{"type":"rich","version":"1.0","provider_name":"Transistor","provider_url":"https://transistor.fm","author_name":"The EMS Lighthouse Project","title":"LHP E79 - Head Up CPR – Not So FAST","html":"<iframe width=\"100%\" height=\"180\" frameborder=\"no\" scrolling=\"no\" seamless src=\"https://share.transistor.fm/e/5a2db60d\"></iframe>","width":"100%","height":180,"duration":2288,"description":"EMS History is full of interventions we've rapidly adopted, often at great expense and with disruption of existing processes, that later turned out to, how should I say this..... not work. Want examples? MAST and high-volume crystalloids in trauma. Mechanical compression devices, high-dose epinephrine, indiscriminate calcium administration in cardiac arrest. Do I even need to mention backboards? The next bright, shiny thing promising to revolutionize cardiac arrest resuscitation is Head-Up CPR. It's certainly expensive and disruptive, but does it improve outcomes? What is the evidence?\nDr. Jarvis has thoughts. He goes deep on this topic, using a recent paper on Head-Up CPR to discuss how he evaluates new interventions for adoption. Oh, and he has thoughts on science in general.\nCitations:\n1. Moore JC, Pepe PE, Scheppke KA, Lick C, Duval S, Holley J, Salverda B, Jacobs M, Nystrom P, Quinn R, et al.: Head and thorax elevation during cardiopulmonary resuscitation using circulatory adjuncts is associated with improved survival. Resuscitation. 2022;October;179:9–17.\n2. Swaminathan A: Heads Up! There is No Association with Improved Outcomes for Head Up CPR: Why We Must Read Past the Abstract.RebelEM. Available at https://rebelem.com/heads- up-there-is-no-association-with-improved-outcomes-for-head-up-cpr-why-we-must-read-past-the-abstract/.\n3. Mohan M, Swaminathan AK: Heads Up! Data Dredging Coming Through: Heads Up Cardiopulmonary Resuscitation Does Not Improve Outcomes. Annals of Emergency Medicine. 2023;February;81(2):244–5.\n4. Jarvis J: Not so fast: More evidence needed in head-up CPR.ems1.com. Available at https://www.ems1.com/ems-products/cpr-resuscitaCon/arCcles/not-so-fast-more-evidence- needed-in-head-up-cpr-ZK2O7yt5eb8jryYm/. Accessed December 9, 2023.\n5. Moore JC: Faster Cme to automated elevation of the head and thorax during cardiopulmonary resuscitation increases the probability of return of spontaneous circulation. ResuscitaCon. 2022;Jan(170):62–9.\n6....","thumbnail_url":"https://img.transistorcdn.com/AxVMkuZfThaFyQCd6EaZ-HfbzpDgVr7zZ_Xfu064MeU/rs:fill:0:0:1/w:400/h:400/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS83NDAy/MDMzNDU1ZjJmZDI1/ZTIwZTQxNWY1MjUy/M2I1ZS5wbmc.webp","thumbnail_width":300,"thumbnail_height":300}