JCL Life Support Skills Development Center

02/02/2023

‘FAITH IN HUMANITY RESTORED’

LOOK: The Cebu City Police Office is set to give recognition to Angyl Faith Ababat, a second-year nursing student from the University of Cebu, for saving the life of Bernadeta Zamora, the fruit vendor whose neck got slashed by her live-in partner last Jan. 30. | 📷: UC via CDN Digital

30/11/2022

Nearly 100,000 cases V-Fib or pVT cardiac arrest occur in the U.S. each year.

However, if you've run enough of these calls you've experienced refractory V-Fib/pVT, where the standard A-L pads and maximum energy settings don't convert the patient to a perfusing rhythm.

Dr. Sheldon Cheskes and his team in Toronto published a practice changing study this month in the The New England Journal of Medicine that demonstrated a significant survival improvement from Refractory V-Fib using Double Sequential External Defibrillation (DSED) and Vector Change (VC) defibrillation.

What did the study look at?
➡ 405 OHCA arrests 18 years old or older, with refractory ventricular fibrillation (or pVT).
➡ The first 3 defibrillation attempts used standard A-L pads.
➡ Patients were then cluster randomized to one of 3 groups:
➊ Continued standard defibrillation (136 patients)
➋ Vector change (144 patients)
➌ DSED (125 patients)

What were the results?
➼ Termination of ventricular fibrillation:
⦿ 105 patients (84.0%) in the DSED group (aRR 1.25)
⦿ 115 patients (79.9%) in the VC group (aRR 1.18)
⦿ 92 patients (67.6%) in the standard group

➼ ROSC occurred in:
⦿ 58 patients (46.4%) in the DSED group (aRR 1.72)
⦿ 51 (35.4%) in the VC group (aRR 1.39)
⦿ 36 (26.5%) in the standard group

➼ Survival with good neurological outcome:
⦿ 38 patients (30.4%) in the DSED group (aRR 2.21)
⦿ 31 (21.7%) in the VC group (aRR 1.71)
⦿ 18 patients (13.3%) in the standard group

What are the takeaways here?
➡ DSED more than doubled neuro-intact survival in rVF and we feel it should be the standard of care.
➡ VC Defibrillation (AP pad placement) is also an excellent alternative in these patients.
➡ Monitor manufacturers should work on creating a DSED/VC option using a single monitor (with 4 pads).

Read the study here:
http://ow.ly/hRab50LH6Wy

04/10/2022

A new clinical paper could be a breakthrough in dramatically increasing the resuscitation of sudden cardiac arrest victims.

08/09/2022

Eyes Here!!!

07/09/2022

25/08/2022

ONE DAY HIRING on August 30, 2022, 9am onwards

02/06/2022

23/05/2022

Conclusion: The study suggests that ventilating an adult patient is possible with a smaller, pediatric-sized BVM. The tidal volumes recorded with the pediatric BVM were more consistent with lung-protective ventilation volumes.

(2017). Can EMS Providers Provide Appropriate Tidal Volumes in a Simulated Adult-sized Patient with a Pediatric-sized Bag-Valve-Mask? Prehospital Emergency Care: Vol. 21, No. 1, pp. 74-78.

21/05/2022

Explore opportunities with Unihealth-Quezon! APPLY NOW!

05/04/2022

Our Basic Life Support (BLS) course in Lucena City, Quezon Province now conforms to the 2020 AHA Guidelines. Avail our 20% discount for nurses.