by Long Pause Media | FlightBridgeED
The EMS Lighthouse Project Podcast exists to foster knowledge translation from peer-reviewed scientific journals to the street. Join Mike Verkest and Dr. Jeff Jarvis as they shine the bright light of science on EMS practice in an informative and fun way.
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🇺🇲
Publishing Since
5/7/2019
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March 31, 2025
<p>Wrapping up a series of 5 episodes, Dr Jarvis finishes his discussion of mechanical CPR devices (MCDs) talking about papers from Utah, Vienna, Anchorage, and Cincinnati and then gives his take on how to interpret the literature and put it into practice.</p><p>Papers discussed:</p><p>1) Youngquist ST, Ockerse P, Hartsell S, Stratford C, Taillac P: Mechanical chest compression devices are associated with poor neurological survival in a statewide registry: A propensity score analysis. Resuscitation. 2016;September;106:102–7.</p><p>2) Zeiner S, Sulzgruber P, Datler P, Keferböck M, Poppe M, Lobmeyr E, Van Tulder R, Zajicek A, Buchinger A, Polz K, et al.: Mechanical chest compression does not seem to improve outcome after out-of hospital cardiac arrest. A single center observational trial. Resuscitation. 2015;November;96:220–5.</p><p>3) Levy M, Yost D, Walker RG, Scheunemann E, Mendive SR: A quality improvement initiative to optimize use of a mechanical chest compression device within a high-performance CPR approach to out-of-hospital cardiac arrest resuscitation. Resuscitation. 2015;July;92:32–7.</p><p>4) Morgan S, Gray JJ, Sams W, Uhl K, Gundrum M, McMullan J: LUCAS Device Use Associated with Prolonged Pauses during Application and Long Chest Compression Intervals. Prehospital Emergency Care. 2023;March 9;28(1):114–7.</p><p>5) Grunau B, Reynolds J, Scheuermeyer F, Stenstom R, Stub D, Pennington S, Cheskes S, Ramanathan K, Christenson J: Relationship between Time-to-ROSC and Survival in Out-of-hospital Cardiac Arrest ECPR Candidates: When is the Best Time to Consider Transport to Hospital? Prehospital Emergency Care. 2016;September 2;20(5):615–22.</p><p> </p> <br><p><strong>FAST25 | May 19-21, 2025 | Lexington, KY<br></strong><br></p><p>🔥 <strong>FAST25 is back—bigger, bolder, and hotter than ever!</strong> 🔥</p><p>This isn’t just another conference—a <strong>high-energy, immersive experience</strong> for pre-hospital and critical care transport pros. <strong>Expert-led sessions, hands-on workshops, and unfiltered discussions</strong> will take your practice to the next level.</p><p>🚀 <strong>New for 2025: The Creator Festival</strong> – Featuring <strong>“Burnt Ones,”</strong> a spicy take on <strong>Hot Ones</strong>, where top EMS creators tackle scorching hot wings while answering the most challenging questions in the industry. Expect <strong>live demos, interactive exhibits, and big-name influencers</strong> sharing their insight in a way you won’t find anywhere else.</p><p>Plus, a <strong>killer vendor experience, special guests, catered lunches, and after-hours events</strong> that make networking effortless and enjoyable. <strong>FAST25 is where it all happens.<br></strong><br></p><p>📍 <strong>Central Bank Center | Lexington, KY</strong><br>🏨 <strong>Hilton Lexington/Downtown </strong>(special rates available!)<br>🎟️ <strong>Tickets are limited—grab yours now:</strong> <a href="https://flightbridgeed.com/fast25">flightbridgeed.com/fast25</a></p>
March 3, 2025
<p>Last episode we described the literature showing no survival benefit to patients with the AutoPulse device. Fear not, I wasn’t ignoring the LUCAS, I just felt it deserved it’s own episode. We’ll cover the LINC and PARAMEDIC randomized controlled trials and the secondary analysis of LINC in shockable rhythms. </p><p>I switched to a new production process using a new mic (Rode NT1) and started using ecamm to record. Yes, I know there is a bit of AV dysynchrony.. I’m working on it. I still have a lot to learn about ecamm but am optimistic about it. </p><p>Citations on LUCAS device:</p><p>1. Rubertsson S, Lindgren E, Smekal D, Östlund O, Silfverstolpe J, Lichtveld RA, Boomars R, Ahlstedt B, Skoog G, Kastberg R, et al.: Mechanical Chest Compressions and Simultaneous Defibrillation vs Conventional Cardiopulmonary Resuscitation in Out-of-Hospital Cardiac Arrest: The LINC Randomized Trial. JAMA. 2014;January 1;311(1):53–61.</p><p>2. Perkins GD, Lall R, Quinn T, Deakin CD, Cooke MW, Horton J, Lamb SE, Slowther A-M, Woollard M, Carson A, et al.: Mechanical versus manual chest compression for out-of-hospital cardiac arrest (PARAMEDIC): a pragmatic, cluster randomised controlled trial. The Lancet. 2015;385(9972):947–55.</p><p>3. Hardig BM, Lindgren E, Östlund O, Herlitz J, Karlsten R, Rubertsson S: Outcome among VF/VT patients in the LINC (LUCAS IN cardiac arrest) trial—A randomised, controlled trial. Resuscitation. 2017;June;115:155–62.</p><p> </p><p>Citations on Jeff’s Tamiflu Rant</p><p>1. Jefferson T, Jones M, Doshi P, Spencer EA, Onakpoya I, Heneghan CJ: Oseltamivir for influenza in adults and children: systematic review of clinical study reports and summary of regulatory comments. BMJ. 2014;348:g2545.</p><p>2. Jefferson T, Jones MA, Doshi P, Del Mar CB, Hama R, Thompson MJ, Onakpoya I, Heneghan CJ: Risk of bias in industry-funded oseltamivir trials: comparison of core reports versus full clinical study reports. BMJ Open. 2014;4(9):e005253.</p><p>3. Jefferson T: The Tamiflu Story: Why We Need Access To All Data From Clinical Trials. Open Knowledge Foundation Blog.</p> <br><p><strong>FAST25 | May 19-21, 2025 | Lexington, KY<br></strong><br></p><p>🔥 <strong>FAST25 is back—bigger, bolder, and hotter than ever!</strong> 🔥</p><p>This isn’t just another conference—a <strong>high-energy, immersive experience</strong> for pre-hospital and critical care transport pros. <strong>Expert-led sessions, hands-on workshops, and unfiltered discussions</strong> will take your practice to the next level.</p><p>🚀 <strong>New for 2025: The Creator Festival</strong> – Featuring <strong>“Burnt Ones,”</strong> a spicy take on <strong>Hot Ones</strong>, where top EMS creators tackle scorching hot wings while answering the most challenging questions in the industry. Expect <strong>live demos, interactive exhibits, and big-name influencers</strong> sharing their insight in a way you won’t find anywhere else.</p><p>Plus, a <strong>killer vendor experience, special guests, catered lunches, and after-hours events</strong> that make networking effortless and enjoyable. <strong>FAST25 is where it all happens.<br></strong><br></p><p>📍 <strong>Central Bank Center | Lexington, KY</strong><br>🏨 <strong>Hilton Lexington/Downtown </strong>(special rates available!)<br>🎟️ <strong>Tickets are limited—grab yours now:</strong> <a href="https://flightbridgeed.com/fast25">flightbridgeed.com/fast25</a></p>
February 11, 2025
<p>Our story so far.. episode 92 looked at a study showing lower survival from in-hospital cardiac arrest in patients treated with mechanical compression devices. Episode 93 discussed an implementation study of implementing LUCAS devices in a system with high quality pit crew CPR also showing lower survival, despite spending lots of time in training on how to optimally apply the LUCAS to avoid prolonged compression interruptions and movement. </p><p>Now we’re diving into the literature around AutoPulse, the load-distributing band device. We’ll cover two randomized controlled trials and one well-done observational study comparing AutoPulse to manual CPR. Don’t worry, LUCAS studies will be in the next episode.</p><p>Citations<br>1. Hallstrom A, Rea TD, Sayre MR, Christenson J, Anton AR, Mosesso VN, Van Ottingham L, Olsufka M, Pennington S, White LJ, et al.: Manual Chest Compression vs Use of an Automated Chest Compression Device During Resuscitation Following Out-of-Hospital Cardiac Arrest: A Randomized Trial. JAMA. 2006;June 14;295(22).<br>2. Ong MEH, Ornato JP, Edwards DP, Dhindsa HS, Best AM, Ines CS, Hickey S, Clark B, Williams DC, Powell RG, et al.: Use of an Automated, Load-Distributing Band Chest Compression Device for Out-of-Hospital Cardiac Arrest Resuscitation. JAMA. 2006;June 14;295(22).<br>3. Wik L, Olsen J-A, Persse D, Sterz F, Lozano M, Brouwer MA, Westfall M, Souders CM, Malzer R, Van Grunsven PM, et al.: Manual vs. integrated automatic load-distributing band CPR with equal survival after out of hospital cardiac arrest. The randomized CIRC trial. Resuscitation. 2014;June;85(6):741–8.</p>
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