify large core stroke patients who are potential candidates for mechanical thrombectomy (clot removal). (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - February 7, 2019 Category: International Medicine & Public Health Source Type: news

CT matches MRI for late-window stroke evaluation
Stroke patients who underwent endovascular therapy had similar improvement...Read more on AuntMinnie.comRelated Reading: Machine learning can predict stroke treatment outcomes Study reveals steep cost of delaying stroke treatment 3 CTA signs show which stroke patients can skip surgery Perfusion imaging expands window for stroke treatment CTA helps direct use of clot removal for stroke patients (Source: AuntMinnie.com Headlines)
Source: AuntMinnie.com Headlines - February 6, 2019 Category: Radiology Source Type: news

Neovasc touts Reducer study
Neovasc (NSDQ:NVCN) this week touted a newly-published article that described the use of dipyridamole stress perfusion cardiac magnetic resonance to evaluate its Reducer device. The Vancouver-based company’s device is designed to treat refractory angina. The article, published in the Journal of the American College of Cardiology: Cardiovascular Interventions, featured a 66 year old man with angina who was treated with anti-ischemic therapy. Four months after being implanted with the Reducer, the patient was asymptomatic for angina and reported improved quality of life, according to Neovasc. A four-month dipyridamol...
Source: Mass Device - January 24, 2019 Category: Medical Devices Authors: Sarah Faulkner Tags: Clinical Trials Featured Vascular neovasc Source Type: news

RFPi wins FDA nod for non-contact blood flow imaging tech
RFPi’s iCertainty shows images of blood flow and perfusion without contact with the patient. FDA has cleared RFPi’s iCertainty real-time, noninvasive blood flow and perfusion imaging medical device for use during surgical procedures, the company said. iCertainty is the first medical imaging device to show blood flow without interrupting a surgical procedure or requiring injections, dyes, radiation or direct patient contact, according to the Greenville, N.C. company. Use of iCertainty during surgery could reduce procedural complications or repeat surgeries, reduce hospital costs, and objectively measure and help to...
Source: Mass Device - January 16, 2019 Category: Medical Devices Authors: Nancy Crotti Tags: Blog Blood Management Business/Financial News Food & Drug Administration (FDA) Imaging News Well Research & Development RFPi Source Type: news