Please plan to join us Tuesday September 3rd for the first Critical Care Medicine Grand Rounds of the 2024-25 academic year. @f_g_zampieri will be presenting "Personalized Medicine for Critically Ill Patients" #dccmrounds @UAlberta_FoMD

If you ever perform #CPR this is a must read (paper at bottom)! 👇 Echo clip shows CPR over aorta 😰 I genuinely believe that optimizing compression placement during CPR presents the single greatest opportunity to improve outcomes for cardiac arrest in the past 2 decades. Compressions over the aortic valve (as opposed to the LV), which occurs in 50% of cases in literature, is associated with significantly worse outcomes in cardiac arrest with corresponding physiological changes (lower CPR generated pressure) to give biological plausibility. This has been demonstrated in multiple studies including work by the @ResusTEEproject so is not a one off. #resusTEE is a great tool, however, we need scalable solutions for all cardiac arrest patients. Ideas: 1) Change where we perform CPR empirically - is it safe, effective, and feasible to do non-midline or lower sternal CPR? 2) Use machine learning augmented CPR placement with medical devices (e.g. defib pads, esophageal probes) 3) Use a step wise approach to CPR placement that if ETCO2 < X then do CPR 2 inches lower and if ETCO2 increases mark that as the "optimal" CPR places. 4) Wider spread #resusTEE education (it really is easy) Calling all #medtech and #researchers out there to help solve this! Paper:

I've always said that medical conferences could use more puppies. @atscommunity @ATSCritCare