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EPM Talk: Ep. 82 – The Role of Doppler Ultrasound in Cardiac Arrest

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The video, hosted by Mark Plaster and co-host J.D. Landon, features guests Allison Cohen and Dan Ralston discussing their research on the effectiveness of Doppler ultrasound compared to manual pulse checks in cardiac arrest situations.

The discussion highlights the inaccuracy of manual palpation, with Doppler ultrasound detecting a pulse 95.4% of the time versus 54% for manual methods. The guests explain their research methodology, which involved analyzing 213 pulse checks in 54 patients, and underline the importance of ultrasound in enhancing CPR quality and diagnosing conditions like pseudo-PEA.

The potential applications in pre-hospital settings and further research directions, including the correlation between peak systolic velocity and chest compression quality, are also discussed.

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Timestamps

00:00 Introduction and Guest Introduction

01:33 Personal Backgrounds of the Guests

02:45 Overview of the Research Paper

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04:08 Research Methodology and Findings

06:36 Technical Aspects of Doppler Ultrasound

09:46 Implications and Future Research

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12:21 Challenges and Practical Applications

18:06 Individualized CPR and Conclusion

18:52 Ultrasound in Resuscitation Logistics

19:52 Equipment and Setup for Cardiac Ultrasound

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20:37 Historical Perspective on CPR

22:21 Improving Cardiac Arrest Outcomes

23:05 Challenges with Carotid Ultrasound

24:45 Mechanical Chest Compression Devices

27:53 Future of Ultrasound in Pre-Hospital Care

29:58 Research and Future Directions

33:32 Concluding Thoughts and Final Remarks

ABOUT THE AUTHORS

FOUNDER/EXECUTIVE EDITOR Dr. Plaster has been an emergency physician for more than 30 years, working exclusively night shifts for the past 20 years in emergency departments across the country. During that period, he joined the U.S. Navy and served two tours in Iraq. Dr. Plaster is the founder and executive editor of Emergency Physicians Monthly and the founder of Plaster Publishing.

Jondavid "JD" Landon, MD, RDCS, RDMS is a community faculty member of Emergency Medicine at Eastern Virginia Medical School. He is fellowship trained in ultrasound with interests in critical care, cardiac arrest and ECPR.

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