Elusive starting points: The power of data to improve patient care
When it comes to systematic improvements, starting small can lead to big results.
In this episode of resus10, Sean Graham interviews Dr. Catherine Counts, acting instructor for the department of emergency medicine at the University of Washington and research and quality improvement manager for Seattle Fire Medic One.
Catherine shares how her team uses comprehensive data along with a narrow focus to guide their improvement initiatives, the dangers of Shiny Object Syndrome and why “QA” should probably be eliminated from clinicians’ vocabularies.
Listen nowInterested in learning more?
- More resus10 episodes about data: From number crunching to real impact, Digging into airway data and The data, the story, the solution
- LIFENET System: Learn more about the LIFENET System, a comprehensive cloud-based platform that provides the information and tools that EMS and hospital teams need to work together seamlessly, minimize time to treatment and improve outcomes.
- CODE-STAT data review software and service: Turn your passion for saving lives into targeted improvements. CODE-STAT data review software and service lets you easily understand team performance immediately after response.
From number crunching to real impact
The right metrics and constructive conversations can make a major difference for any department operating on any budget.
In this episode of resus10, Sean Graham interviews Scott Wiebe, EMS shift supervisor for Lincoln Fire-Rescue, member of the Nebraska Board of EMS, guest lecturer at the Union College Physician Assistant Program and consultant for Stryker.
Scott shares how his department narrows its focus on specific markers to drive improvement and how they use that data as a positive feedback tool with their crews.
Listen nowInterested in learning more?
- More resus10 with Scott Wiebe: Behind the metrics
- More resus10 episodes about data: Digging into airway data and The data, the story, the solution
- Learn more about the technology discussed in the episode: LIFEPAK 15 monitor/defibrillator, LIFEPAK CR2 defibrillator and CODE-STAT data review software and service
The stress factor: A special two-part episode (part 2)
In stressful situations, our brains don’t always work the way we think they do – and fostering an awareness of that disconnect can make a major difference in providing quality care.
In this special two-part episode of resus10, Sean Graham interviews Dr. Michael Lauria, the 2021 NAEMSP and Stryker EMS Medical Director Fellowship recipient. Currently, Michael serves as an emergency medicine resident at the University of New Mexico Health Sciences Center and flight physician for Lifeguard Air Emergency Services.
Michael shares how his experience in the military primed him for addressing cognitive offloading in the emergency department and EMS environment, and how deliberate practice and learned psychological skills can help mitigate the frequently under-realized effects of stress.
Listen nowInterested in learning more?
- Articles by Dr. Michael Lauria on EMcrit.org
- Performance under pressure by Justin Morgenstern
- More on the Ebbinghaus Forgetting Curve mentioned in the episode
- An education on deliberate practice: resus10 episode 40 – featuring Maia Dorsett
- CODE-STAT data review software and service: Turn your passion for saving lives into targeted improvements. CODE-STAT data review software and service lets you easily understand team performance immediately after response.
The stress factor: A special two-part episode (part 1)
In stressful situations, our brains don’t always work the way we think they do – and fostering an awareness of that disconnect can make a major difference in providing quality care.
In this special two-part episode of resus10, Sean Graham interviews Dr. Michael Lauria, the 2021 NAEMSP and Stryker EMS Medical Director Fellowship recipient. Currently, Michael serves as an emergency medicine resident at the University of New Mexico Health Sciences Center and flight physician for Lifeguard Air Emergency Services.
Michael shares how his experience in the military primed him for addressing cognitive offloading in the emergency department and EMS environment, and how deliberate practice and learned psychological skills can help mitigate the frequently under-realized effects of stress.
Listen nowInterested in learning more?
- Articles by Dr. Michael Lauria on EMcrit.org
- Performance under pressure by Justin Morgenstern
- More on the Ebbinghaus Forgetting Curve mentioned in the episode
- An education on deliberate practice: resus10 episode 40 – featuring Maia Dorsett
- CODE-STAT data review software and service: Turn your passion for saving lives into targeted improvements. CODE-STAT data review software and service lets you easily understand team performance immediately after response.
Digging into airway data
Gathering data is step 1. But how do you bridge the gap between analyzing that data and implementing improvements?
In this episode of resus10, Sean Graham interviews Dr. Andy McCoy, the first graduate of the University of Washington EMS Fellowship, medical director for AMR Puget Sound and Shoreline Fire Department, and assistant program director for the EMS fellowship at the University of Washington.
Andy shares how his team analyzed data in a systematic way to pinpoint opportunities for improvement in airway management, prioritized and communicated solutions to those challenges, and ultimately changed behavior in a meaningful way to positively impact patient outcomes.
Listen nowInterested in learning more?
- On-demand webinar: The latest in airway management during resuscitation, featuring Dr. Andy McCoy. This program has been approved for 1.0 continuing education (CE) credit for nurses, respiratory therapists and EMTs.
- CODE-STAT data review software and service: Turn your passion for saving lives into targeted improvements. CODE-STAT data review software and service lets you easily understand team performance immediately after response.
- Better data, better care:Learn more about data solutions from Stryker.
A lifesaving mission
With a mission to raise awareness and support programs that give ordinary people the power to save lives, the Sudden Cardiac Arrest Foundation focuses on stimulating attitudinal and behavioral changes through community outreach, education and research.
In this episode, Sean Graham interviews Mary Newman, cofounder and president/CEO of the Sudden Cardiac Arrest Foundation. Previously, she served as executive director of the National Center for Early Defibrillation at the University of Pittsburgh and as faculty in its department of emergency medicine.
Mary shares insights into the foundation’s groundbreaking research and how clinicians including physicians, nurses and paramedics can become more involved in supporting their mission to save lives.
Listen nowInterested in learning more?
- Visit sca-aware.org for shareable resources such as infographics and videos.
- Read more about the research discussed in the episode: 2015 research and 2017 research
- Tell survivors and their loved ones about the foundation’s online community.
- See the universal definition of sudden cardiac arrest.
- Join the Call-Push-Shock campaign.
The innovation journey – from idea to market
What does it take to turn an idea into an innovation that can be used by emergency caregivers to help patients?
In this episode of resus10, Sean Graham interviews Kathryn Janecke, senior director of regulatory, quality and clinical affairs for Stryker’s Emergency Care business unit. With a background in biochemistry, Kathryn has spent 20 years in the medical device industry, having worked on in vitro diagnostics, hematology, audiology and cardiology devices.
Kathryn discusses the often-complex journey a medical device must complete to be brought to market and how different regulatory pathways and environments help maintain a high standard of quality for these potentially lifesaving devices.
Listen nowInterested in learning more?
- More on resus10 about bringing technology to market: Episode 42 - The building blocks of innovation
- FDA regulations regarding AEDs: More information on how the FDA approves automated external defibrillators and other devices
- Premarket Approval (PMA): More information on the FDA’s PMA process
The building blocks of innovation
As the healthcare environment is continuously evolving, how are medical technologies keeping pace with the need for constant innovation?
In this episode of resus10, Sean Graham interviews Kiran Mahadik, director of upstream marketing for data solutions for Stryker's Emergency Care business unit and a board member of the Sepsis Alliance. As a healthcare technology leader, Kiran is a former management consultant with over 20 years of experience in technology strategy, portfolio management and platform delivery.
Kiran takes Sean behind the scenes of the innovation process at Stryker, including a closer look at the nuances, challenges and opportunities surrounding the development of data solutions in the medical device space.
Listen nowInterested in learning more?
- Better data, better care: Learn more about data solutions from Stryker
- Stryker’s data solutions story: Watch the video
The education experience
See One, Do One, Teach One: How do you transfer this seemingly simple and effective teaching strategy to the virtual classroom?
In this episode, Sean Graham interviews Chandra VanPaepeghem, a critical care nurse and the critical care educator at Capital Medical Center in Olympia, Wash. Chandra has more than 25 years of experience in various aspects of in-patient hospital nursing, including direct care for unstable patients and handling medical emergencies such as cardiac arrest.
Chandra shares how her education department is tackling new challenges in this year’s unprecedented learning environment – and how technology and teamwork are making all the difference.
Listen nowInterested in learning more?
- More resus10 on education: Episode 40 – An education on deliberate practice
- Learn and train: Clinical tools, training and research here on StrykerEmergencyCare.com
- American Association of Critical Care Nurses: More about AACN and education opportunities through this organization
An education on deliberate practice
With so many Continuing Education classrooms moving online, it’s never been more important to become an effective self-directed learner.
In this episode, Sean Graham interviews Dr. Maia Dorsett, an EM and EMS physician at the University of Rochester Medical Center in New York. Dr. Dorsett focuses on EMS education and quality improvement initiatives aimed at encouraging patient-centered care, both outside and inside the hospital.
Dr. Dorsett explains the value of self-evaluation, deliberate practice and how even mistakes and vulnerabilities can help learners unlock higher potential.
Listen nowInterested in learning more?
- Learn and train: Clinical tools, training and research here on StrykerEmergencyCare.com
- National Association of EMS Physicians: Learn more about NAEMSP and education opportunities through this organization
- More resus10 on education: Episode 12 – The lifelong learner and Episode 39 – The data, the story, the solution
The data, the story, the solution
When it comes to data, numbers only tell part of the story.
In this episode, Nicole Kupchik, MN, RN, CCNS, interviews Dr. Bridgid Joseph, program director for emergency cardiovascular care at Beth Israel Deaconess Medical Center in Boston, and director of simulation education for the department of nursing at the Carl J. Shapiro Simulation and Skills Center.
Dr. Joseph shares how her team used data to uncover specific challenges and opportunities for improving resuscitations, and how she used that information to guide simulations and trainings at her medical center.
Listen nowInterested in learning more?
- More about the technology discussed in the episode: CODE-STATTM data review software and LIFEPAK® 15 monitor/defibrillator
- More resus10 with Dr. Joseph: Episode 3 - Spotlight on Beth Israel Deaconess Medical Center
Behind the metrics
If you don’t measure it, you can’t improve it.
Lincoln Fire-Rescue believes in the importance of metrics – especially considering they were able to more than double their witnessed VF-arrest survival rate from 23% to nearly 55%.
In this episode of resus10, Sean Graham interviews Scott Wiebe, EMS shift supervisor for Lincoln Fire-Rescue, member of the Nebraska Board of EMS, guest lecturer at the Union College Physician Assistant Program, and consultant for Stryker. Scott shares his department’s secret to improving their cardiac arrest survival rates. (Hint: It involved a system-of-care approach including actionable data, clear coordination and communication, and mechanical CPR.)
Listen nowInterested in learning more?
- CODE-STATTM data review software: Insights to improve performance
- Read more about the LUCAS® chest compression system
- Listen to more on resus10 about mechanical CPR: Episode 37 with Dr. Atman Shah: Inside the innovation: LUCAS®chest compression system
Inside the innovation – LUCAS® chest compression system
As a Level 1 trauma center, UChicago Medicine sees its fair share of sudden cardiac arrest patients – including in the cath lab, where the challenge of providing high quality chest compressions can be difficult to say the least.
In this episode of resus10, Sean Graham interviews Dr. Atman Shah, the clinical director for the section of cardiology, co-director of the cardiac catheterization laboratory and associate professor of medicine at the University of Chicago Medicine. Dr. Shah discusses how his team uses mechanical CPR with the LUCAS chest compression system to provide high quality patient care, protect his resuscitators and how this technology has become implemented beyond his cath lab.
Listen nowInterested in learning more?
- Download the case study: Prolonging CPR with mechanical chest compression – Buying time to improve survival
- Read more about the LUCAS chest compression system
- Listen to Dr. Shah’s previous interviews with resus10: The transcatheter revolution and From collapse to cath lab
ECG myth busting
How can your ECG reports be correct 98.5% of the time but still guide false cath lab activation 60% of the time? What’s the difference between specificity and positive predictive value and why does that matter? How can facts about ECGs be true and contradictory all at the same time?
In this episode, Sean Graham interviews Tim Phalen, paramedic clinical educator and author of The 12-Lead ECG in Acute Coronary Syndromes.
Sean and Tim discuss common myths about ECGs, how ECGs can augment an emergency caregiver’s decision-making, and more insights on implementing ECG technology in the field.
This is part 2 of a two-part series on ECGs.
Listen nowThe science of 12-leads
Let’s take an in-depth look at the clinical context surrounding ECGs.
In this episode, Sean Graham interviews Blaine Krusor, who has spent the last 20 years focused on emergency medicine and the science that drives it. Currently one of Stryker’s clinical experts, Blaine began his career as a hospital cardiac RN and a CCU/ICU RN. He also holds multiple device patents in the areas of defibrillation and electrocardiography.
Sean and Blaine discuss areas of 12-lead interpretation, including the Sgarbossa criteria and how clinicians can better utilize the 12-lead tool for improving diagnoses for acute coronary syndrome patients.
This is part 1 of a two-part series on ECGs.
Listen nowInterested in learning more?
TEE: An emerging view into cardiac arrest
What would happen if personalized care was the standard of care?
In this episode, Nicole Kupchik interviews Dr. Ben Abella, director of the Center for Resuscitation Science, professor of emergency medicine for the University of Pennsylvania, and chair for the American Heart Association Resuscitation Science Symposium.
They discuss transesophageal echocardiography (TEE), including the emergent use of this technology to improve cardiac arrest care, its potential to provide clinicians the opportunity to tailor care to patients, and what needs to be done if this personalized care is to become a standard of care.
Listen nowInterested in learning more?
- Download this study abstract: Evaluation of out-of-hospital cardiac arrest using transesophageal echocardiography in the emergency department
- Listen to more resus10 with Dr. Abella: Episode 8: A matter of degree
Inside the innovation – cprINSIGHT® Analysis Technology
Until recently, pauses during CPR have been necessary when using an AED.1
We also know that it is critical to provide as much continuous CPR as possible throughout a resuscitation for the best chance of survival. Conventional AEDs must suspend chest compressions for at least 10 seconds in order to perform rhythm analysis free of ECG artifact.
So how can you get more CPR time if you are following the prompts of an AED?
In this episode of resus10, Sean Graham interviews Dr. Fred Chapman, director of research for Stryker's Emergency Care business, on how an innovative algorithm called cprINSIGHT Analysis Technology challenges the status quo and helps save lives.
Listen NowLearn more:
- cprINSIGHT Analysis Technology whitepaper and whitepaper specific to BLS
- More about the LIFEPAK® CR2 defibrillator
1 van Alem A, Sanou B, Koster R, et al. Interruption of Cardiopulmonary Resuscitation with the Use of the Automated External Defibrillator in Out-Of-Hospital Cardiac Arrest. Ann Emerg Med. 2003; 42(4):449-57.
Focus on airway management
Get ready for a master class in advanced airway management.
In this episode of resus10, Sean Graham interviews Dr. Mike Levy, medical director for Anchorage Fire and the state of Alaska, and chief medical advisor for Stryker. Sean and Dr. Levy discuss tools and techniques for airway management, and the evolving complexities and variabilities of providing advanced airway management in EMS.
Listen nowInterested in learning more?
- Read the article referenced in the episode: Evaluation of Physiologic Alterations during Prehospital Paramedic-Performed Rapid Sequence Intubation, Rob Walker, 2018.
- National Association of EMS Physicians (NAEMSP): Mike Levy currently serves as the president-elect of NAEMSP.
- resus10 episode 22 - All about emergency airway management: Should you pause CPR to place an endotracheal tube, or should you instead focus first on high-performance CPR and defibrillation?
A shocking episode: Exploring cardiogenic shock
In this episode, Nicole Kupchik, MN, RN, CCNS, interviews Dr. Ali Haider on cardiogenic shock. Nicole and Dr. Haider, an interventional cardiologist, discuss managing cardiogenic shock, and the tools and resources needed to support these patients.
Listen now- Find Dr. Haider on Instagram and Twitter
- resus10 episode 10: Saving the unsaveable, featuring Dr. Demetri Yannopoulos, professor of medicine and emergency medicine at the University of Minnesota and medical director of the Minnesota Resuscitation Consortium. Nicole and Dr. Yannopoulos discuss a promising new protocol for patients who are difficult to resuscitate, and the roles played by mechanical CPR, ECMO, and the cath lab in treating these patients.
Cath lab in the spotlight
From TAVR to STEMI, everything in the cath lab is on the table today.
In this episode, Nicole Kupchik, MN, RN, CCNS, interviews Dr. Ali Haider about current and emerging procedures in the cath lab. Nicole and Dr. Haider, an interventional cardiologist, discuss a range of practices representing the current state of the science in interventional cardiac care.
Listen nowInterested in learning more?
- Find Dr. Haider on Instagram and Twitter
- resus10 episode 15: The transcatheter revolution, featuring Dr. Atman Shah, clinical director for the section of cardiology, co-director of the cardiac catheterization laboratory, and associate professor of medicine at the University of Chicago. Dr. Shah and Nicole discuss TAVR and Dr. Shah’s experience with MitraClip, which some cardiologists say is one of the most technically challenging procedures to complete.
Behind the scenes with Instagram’s yourheartdoc
Also known as the popular "yourheartdoc" on Instagram, Dr. Ali Haider understands the importance of treating the patient – not just the labs. As an interventional cardiologist, he has used the latest technologies to navigate the most puzzling patients, from complicated cath lab cases to outliers lacking obvious risks.
In this episode, Nicole Kupchik, MN, RN, CCNS, and Dr. Haider discuss the power and potential of medical information in a social media world.
Listen nowSpecial edition: Resuscitation during a pandemic
During the COVID-19 pandemic, how can you resuscitate a patient in cardiac arrest while minimizing personal exposure and maximizing team effectiveness? Join Nicole Kupchik, MN, RN, CCNS, as she shares information to help emergency response teams during this unprecedented time, including logistical consideration of team response, safety during intubation and modifications to consider for resuscitation.
Listen nowInterested in learning more?
Analyze this: Avoid analysis paralysis
Diving into data – Sean Graham meets with Jimmy Brothers, assistant chief of EMS for Howard County Fire and Rescue in Maryland. They discuss using data collection to drive decision-making, including how Howard County has developed a robust data collection methodology to impact clinical practice and training.
Listen NowInterested in learning more?
- Howard County Fire and Rescue – Get to know Chief Brother’s agency.
- CODE-STAT data review software – Learn more about the software discussed in this episode.
- Resuscitation Academy – Learn about improving survival rates from sudden cardiac arrest.
- Maryland Resuscitation Academy – See upcoming events at the Maryland academy.
EMS on the edge of Alaska
Emergency caregivers in the small town of Nikisiki, Alaska are using technology to face major challenges.
In this episode of resus10, Sean Graham interviews Harrison Deveer, senior captain at Nikiski Fire Department, vice president of Kenai Peninsula Emergency Services, and member of the board of directors for the Southern Region EMS Council.
They discuss the unique experience of EMS in Alaska, including Nikisiki’s use of point-of-care testing for the purpose of improving decision making.
Listen nowInterested in learning more?
- Article: Prehospital ultrasound: emerging technology for EMS
- Article: What’s the point of point-of-care testing?
- Nikiski Emergency Services: kpb.us/emergency-services
A question of bias
Bias is a tricky thing – in order to address it, you must first recognize how and why it exists. When it comes to resuscitation time bias, these answers might be more challenging than you expect.
In this episode of resus10, Sean Graham joins the podcast and interviews Fred Chapman, director of research, Stryker Emergency Care. Fred explains how researchers studying certain aspects of resuscitation might not be gaining a full picture, and why their observations might be impacted by resuscitation time bias.
What’s the fallout from being fooled by this bias? Listen now to find out.
Listen NowInterested in learning more?
Resuscitation time bias: A unique challenge for observational cardiac arrest research
Between the lines – Interview with Mike McEvoy, PhD, NRP, RN, CCRN, JEMS executive editor
From working in law enforcement to EMS to the cardiac surgical ICU, Mike McEvoy’s career has spanned the gauntlet of emergency provider professions.
He sits down with Nicole Kupchik, MN, RN, CCNS, to discuss his experiences in critical care and the goals for his new role as executive editor of JEMS Magazine.
Listen NowInterested in learning more? Visit these resources:
- resus10 episode 23: Listen to Mike’s earlier interview with Nicole. In episode 23, they discuss the latest news for EMS and in-hospital resuscitation from clinical topics like airway management and emergency medicine to the importance of retaining high-quality providers.
- National Teaching Institute (NTI): Learn more about the event where this interview was recorded.
On the pulse of emergency medicine
Recorded live on the NTI show room floor, resus10 explores the hottest topics facing today’s EMS and hospital professionals.
In this episode, Nicole Kupchik, MN, RN, CCNS interviews Mike McEvoy, PhD, NRP, RN, CCRN, staff nurse at Albany Medical Center, EMS coordinator for Saratoga County, New York and a paramedic supervisor with Clifton Park and Halfmoon Ambulance. Mike is also the newly-appointed executive editor for JEMS magazine.
They discuss the latest news for EMS and in-hospital resuscitation, from clinical topics like airway management and emergency medicine to the importance of retaining high-quality providers.
Listen NowInterested in learning more? Visit these resources:
- resus10 episode 22: Interested in more on airwaves? Listen to Nicole’s earlier resus10 interview – All about emergency airway management.
- National Teaching Institute (NTI): Learn more about the event where this interview was recorded.
All about emergency airway management
A recent hot topic in emergency medicine is the tube debate – should you pause CPR to place an endotracheal tube, or should you instead focus first on high-performance CPR and defibrillation?
In this episode, Nicole Kupchik, MN, RN, CCNS interviews Dr. Brian Clemency, associate professor of emergency medicine at the University at Buffalo and medical director of AMR Buffalo.
Nicole and Dr. Clemency discuss the results of three recent major studies on emergency airway management and they debate that one gold standard for cardiac arrest response traditionally has been the insertion of advanced airways – but is that still the case today?
Listen NowAfter the OD – cardiac arrest and opioid abuse
Opioid overdose leading to respiratory arrest is becoming more frequent in communities across the United States. These cardiac arrests present unique challenges with many variables – whether it’s the well-intentioned bystander administering an incorrect NARCAN® dose, or patients arriving at the ED with mysterious arrest experiences.
In today’s episode, Nicole Kupchik, MN, RN, CCNS, interviews Dr. Brian Clemency, associate professor of emergency medicine at the University at Buffalo and medical director for Buffalo AMR.
They discuss how critical care teams in Buffalo are responding to these unique patients and helping ensure they receive the best possible care.
Listen NowScoop and Run vs. Stay and Play
Sometimes the most difficult question is the simplest: when do you leave?
For EMS teams responding to sudden cardiac arrest patients, this question is more nuanced than it looks. How long should first responders stay on scene and attempt resuscitation? Should you continue CPR and lifesaving efforts in the field, or should you transport to the nearest hospital as quickly as possible?
In today’s episode, Nicole Kupchik interviews Dr. Brian Clemency, associate professor of emergency medicine at the University at Buffalo and medical director for Buffalo AMR.
They discuss the great debate – do you scoop and run? Or do you stay and play?
Listen NowYou might also be interested in:
- In out-of-hospital cardiac arrest, longer on-scene times are associated with higher survival rates: “scoop and run” may be deadly.
- EMS agencies with high rates of field termination of cardiac arrest care also have high rates of survival.
- Optimizing field termination of resuscitation is associated with increased out-of-hospital cardiac arrest survival.
The 2 a.m. advocate
When deciding whether to send a cardiac arrest patient to the cath lab, is it a question of the right timing or the right patient?
In today’s episode, Nicole interviews Dr. David Gaieski, Professor of Emergency Medicine at Sidney Kimmel Medical College at Thomas Jefferson University, Vice Chair for Resuscitation Services and Director of Emergency-Critical Care.
They discuss a recent study – the first of its kind – that focused on a randomized trial of immediate cardiac catheterization in post-arrest patients without ST elevation versus delayed cardiac catheterization during hospitalization.
Listen NowYou might also be interested in:
Coronary Angiography after Cardiac Arrest – The Right Timing or the Right Patients?: Read the editorial discussed by Nicole and Dr. Gaieski.
Cardiac resuscitation symposiums: Learn more about the event where this episode was recorded and see if we’re coming near you.
When a Life’s at Stake
At 27 years old, Scott Nevers was already in a fight for his life after suffering sudden cardiac arrest.
It would take an entire system of care to save him – from bystanders calling for help and an EMS team who refused to give up, to more than 20 shocks from an AED and excellent post-arrest care at his local hospital.
Nicole Kupchik, MN, RN, recently spoke with Scott and the EMS team who helped save his life, which included Biddeford Fire Department deputy chief Kevin Duross, firefighter/paramedic Rob Mertz, and training educator Tim Sevigny.
Listen NowYou might also be interested in:
resus10 episode 13 – What’s luck got to do with it: From the cover of Newsweek to resus10, Brian Duffield shares his story of sudden cardiac arrest survival.
Cardiac resuscitation symposiums: Learn more about the event where this episode was recorded. Upcoming symposiums are coming soon to Seattle and Memphis.
Going back to the tape
Sometimes an outside view sees the biggest picture.
In this episode, Nicole Kupchik, MN, RN, interviews Dr. Dan Rolston and Dr. Timmy Li from Northwell Health, New York state’s largest healthcare provider. They discuss how their emergency department uses video recordings, data, and the LUCAS chest compression system to increase efficiencies and improve resuscitations at their facility.
LISTEN NOWInterested in learning more? Visit these resources:
- Episode 9 – Hot news about cold debriefings: Nicole interviews Dr. Heather Wolfe, Assistant Professor of Anesthesia and Critical Care Medicine at the Children's Hospital of Philadelphia. They discuss her team's study on post-event debriefings and how they have been able to sustain a successful debriefing program for more than seven years.
- LUCAS chest compression system: Learn how this mechanical chest compression device helps lifesaving teams deliver high-quality, guidelines-consistent chest compressions to sudden cardiac arrest patients.
- Improving in-hospital CPR performance: Go behind the scenes at EvergreenHealth, which uses CODE-STAT Data Review Software to improve CPR performance.
There's an App for That
We’ll admit it – documentation is rarely a caregiver’s favorite part of their job.
In this episode, Nicole Kupchik, MN, RN, interviews Bridgid Joseph, program director for the Emergency Cardiovascular Care Center at Beth Israel Deaconess Medical Center in Boston. Recorded live on the NTI 2018 exhibits show floor, they discuss how Bridgid’s team uses technology from the American Heart Association and CODE-STAT data review software to solve many common documentation challenges.
LISTEN NOWInterested in learning more? Visit these resources:
- American Heart Association: Download the American Heart Association Full Code Pro App (FCP 3.0), the free mobile application discussed in this episode.
- Listen to Nicole and Bridgid’s earlier interview in resus10 episode 3 – Spotlight on Beth Israel Deaconess Medical Center.
- AACN National Teaching Institute: Learn more about the event where this episode was recorded.
The transcatheter revolution
When it comes to scientific revolutions in valve technology, you might say this procedure is leading the charge: TAVR, a minimally invasive procedure that repairs the aortic valve without removing the old damaged valve.
In this episode, Nicole Kupchik, MN, RN, interviews Dr. Atman Shah, clinical director for the section of cardiology, co-director of the cardiac catheterization laboratory, and associate professor of medicine at the University of Chicago. They discuss TAVR and also Dr. Shah’s experience with MitraClip, which some cardiologists say is one of the most technically challenging procedures to complete.
listen nowInterested in learning more? Visit these resources:
- Episode 4: Listen to Dr. Shah’s earlier resus10 interview – From collapse to cath lab.
- Dr. Shah is a frequent guest at our resuscitation symposiums. Find an event near you.
The code whisperer
Recorded live on the NTI 2018 exhibits show floor, Nicole discusses the anatomy of a resuscitation with clinical nurse specialist Chris Laux – and how planning, coordination and training can make all the difference.
Listen NowInterested in learning more? Visit these resources:
- AACN National Teaching Institute: Learn more about the event where this episode was recorded.
- American Heart Association: A downloadable focused on resuscitation triangle and leadership roles as recommended by the AHA.
- Team communication patterns in emergency resuscitation: A mixed methods qualitative analysis on the importance of team communication.
What's luck got to do with it
From the cover of Newsweek to resus10, Brian Duffield is sharing his story of sudden cardiac arrest survival. Brian was only 40 when he suffered cardiac arrest, but is alive today thanks to a system of care that included bystander CPR, a nearby AED, and professional medical response.
Listen NowInterested in learning more? Visit these resources:
- Back to Life: The Science of Reviving the Dead: Newsweek cover story featuring Brian and other cardiac arrest survivors
- Man Saved by a HeartSine AED Spreads Awareness: More about Brian’s journey from survivor to advocate
- Episode 11: Dr. Karl Kern, part of the chain of survival in Brian’s story, was recently featured on resus10 in Behind the Big Changes.
The lifelong learner
“Once you get out of nursing school, that’s just the beginning.” In this episode, Nicole Kupchik, MN, RN, interviews Dr. Beth Mancini, Senior Associate Dean for Education Innovation at The University of Texas at Arlington College of Nursing and Health Innovation.
They discussed the importance of education and simulation, and how shorter but more frequent trainings might help nurses keep their skills sharp. They also talked about the launch of the American Heart Association Resuscitation Quality Improvement (RQI) Program.
Listen NowInterested in learning more? Visit these resources:
Behind the big changes
In this episode, Nicole Kupchik, MN, RN, interviews Dr. Karl Kern, professor of medicine of the Division of Cardiology and co-director of the Sarver Heart Center at the University of Arizona, and Gordon A. Ewy, MD, Distinguished Endowed Chair of Cardiovascular Medicine. They discuss Dr. Kern’s leadership role with the American Heart Association and his personal goal to improve public mortality reporting for cardiac catheterization procedures. This interview was recorded at the most recent Physio-Control Refractory Cardiac Arrest Symposium in Raleigh in April 2018.
Listen NowSaving the unsaveable
Shock…no response…shock…no response…shock…no response…then what? In this episode, Nicole Kupchik, MN, RN, interviews Dr. Demetri Yannopoulos, professor of medicine and emergency medicine at the University of Minnesota, the Robert Eddy endowed chair in cardiovascular resuscitation, and medical director of the Minnesota Resuscitation Consortium.
They discuss a promising new protocol for patients who are difficult to resuscitate - such as those with refractory VF - and the roles played by mechanical CPR, ECMO, and the cath lab in treating these patients.
Listen NowHot news about cold debriefings
Is it true that hindsight is 20/20? In this episode, Nicole Kupchik, MN, RN, interviews Dr. Heather Wolfe, Assistant Professor of Anesthesia and Critical Care Medicine at the Children's Hospital of Philadelphia. They discuss her team's study on post-event debriefings, how cold debriefings can make a lifesaving difference, and how her team has been able to sustain a successful debriefing program for more than seven years.
Listen NowInterested in learning more? Visit these resources:
A matter of degree
How cool is too cool? How fast is too fast? In this episode, Nicole Kupchik, MN, RN, interviews Dr. Ben Abella, Director of the Center for Resuscitation Science and Vice Chair of the Department of Emergency Medicine at the University of Pennsylvania.
Dr. Abella discusses post-cardiac arrest care, specifically how targeted temperature management can be deployed to help sudden cardiac arrest patients.
Listen NowInterested in learning more? Visit these resources:
Small patients, big fighters – pediatric sudden cardiac arrest
The smallest patients can be the biggest fighters. In this episode, Nicole Kupchik, MN, RN, interviews Dr. Vinay Nadkarni, a pediatric physician at Children’s Hospital of Philadelphia and endowed chair professor of the Department of Anesthesiology and Critical Care Medicine, medical director at CHOP for the Center of Simulation Advanced Education and Innovation, and associate director at the University of Pennsylvania Center for Resuscitation Science.
They discuss some of the biggest puzzles of sudden cardiac arrest’s smallest victims, and Dr. Nadkarni shares his thoughts on the top five differences between treating pediatric sudden cardiac arrest patients versus adult patients.
Interested in learning more? Visit these resources:
After the adrenaline rush
Nicole Kupchik, MN, RN, interviews Janese Nichols, MSN, RN, clinical educator at Fort Washington Medical Center in Fort Washington, Maryland.
In this special interview held on the ENA 2017 exhibit floor, Janese discusses how her team uses data to analyze the entire patient story from collapse and resuscitation to the ultimate level of success - neurologically intact discharge.
Listen NowInterested in learning more? Visit these resources:
- Improvements in the quality of advanced life support and patient outcome after implementation of a standardized real-life post-resuscitation feedback system
Hubner P, Lobmeyr E, Wallmüller C, Poppe M, Datler P, Keferböck M, Zeiner S, Nürnberger A, Zajicek A, Laggner A, Sterz F, Sulzgruber P.
Resuscitation. 2017 Aug 31;120:38-44. doi: 10.1016/j.resuscitation.2017.08.235.
The numbers game: CPR quality & data-driven medicine
Nicole Kupchik, MN, RN, interviews Dr. Dana Edelson who works with the University of Chicago as a hospitalist and is the founder and CEO of Quant HC.
Dr. Edelson discusses the importance of patient-driven and data-driven medicine and her work regarding CPR quality – including how her team addressed the “pause problem” and lowered their median CPR pause to less than 2 seconds.
Interested in learning more? Visit these resources:
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Improving In-Hospital Cardiac Arrest Process and Outcomes with Performance Debriefing
Edelson DP, Litzinger B, Arora V, Walsh D, Kim S, Lauderdale DS, Vanden Hoek TL, Becker LB, Abella BS.
Arch Intern Med. 2008 May 26;168(10):1063-9. doi: 10.1001/archinte.168.10.1063.
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The Longest Pause - Clinical Summary
Brouwer T, Walker R, Chapman F, Koster, R. Association Between Chest Compression Interruptions and Clinical Outcomes of Ventricular Fibrillation Out-of-Hospital Cardiac Arrest. Circulation. 2015;132:1030-1037.
From collapse to cath lab: a new pathway for patients
In this episode, Nicole Kupchik, MN, RN, interviews Dr. Atman Shah, Clinical Director of the Section of Cardiology at the University of Chicago Medicine (UCM).
Dr. Shah shares how his organization is utilizing mechanical CPR and ECMO to support patients during cardiac arrest, with the intention to preserve the myocardium while PCI is being performed. He also discusses what factors guide his team in making critical decisions when delivering lifesaving care.
Listen NowInterested in learning more? Visit these resources:
Spotlight on Beth Israel Deaconess Medical Center
In this episode, Nicole Kupchik, MN, RN, interviews Bridgid Joseph, Clinical Nurse Specialist and Program Director for the Emergency Cardiovascular Care Center at Beth Israel Deaconess Medical Center in Boston.
Bridgid shares how her medical center tackled the challenge of implementing the latest American Heart Association ACLS and BLS guidelines in an organization with multiple campuses, satellite campuses, and more than 3,000 team members.
Interested in learning more? Visit these resources:
Conducting the resuscitation orchestra
In this episode, Nicole Kupchik, MN, RN, interviews Dr. Chuck Pozner, who is Medical Director at the STRATUS Center for Medical Simulation at Brigham and Women's Hospital.
Dr. Pozner shares how his team has used mock codes to identify and change potentially lifesaving processes - and how a resuscitation team is more similar to a symphony orchestra than you might think.
Listen NowResuscitation is a team sport
In this episode, Nicole Kupchik interviews Dr. Beth Mancini, Professor and Associate Dean and Chair for the Undergraduate Nursing Programs at the University of Texas.
Beth shares her perspective on how training in teams with simulations and debriefings is impacting how her organization manages an environment of constant change.
Listen Now
Interested in learning more? Visit these resources:
- Defining Excellence in Simulation Programs (by Dr. Beth Mancini, et al)
- Interdisciplinary ICU Cardiac Arrest Debriefing Improves Survival Outcomes
- The System-Wide Effect of Real-Time Audiovisual Feedback and Post-Event Debriefing for In-Hospital Cardiac Arrest: The Cardiopulmonary Resuscitation Quality Improvement Initiative
- Clinical Simulation in Nursing
- Simulation in Nursing Practice: The Impact on Patient Care