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Some notes from last week’s conference:

If Dr. Hill’s presentation on benchmarking, and where our fine hospital(s) and EDs stand in the scheme of things, please get involved. The regular Operations meetings are a good start. Also, if you enjoyed Dr. Baumlin’s brief segment on Ibex (Picis) and coding of charts, well, there are many ways to pursue your interest.

Termination of Resuscitation is an interesting topic that we don’t talk enough about. Lisa mentioned Morrison’s 2006 validation of a TOR rule in NEJM (PMID: 16885551) — the rule being for EMTs with AED training, that resuscitation should be stopped in out-of-hospital cardiac arrest if there is no ROSC, no shocks administered, and no EMS-witnessed arrest. This multicenter trial of 1240 adults would have terminated resus on 776 patients — four of which ended up surviving (three with good neuro outcomes). So this rule’s PPV is 99.5% but there’s a least a few people alive today who are glad it’s not universally applied.

We have new faculty with an interest in appropriate resuscitation — see abstracts here and here.

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