October 1, 2018

Background: POCUS has become a powerful tool in the evaluation of critically ill patients in the ED.  However, in patients with cardiac arrest, the use of POCUS has been shown to significantly increase the duration of pauses.  This is concerning as high quality CPR with minimal interruptions is one of the keys to maximizing ROSC and survival with good neurologic outcomes. Recently, I had the chance to interview the lead author of the Cardiac Arrest Sonographic Assessment (CASA Exam) on REBEL Cast Ep 57 and on that episode we discussed a follow up study, which has finally been published in Resuscitation 2018.

July 25, 2018

Background: In the ED, POCUS has become one of the most important tools in discovering both the diagnosis and in the management of critically ill patients.  cardiac arrest, is ultimately as sick as a person can get in the spectrum of critical illness.  I mean how can someone be deader than dead, right?  There has been a slew of literature evaluating the use of POCUS in cardiac arrest and many providers have started to incorporate its use into their practice.  Newer literature, however indicates that the use of POCUS prolongs CPR pauses which ultimately impacts good neurological survival.  POCUS protocols may help decrease cognitive load, but many are too cumbersome and complicated.  Enter the Cardiac Arrest Sonographic Assessment (CASA) exam.