Managing Cardiac Arrest Using Ultrasound

Gottlieb, Michael; Alerhand, Stephen

doi:10.1016/j.annemergmed.2022.09.016

Cited by 16 publications

(5 citation statements)

References 155 publications

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“…Other authors have provided detailed descriptions of the key facets of the application of POCUS-CA, including technical description of bedside strategies to minimize disruptions and focus diagnostic efforts. 23 Although valuable descriptions of ideal processes, a holistic consideration of implementation is often deemphasized. Results from this study should be used as a guide for institutions who are considering the implementation of POCUS-CA to recognize a broader set of barriers and select impactful strategies to guide a successful implementation of center specific bundles.…”

Section: Discussionmentioning

confidence: 99%

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Ultrasound in Cardiopulmonary Arrest and Resuscitation

Loscalzo,

White,

Rosenblatt

et al. 2024

Pediatr Emer Care

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Objectives Information obtained from point-of-care ultrasound during cardiopulmonary arrest and resuscitation (POCUS-CA) can be used to identify underlying pathophysiology and provide life-sustaining interventions. However, integration of POCUS-CA into resuscitation care is inconsistent. We used expert consensus building methodology to help identify discrete barriers to clinical integration. We subsequently applied implementation science frameworks to generate generalizable strategies to overcome these barriers. Measures and Main Results Two multidisciplinary expert working groups used KJ Reverse-Merlin consensus building method to identify and characterize barriers contributing to failed POCUS-CA utilization in a hypothetical future state. Identified barriers were organized into affinity groups. The Center for Implementation Research (CFIR) framework and Expert Recommendations for Implementing Change (CFIR-ERIC) tool were used to identify strategies to guide POCUS-US implementation. Results Sixteen multidisciplinary resuscitation content experts participated in the working groups and identified individual barriers, consolidated into 19 unique affinity groups that mapped 12 separate CFIR constructs, representing all 5 CFIR domains. The CFIR-ERIC tool identified the following strategies as most impactful to address barriers described in the affinity groups: identify and prepare champions, conduct local needs assessment, conduct local consensus discussions, and conduct educational meetings. Conclusions KJ Reverse-Merlin consensus building identified multiple barriers to implementing POCUS-CA. Implementation science methodologies identified and prioritized strategies to overcome barriers and guide POCUS-CA implementation across diverse clinical settings.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Ultrasound in Cardiopulmonary Arrest and Resuscitation

Loscalzo,

White,

Rosenblatt

et al. 2024

Pediatr Emer Care

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“…Emergency PoCUS is not formally taught in undergraduate and internship training. However, evidence regarding its utility in resource limited settings as well as for emergencies and cardiac arrest is emerging [24] , [25] , [26] . This tool may be used to identify those that cannot interpret PoCUS, however it cannot determine if PoCUS is performed correctly, a recognized limitation of this study.…”

Section: Discussionmentioning

confidence: 99%

Developing an Emergency Medicine assessment tool for medical interns within the South African context – A Modified Delphi Study

Ah Yui,

Taljaard,

Geraty

et al. 2024

African Journal of Emergency Medicine

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“…Michael Gottlieb, et al The use of point-of-care ultrasound (POCUS) for emergency procedures to supplement or transform conventional techniques is increasing rapidly [5][6][7][8][9]. Therefore, it is not surprising that this has also extended to airway management [10,11].…”

Section: Introductionmentioning

confidence: 99%

Point-of-care ultrasound for airway management in the emergency and critical care setting

Gottlieb,

O’Brien,

Ferrigno

et al. 2023

Clin Exp Emerg Med

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Airway management is a common procedure within emergency and critical care medicine. Traditional techniques for predicting and managing a difficult airway each have important limitations. As the field has evolved, point-of-care ultrasound has been increasingly utilized for this application. Several measures can be used to sonographically predict a difficult airway, including skin to epiglottis, hyomental distance, and tongue thickness. Ultrasound can also be used to confirm endotracheal tube intubation and assess endotracheal tube depth. Ultrasound is superior to the landmark-based approach for locating the cricothyroid membrane, particularly in patients with difficult anatomy. Finally, we provide an algorithm for using ultrasound to manage the crashing patient on mechanical ventilation. After reading this article, readers will have an enhanced understanding of the role of ultrasound in airway management.

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Managing Cardiac Arrest Using Ultrasound

Cited by 16 publications

References 155 publications

Ultrasound in Cardiopulmonary Arrest and Resuscitation

Ultrasound in Cardiopulmonary Arrest and Resuscitation

Developing an Emergency Medicine assessment tool for medical interns within the South African context – A Modified Delphi Study

Point-of-care ultrasound for airway management in the emergency and critical care setting

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