tag:blogger.com,1999:blog-4266294048567663301.post8219675013511957400..comments2024-03-27T21:50:14.333-07:00Comments on Mill Hill Ave Command: "We had a LUCAS save!" - No, you didn't.Brooks Walshhttp://www.blogger.com/profile/16108633682893762401noreply@blogger.comBlogger30125tag:blogger.com,1999:blog-4266294048567663301.post-38630536452430719692021-09-18T06:10:06.836-07:002021-09-18T06:10:06.836-07:00I really want to thank Dr Emu for saving my marria...I really want to thank Dr Emu for saving my marriage. My wife really treated me badly and left home for almost 3 month this got me sick and confused. Then I told my friend about how my wife has changed towards me. Then she told me to contact Dr Emu that he will help me bring back my wife and change her back to a good woman. I never believed in all this but I gave it a try. Dr Emu casted a spell of return of love on her, and my wife came back home for forgiveness and today we are happy again. 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PLEASE SHARE , SO THE WORLD CAN GET TO KNOW ABOUT HIMJodie Stacihttps://www.blogger.com/profile/05520825969860704401noreply@blogger.comtag:blogger.com,1999:blog-4266294048567663301.post-79910539940551723332019-07-05T03:31:33.929-07:002019-07-05T03:31:33.929-07:00sometime it becomes very hard to find out a well w...sometime it becomes very hard to find out a well written and nicely mounted lavatory which provide you correct and useful facts concerning tests and syllabus. but, i discovered this weblog and have been given a few relevant facts which is probably clearly beneficial for me. <a href="http://kalgoorliephysio.com.au/private-services/services/physio/" rel="nofollow">Sports Injury Kalgoorlie</a>Will smithhttps://www.blogger.com/profile/13854316866799061816noreply@blogger.comtag:blogger.com,1999:blog-4266294048567663301.post-80234352029218622572019-03-28T07:54:12.057-07:002019-03-28T07:54:12.057-07:00Discussion of the talent and intelligence is appro...Discussion of the talent and intelligence is approved for the future wings. 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The nature is done for the flow of the offers for the citizens in the midst of the facilities.Gabroohttps://www.blogger.com/profile/05626239150887309096noreply@blogger.comtag:blogger.com,1999:blog-4266294048567663301.post-37876689825391484932018-10-26T02:55:58.875-07:002018-10-26T02:55:58.875-07:00With the Medvive Electronic Pulse Massager , you ...With the Medvive <a href="https://www.amazon.com/MEDVIVE-Rechargeable-Management-Electric-Stimulator/dp/B07D5ML4HM" rel="nofollow"> Electronic Pulse Massager </a>, you can soothe tired or sore muscles in the comfort of your own home. This portable, compact massager is a Transcutaneous Electrical Nerve Stimulation (TENS) therapy unit that uses mild electronic impulses to stimulate muscles and alleviate pain.Liztekhttps://www.blogger.com/profile/08089207113248034724noreply@blogger.comtag:blogger.com,1999:blog-4266294048567663301.post-56177596651068500982014-08-06T12:33:48.851-07:002014-08-06T12:33:48.851-07:00This comment has been removed by a blog administrator.Arnohttps://www.blogger.com/profile/00787063943557101374noreply@blogger.comtag:blogger.com,1999:blog-4266294048567663301.post-73070103954547992522014-03-18T21:51:04.599-07:002014-03-18T21:51:04.599-07:00The CIRC trial just came out as an article-in-pres...The CIRC trial just came out as an article-in-press examining the AutoPulse and found no difference in outcomes. http://www.resuscitationjournal.com/article/S0300-9572%2814%2900128-2/abstractVince Dhttps://www.blogger.com/profile/10636259293820649555noreply@blogger.comtag:blogger.com,1999:blog-4266294048567663301.post-89288089990136342292014-03-07T18:51:09.330-08:002014-03-07T18:51:09.330-08:00A peds code is a rare event, but your point is big...A peds code is a rare event, but your point is bigger than that, I understand. A good team will be a good team, with or without certain pieces of equipment. <br /><br />A low-quality team, OTOH, probably won't be helped much by one piece of equipment. If they weren't practicing enough before, now they will have extra parts and procedures to deal with, and pull their focus from the true task at hand!Brooks Walshhttps://www.blogger.com/profile/16108633682893762401noreply@blogger.comtag:blogger.com,1999:blog-4266294048567663301.post-71861001621779056672014-03-06T10:29:32.748-08:002014-03-06T10:29:32.748-08:00I have a feeling Site C is Seattle looking at the ...I have a feeling Site C is Seattle looking at the survival numbers...but you never know.Christopherhttps://www.blogger.com/profile/11415988855392944633noreply@blogger.comtag:blogger.com,1999:blog-4266294048567663301.post-66709274550415845202014-03-06T09:34:57.022-08:002014-03-06T09:34:57.022-08:00Brooks I think another take away is that mechanica...Brooks I think another take away is that mechanical does not do pediatric arrests. Your team must be still be trained to a high level to deal with these arrests when the most is on the line. Couple this with a lack of feedback devices on peds codes(ie Zoll's depth detector is not on peds pads) your team needs to practice HP CPR regularly to stay proficient.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4266294048567663301.post-52292071178051887472014-03-06T07:53:16.628-08:002014-03-06T07:53:16.628-08:00Thanks for your comments about JEMS coverage of th...Thanks for your comments about JEMS coverage of the device. Conflicts of interest are not clearly stated, tho there is the appearance that these exist.<br />Also, the comments by the ACEP EMS group members do not reveal conflicts, unfortunately. The discussion also begs the question of the wisdom of "transporting corpses", especially light and sirens/emergency traffic.Anonymoushttps://www.blogger.com/profile/17374922670079721426noreply@blogger.comtag:blogger.com,1999:blog-4266294048567663301.post-11965215980259093282014-03-05T21:04:55.535-08:002014-03-05T21:04:55.535-08:00Just starting to read through that train wreck of ...Just starting to read through that train wreck of papers and letters. What a mess of an aftermath for a trial - a representative table is <a href="https://www.facebook.com/photo.php?fbid=458929190875977&set=p.458929190875977&type=1&theater" rel="nofollow">at the Mill Hill Ave FB page</a>. <br /><br />Brooks Walshhttps://www.blogger.com/profile/16108633682893762401noreply@blogger.comtag:blogger.com,1999:blog-4266294048567663301.post-49966798898030674822014-03-05T20:54:24.937-08:002014-03-05T20:54:24.937-08:00Physio certainly got the upper hand over Zoll for...Physio certainly got the <a href="https://www.facebook.com/photo.php?fbid=458925574209672&set=p.458925574209672&type=1&theater" rel="nofollow">upper hand over Zoll</a> for positioning on the "Diamond Level." Zoll must be chagrined.<br />Brooks Walshhttps://www.blogger.com/profile/16108633682893762401noreply@blogger.comtag:blogger.com,1999:blog-4266294048567663301.post-55558084805574373892014-03-05T20:36:58.965-08:002014-03-05T20:36:58.965-08:00If the LUCAS had better CPC 1 survival (which was ...If the LUCAS had better CPC 1 survival (which was one of a few secondary outcomes, and thus just hypothesis generating, strictly speaking), that would have been intriguing! <br /><br />However, survival to hospital discharge with CPC 1-2 was statistically equivalent, seen in the results table above (8.3% vs 7.8%).Brooks Walshhttps://www.blogger.com/profile/16108633682893762401noreply@blogger.comtag:blogger.com,1999:blog-4266294048567663301.post-70259830632915503562014-03-05T19:59:25.686-08:002014-03-05T19:59:25.686-08:00There were two publications resulting from that tr...There were two publications resulting from that trial, both linked from the Clinical Trials page.<br /><br />JAMA. 2006 Jun 14;295(22):2620-8. (http://www.ncbi.nlm.nih.gov/pubmed/16772625)<br /><br />CONCLUSIONS: Use of an automated LDB-CPR device as implemented in this study was associated with worse neurological outcomes and a trend toward worse survival than manual CPR. Device design or implementation strategies require further evaluation.<br /><br />Am J Emerg Med. 2010 May;28(4):391-8. doi: 10.1016/j.ajem.2010.02.002. (http://www.ncbi.nlm.nih.gov/pubmed/20466215)<br /><br />CONCLUSIONS: The difference in survival that caused early suspension of ASPIRE appears to have been limited to one site after its protocols change. At the time the trial was suspended, the outcomes of patients at the other sites appear to have been trending in favor of the intervention.Christopherhttps://www.blogger.com/profile/11415988855392944633noreply@blogger.comtag:blogger.com,1999:blog-4266294048567663301.post-1611156270357782182014-03-05T17:18:06.081-08:002014-03-05T17:18:06.081-08:00Couldn't be because Physio is a large advertis...Couldn't be because Physio is a large advertising in JEMS and a large sponsor for EMS Today, right?TOTWTYTRhttps://www.blogger.com/profile/17221321904364051792noreply@blogger.comtag:blogger.com,1999:blog-4266294048567663301.post-53189868286468742112014-03-05T17:16:18.663-08:002014-03-05T17:16:18.663-08:00It should have been low hanging fruit, but I wonde...It should have been low hanging fruit, but I wonder. Let's say that both hands on CPR and Lucas CPR groups had roughly equal 4 hour survival rates. The next step would be to look at CPC scores. What if the Lucas group had significantly better CPC 1 rates? What would be the ramifications? <br /><br />Of course if the Lucas group had WORSE CPC 1 rates at discharge or overall worse survival to discharge rates overall, we'd have to rethink that too. <br /><br />TOTWTYTRhttps://www.blogger.com/profile/17221321904364051792noreply@blogger.comtag:blogger.com,1999:blog-4266294048567663301.post-89738490929019645132014-03-05T13:32:54.546-08:002014-03-05T13:32:54.546-08:00I hope they publish their results, even being nega...I hope they publish their results, even being negative. So often there are small "pearls" that can be pulled out of the large RCTs - insights about the population, modern-day "save" rates, etc. <br /><br />EMS doesn't have many big RCTs, so have to take evidence where we can!Brooks Walshhttps://www.blogger.com/profile/16108633682893762401noreply@blogger.comtag:blogger.com,1999:blog-4266294048567663301.post-6663688072842003732014-03-05T11:47:28.287-08:002014-03-05T11:47:28.287-08:00Hey Brooks and Daniel, their was a trial done on t...Hey Brooks and Daniel, their was a trial done on the AutoPulse that was ceased due to worse outcomes. Seattle conducted some of it and I believe cannot talk about it. The trial was conducted in 2005 and here is a link:<br /><br />http://clinicaltrials.gov/show/NCT00120965<br /><br />Thanks again for covering this Brooks. Man still as good as machine atm.<br /><br />Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4266294048567663301.post-15887240587884174822014-03-04T18:45:08.578-08:002014-03-04T18:45:08.578-08:00No, none that I've heard of.No, none that I've heard of. Brooks Walshhttps://www.blogger.com/profile/16108633682893762401noreply@blogger.com