EMSconnect On Shift

Well, this one sure caught our attention. Shaun Pitts and Dr. Travis Dierks dive into the recent article published in The New Yorker: "The Hidden Harms of CPR" by Sunita Puri.
This raises the ethical question, should EMS be doing CPR on patients that are VERY unlikely to survive? We know that all patients have the right to refuse care, and on the flip side, have the right to demand care, and EMS is caught right in the middle of a legal and more often ethical grey area.
Link to article: https://www.newyorker.com/news/the-weekend-essay/the-hidden-harms-of-cpr?fbclid=IwAR2EoZ1S4DNbDk5xXILzC4PThVo_LyUH51mEVUEC-CRXf0sWXRySkpCcaAI
Link to Dr Dierks reference: https://www.bmj.com/company/newsroom/patients-overestimate-the-success-of-cpr/#:~:text=Patients%20and%20the%20general%20public,online%20in%20Emergency%20Medicine%20Journal.
Links to studies found on damage from CPR:

1. Ouellette l, Puro A, Weatherhead j, Chassee T, Whalen D, Jones J. Public knowledge and perceptions about cardiopulmonary resuscitation (CPR): Results of a multicenter survey. American Journal of Emergency Medicine 2018;36(10): P1900-1901. Available at: https://www.ajemjournal.com/article/S0735-6757(18)30117-7/fulltext.
2. Peberdy MA, Kaye W, Ornato JP, Larkin GL, Nadkarni V, Mancini ME, et al. Cardiopulmonary resuscitation of adults in the hospital: a report of 14720 cardiac arrests from the National Registry of Cardiopulmonary Resuscitation. Resuscitation. Resuscitation 2003;58;297-308. Available at: https://www.ncbi.nlm.nih.gov/pubmed/12969608.
3. Girotra S, Nallamothu BK, Spertus JA, Li Y, Krumholz. Trends in survival after in-hospital cardiac arrest. New England Journal of Medicine 2012 Nov 15;367(20):1912-20. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3517894/
4. van Gijn MS, Frijns D, van de Glind EMM, van Munster BC, Hamaker ME. The chance of survival and the functional outcome after in-hospital cardiopulmonary resuscitation in older people: a systematic review. Age and Ageing 2014;43(4): 456-463. Available at: https://academic.oup.com/ageing/article/43/4/456/2812217.
5. Sehatzadeh S. Cardiopulmonary Resuscitation in Patients With Terminal Illness: An Evidence-Based Analysis.Ontario Health Technology Assessment Series 2014; 14(15): 1–38. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4552960/.
6. Scholz KH, Tebbe U, Herrmann C, Wojcik J, Lingen R, Chemnitius JM, et al. Frequency of complications of cardiopulmonary resuscitation after thrombolysis during acute myocardial infarction [see comments]. Am J Cardiol.1992; 69:724–728.Available at: https://www.ajconline.org/article/0002-9149(92)90494-J/pdf.
7. Kralja E, Podbregarb M, Kejžarc N, Balažica J. Frequency and number of resuscitation related rib and sternum fractures are higher than generally considered. Resuscitation. Aug 2015. 93:136-141. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4404201/.

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In their description of Lt. Col. Dave Grossman, Slate Magazine said, “Grossman cuts such a heroic, omnicompetent figure, he could have stepped out of a video game.” He has five patents to his name, has published four novels, two children’s’ books, and six non-fiction books to include his “perennial bestseller” On Killing (with over half a million copies sold), and a New York Times best-selling book co-authored with Glenn Beck.
He is a US Army Ranger, a paratrooper, and a former West Point Psychology Professor. He has a Black Belt in Hojutsu, the martial art of the firearm, and has been inducted into the USA Martial Arts Hall of Fame.
Col. Grossman’s research was cited by the President of the United States in a national address, and he has testified before the U.S. Senate, the U.S. Congress, and numerous state legislatures. He has served as an expert witness and consultant in state and Federal courts. He helped train mental health professionals after the Jonesboro school massacre, and he was also involved in counseling or court cases in the aftermath of the Paducah, Springfield, Littleton and Nickel Mines Amish school massacres.
Col. Grossman has been called upon to write the entry on “Aggression and Violence” in the Oxford Companion to American Military History, three entries in the Academic Press Encyclopedia of Violence, Peace and Conflict and has presented papers before the national conventions of the American Medical Association, the American Psychiatric Association, the American Psychological Association, and the American Academy of Pediatrics.
Since his retirement from the U.S. Army in 1998, he has been travelling full time as one of our nation’s leading trainers for military, law enforcement, mental health providers, and school safety organizations.
Today Col. Grossman is the director of Grossman On Truth, LLC (www.GrossmanOnTruth.com). In the wake of the 9/11 terrorist attacks, he has written and spoken extensively on the terrorist threat, with articles published in the Harvard Journal of Law and Civil Policy and many leading law enforcement journals, and he has been inducted as a “Life Diplomate” by the American Board for Certification in Homeland Security, and a “Life Member” of the American College of Forensic Examiners Institute.

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Cardiac arrest is not always as simple as the "typical" arrest. What if it is driven by trauma? What if you're operating in a law enforcement-generated warm zone? What if you are called upon to initiate and manage a cardiac arrest in front of thousands of people, criticizing your every treatment on LIVE TV? Are you ready?
Join Dr. Dierks and Shaun Pitts as they cover the cardiac arrest practices of EMS providers in "When Shit Hits the Fan".

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What is coming up in Feb? Well here is your sneak peak! Dropping the first week of next month are the following topics and speakers~
Dennis Pinar: Almira School fire: Heart and soul of the community burns
Shane Moffit: The People Mover
James Akramoff: Am I Ready For Paramedic School?
Ryan Schlining: The Art of PUHA
Ryan Scellick: Mentoring is a brain to pick, an ear to listen and a push in the right direction
Dr. Travis Dierks: Professionalism & Burnout in the World of 911
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Time to get educated with EMSconnect Oh Shift! Here is a sample of what is dropping January of 2022! Our podcast is run by EMTs for EMTs, so we want to know what you want to hear about! Comment on our Facebook: https://www.facebook.com/EMSconnectonline or email us: [email protected] with ideas and topics you want to hear! As always please follow, download and share our episodes to spread the word about EMSconnect On Shift.
Thank you and GET EDUCATED!

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