SCCM Resource Library-Year in Review: Emergency Medicine and Prehospital Care

Video Transcription

Video Summary

In this session, several speakers discuss the year in review for emergency medicine and pre-hospital care, with a focus on COVID-19. Dr. Manasco presents a study on the association of intra-arrest transport versus continued on-scene resuscitation for patients with out-of-hospital cardiac arrest and finds that survival to hospital discharge was lower among patients treated with intra-arrest transport. Dr. Stahl discusses the use of high-flow nasal cannula and non-invasive positive pressure ventilation for COVID-19 patients with respiratory failure. The evidence shows that these therapies may help decrease the need for intubation, but caution is advised as they may not be effective in severe cases of ARDS. Dr. Nelson covers the use of prone positioning for patients with COVID-19 and ARDS, finding that awake proning may be beneficial for some patients. However, patients should be closely monitored and improvements in oxygenation may be transient. Overall, the speakers suggest that a trial of non-invasive therapies may be reasonable for COVID-19 patients, but intubation should be considered if the patient's condition worsens.

Asset Subtitle

Resuscitation, Crisis Management, 2021

Asset Caption

The Society of Critical Care Medicine's Critical Care Congress features internationally renowned faculty and content sessions highlighting the most up-to-date, evidence-based developments in critical care medicine. This is a presentation from the 2021 Critical Care Congress held virtually from January 31-February 12, 2021.

Emergency Medicine and Prehospital Care
A. Travis Manasco, MD

Risk Stratification and COVID-19
Matthew Stull

COVID-19 and ARDS: What We Now Know
Jessica Nelson

Meta Tag

Content Type Presentation

Knowledge Area Resuscitation

Knowledge Area Crisis Management

Knowledge Level Foundational

Knowledge Level Intermediate

Knowledge Level Advanced

Learning Pathway Emergency Medicine and EMS Care

Membership Level Select

Tag Cardiac Arrest

Tag COVID-19

Tag Oxygenation

Year 2021

Keywords

COVID-19

intra-arrest transport

resuscitation

high-flow nasal cannula

non-invasive positive pressure ventilation

ARDS

prone positioning

intubation

Emergency Medicine and EMS Care

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