Cardiac & Resuscitation, Commentary, News

Where in the World of EMS is A.J.?

JEMS Editor-in-Chief A.J. Heightman is participating as keynote and session speaker today at the 27th Annual Life Link III Trauma Tactics Conference at the Treasure Island Resort and Casino in Welch, Minn., near Minneapolis.

For 27 years, Trauma Tactics has provided quality continuing education, exceptional speakers and much more. It’s a conference that’s designed to enhance the skills of providers of all levels, covering rescue and prehospital situations, to transport and in-hospital treatment.

A.J’s keynote focused on the latest innovations and progressive changes being employed in many EMS systems throughout the county. He illustrated how systems using the following resuscitation “ingredients” have tripled their resuscitations with ROSC rates hitting 29 to 57% ROSC rate and patient surviving to hospital dispatch neurologically intact 91-95%.

Resuscitation ‘Ingredients’

  • Continuous compressions with minimal interruptions
  • Intraosseous infusion for rapid circulatory access.
  • De-emphasis of intubation
  • Avoidance of hyperventilation
  • Use of the ResQPod impedance threshold device (ITD) equipped with timing lights set to proper ventilatory rates, increase cardiac perfusion and decrease intracranial pressure (ICP).
  • Induced hypothermia that ensures it is continued once the patient is transported to a TH Resuscitation Center.
  • Use of mechanical CPR devices that perform consistent compressions 
  • Use of the “Pit Crew” Approach for Resuscitation

A.J. said he was excited to present at a conference in a state where the providers have been early adopters of proven technology and procedures, achieving resuscitation rates of near 40%.

He also addressed the issue of cardiac arrest/CODE terminations and pointed out that there’s now clear evidence providers should continue their resuscitative efforts undaunted for cardiac arrest patients who don’t meet termination criteria or who show other signs of viability, rather than terminate efforts at the unscientific “call-the-code” after 25 minutes of resuscitation efforts. He cited multiple cases where patients have been resuscitated after 70 mins including one in Minnesota who was saved after 32 shocks and 2 hours and 45 minutes of LUCAS 2 mechanical CPR usage, in addition to the above procedures.

For all the details on the latest resuscitation research, read the 2014 EMS State-of-the-Science Supplement that will accompany the November issue of JEMS.