SCCM Resource Library-How Does It Work? Emerging Techniques in CPR

Video Transcription

Video Summary

The video discusses the potential benefits of physiology-guided CPR, focusing on the use of devices and techniques to optimize outcomes. The speaker suggests that a personalized approach based on physiological targets such as coronary perfusion pressure (CPP) and end-tidal CO2 levels may be more effective than current guidelines-based interventions. They highlight the use of devices like accelerometers and metronomes to maintain compression rates and depth, but propose that focusing on physiological targets could provide a more targeted approach.<br /><br />The speaker also discusses the use of ultrasound during CPR, which can aid in rhythm diagnosis, identify causes of pulselessness, diagnose return of spontaneous circulation, and provide prognostic information. Ultrasound can help differentiate between shockable and non-shockable rhythms, identify causes such as hypovolemia or cardiac tamponade, and determine if there is mechanical activity in the heart. The speaker suggests that the presence of mechanical activity during non-shockable rhythms may be associated with better outcomes.<br /><br />The video also touches on the use of impedance threshold devices, active compression decompression devices, and interposed abdominal compressions to improve preload during CPR. The importance of good quality chest compressions is emphasized, and the potential benefits of using eCPR (cardiopulmonary bypass) are discussed, although further research is needed. The speaker concludes by discussing the potential benefits and challenges of implementing eCPR in veterinary medicine.<br /><br />Overall, the video highlights the potential for personalized and targeted approaches to CPR, incorporating devices, techniques, and ultrasound to optimize outcomes.

Asset Subtitle

Professional Development and Education, Cardiovascular, 2020

Asset Caption

This is a presentation from the 2020 Critical Care Congress precourse, Cardiopulmonary Resuscitation, Electrolyte, and Acid-Base Disorders for the Veterinary Emergency and Critical Care Specialist. How Does It Work? Emerging Techniques in CPR was presented by Daniel Fletcher, PhD, DVM, DACVECC, and Manuel Boller, DVM, MTR, DACVECC.

The course covered topics including updates from research, electrolyte disorders commonly and less commonly seen in the critical care setting, importance of chloride and its role in resuscitation management and the kidney, and acid-base disorders, including physiology, blood gas interpretation, and treatment.

Meta Tag

Content Type Presentation

Knowledge Area Professional Development and Education

Knowledge Area Cardiovascular

Knowledge Level Foundational

Knowledge Level Intermediate

Knowledge Level Advanced

Membership Level Select

Membership Level Professional

Membership Level Associate

Tag Veterinary Medicine

Tag Cardiac Arrest

Year 2020

Keywords

physiology-guided CPR

devices and techniques

optimize outcomes

personalized approach

coronary perfusion pressure

end-tidal CO2 levels

accelerometers

metronomes

ultrasound during CPR

rhythm diagnosis

return of spontaneous circulation

mechanical activity in the heart

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