Cardiac Care

Accurate prehospital ventilation and oxygenation, in combination with effective chest compressions and timely defibrillation when performing high-quality CPR improves ROSC rates and long-term neurological outcomes.

The cardiac care topic brings together a range of resources, articles, education, training and safety tips for EMS providers to be prepared to treat patients suffering from cardiac arrest and chest pain. Learn about the latest research and insights from leading EMS departments into advanced cardiac care, CPR approaches, specialty team activation, and pharmacology, like developments in epinephrine and nitroglycerine recommendations.

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Progressive Paramedicine: How to assess, treat the crashing CHF patient
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Brought to you by Pulsara

Three keys to the management of the crashing congestive heart failure patient is discussed in this episode of Progressive Paramedicine, an EMS1 original video series.

Learn more about Pulsara here.
Why telephone CPR improves cardiac arrest survival
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Dr. Ben Bobrow discusses telephone CPR, also known as dispatcher assisted CPR, by bystanders or laypeople to improve survival from sudden cardiac arrest. Telephone CPR using specific protocols is an incredible opportunity to engage bystanders in giving care. Learn more about this important step for improving sudden cardiac arrest survival in your community.
Remember 2 Things: Improve communication during cardiac arrest patient care
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Listen to two tips for managing a patient in cardiac arrest from Steve Whitehead, host of Remember 2 Things. Calm and clear communication is critical for a smooth, efficient incident. Whitehead also describes the importance of communicating what is coming next to the patient care team.
Remember 2 Things: How to improve cardiac arrest response
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Do you remember your first cardiac arrest call? Remember 2 Things host Steve Whitehead shares two tips for responding to a patient in cardiac arrest and to increase the likelihood of ROSC.
Prehospital use of ketamine
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Watch this video about the mechanism of action, indications and administration routes for prehospital use of ketamine.

After watching read the Ketamine Drug Why article and three reasons to use ketamine for prehospital analgesia.
Animation: Conduction of electrical impulses through the heart
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Watch this video to better understand or teach EMT and paramedic students how electrical impulses are conducted through cardiac tissue.
Remember 2 Things: How to auscultate an accurate blood pressure
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In this episode of Remember 2 Things learn how to auscultate an accurate blood pressure during a patient assessment. Whitehead discusses the importance of having the patient uncross their legs and why the patient's arm should be at the same level as their heart.

After watching Remember 2 Things, read these top EMS1 articles on blood pressure assessment.
Inmates break out of holding cell to save corrections officer in cardiac arrest
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The corrections officer was watching over the inmates and joking with them when he lost consciousness
Performing chest compressions in weightlessness
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Astronauts, who are not members of OK GO, practice CPR and chest compression skills during parabolic flights.
Use of ECMO in cardiac arrest
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The use of Extracorporeal Membrane Oxygenation for treatment of refractory cardiac arrest from ventricular fibrillation is explained.

Learn more about ECMO here.
How to perform effective CPR on a pet
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EMTs and paramedics, especially at fire scenes, can be called upon to assess and treat a dog in respiratory or cardiac arrest. In this video Dr. Janet Olson, veterinary cardiologist, shows how assess a pet and administer CPR.

Learn more about a paramedic teaching first aid skills to treat an injured police K-9 and Ohio legislation which authorizes EMS providers to treat pets.
Total artificial heart bridges Mich. man 555 days to a heart transplant
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Stan Larkin lived 555 days with the SynCardia total artificial heart until a successful heart transplant at the University of Michigan Health system
Reality Training: Citizens as first care providers at fire and EMS incidents
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Chief Rob Wylie discusses the importance of bystanders as first care providers at fire and EMS incidents. Bystanders can stop bleeding, adjust an airway, start CPR and use an AED before an ambulance arrives. How is your EMS agency engaging citizens as "force multipliers" for fire and EMS incidents?
911 dispatch audio for Prince
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Hear the 911 dispatch audio for a man down, not breathing, CPR started and then rescue units cancelled
How to calculate heart rate with 6-second ECG strip
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