Always On EM - Mayo Clinic Emergency Medicine Grand Rounds - Dr Fiterman Molinari - Cardiac Arrest: when Standard Care is Not Enough
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May 14, 2025 Dr. Daniel Fiterman Molinari, a senior resident at Mayo Clinic and future leader in medical education, presents revolutionary ideas on cardiac arrest care. He urges a rethink of traditional resuscitation practices to enhance patient outcomes. With insights from case studies, he emphasizes personalized approaches and extends the discourse on innovative strategies like continuous chest compressions and advanced technologies. Listeners will find themselves reflecting on the literature and questioning established norms in emergency medicine.
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Neurologic Outcomes Aren't Worse
- Prolonged resuscitation survivors demonstrate neurological outcomes comparable to earlier survivors.
- The assumption that long resuscitation leads to poor neurologic function is inaccurate.
Rapid Response Systems Reduce Arrests
- Implementing rapid response systems in emergency departments reduces cardiac arrests and mortality.
- Empowering nurses and family members helps activate early critical care intervention in the ED.
Prioritize Continuous Chest Compressions
- Minimize interruptions during chest compressions to maintain perfusion.
- Limit ventilation pauses as each breaks circulation pressure for recovery, lowering effectiveness.