This transcript has been edited for clarity.
Robert D. Glatter, MD: Welcome. I'm Dr Robert Glatter, medical advisor for Medscape Emergency Medicine. Today, we have Dr Paul Pepe, an emergency physician and highly recognized expert in EMS, critical care, and resuscitation, along with Ryan Quinn, EMS chief for Edina Fire Department in Edina, Minnesota, joining us to discuss a significant advance in resuscitation for patients with nonshockable rhythms in cardiac arrest with a remarkable increase in neurologically intact survival. Welcome, gentlemen.
Dr Pepe, I'd like to start off by thanking you for taking time to join us to discuss this novel concept of head-up or what you now refer to as a neuroprotective cardiopulmonary resuscitation (CPR) bundle. Can you define what this entails and why it is referred to as a neuroprotective CPR bundle?
Paul E. Pepe, MD, MPH: CPR has been life saving for 60 years the way we've performed it, but probably only in a very small percentage of cases. That's one of the problems. We have almost a thousand people a day who have sudden cardiac arrest out in the community alone and more in the hospital.
We know that early defibrillation and early CPR can contribute, but it's still a small percentage of those.
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COMMENTARY
Novel Resuscitation for Patients With Nonshockable Rhythms in Cardiac Arrest
Robert D. Glatter, MD; Paul E. Pepe, MD, MPH; Ryan P. Quinn, BS, EMS
DisclosuresJanuary 26, 2023
This transcript has been edited for clarity.
Robert D. Glatter, MD: Welcome. I'm Dr Robert Glatter, medical advisor for Medscape Emergency Medicine. Today, we have Dr Paul Pepe, an emergency physician and highly recognized expert in EMS, critical care, and resuscitation, along with Ryan Quinn, EMS chief for Edina Fire Department in Edina, Minnesota, joining us to discuss a significant advance in resuscitation for patients with nonshockable rhythms in cardiac arrest with a remarkable increase in neurologically intact survival. Welcome, gentlemen.
Dr Pepe, I'd like to start off by thanking you for taking time to join us to discuss this novel concept of head-up or what you now refer to as a neuroprotective cardiopulmonary resuscitation (CPR) bundle. Can you define what this entails and why it is referred to as a neuroprotective CPR bundle?
Paul E. Pepe, MD, MPH: CPR has been life saving for 60 years the way we've performed it, but probably only in a very small percentage of cases. That's one of the problems. We have almost a thousand people a day who have sudden cardiac arrest out in the community alone and more in the hospital.
We know that early defibrillation and early CPR can contribute, but it's still a small percentage of those.
Medscape Emergency Medicine © 2023 WebMD, LLC
Any views expressed above are the author's own and do not necessarily reflect the views of WebMD or Medscape.
Cite this: Robert D. Glatter, Paul E. Pepe, Ryan P. Quinn. Novel Resuscitation for Patients With Nonshockable Rhythms in Cardiac Arrest - Medscape - Jan 26, 2023.
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Authors and Disclosures
Authors and Disclosures
Author(s)
Robert D. Glatter, MD
Attending Physician, Department of Emergency Medicine, Lenox Hill Hospital, New York, NY
Disclosure: Robert D. Glatter, MD, has disclosed no relevant financial relationships.
Paul E. Pepe, MD, MPH
Professor, Department of Management, Policy and Community Health, University of Texas Health Sciences Center at Houston, School of Public Health, Houston, Dallas; Medical Director, Emergency Medical Services and Fire/Rescue Department, Dallas County 9-1-1 System, Dallas, Texas
Disclosure: Paul E. Pepe, MD, MPH, has disclosed no relevant financial relationships.
Ryan P. Quinn, BS, EMS
EMS Chief, Edina Fire Department, Edina, Minnesota
Disclosure: Ryan P. Quinn, BS, EMS, has disclosed no relevant financial relationships.