Digital Supplement, Special Topics

December 2014 Supplement, Perfusion on Demand

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Introduction to Perfusion on Demand

This JEMS supplement on Intrathoracic Pressure Regulation (IPR) presents current perspectives and data from EMS medical directors and researchers on this non-invasive therapy.

Using Intrathoracic Pressure Regulation to Enhance Blood Flow in Hypotensive and Cardiac Arrest Patients

Hypotensive patients, like those experiencing shock or cardiac arrest, require enhanced blood flow to provide sufficient oxygen to vital organs. Intrathoracic Pressure Regulation works with the body’s own physiology to enhance blood flow, improving cardiac output and lowering intracranial pressure.

Improving Survival from Cardiac Arrest Using ACD-CPR + ITD

The combination of active compression-decompression CPR and an impedance threshold device shows promise.

Future Applications of Intrathoracic Pressure Regulation

Dr. Ray Fowler takes a look at research that is showing promise for applications of IPR beyond CPR.

Respiratory Impedance in the Hypotensive Breathing Patient

It’s not uncommon for EMS providers to encounter hypotensive patients, whether from trauma, infection, dehydration or other cause. Impedance threshold devices (ITDs) are a BLS-approved therapy for quickly and effectively raising patient blood pressure in the EMS setting.