tag:blogger.com,1999:blog-4505990433916682663.post8227045755416551641..comments2024-03-13T02:04:31.476-04:00Comments on Paramedicine 101: Precordial Thump - For Asystole?Adam Thompson, EMT-Phttp://www.blogger.com/profile/18107359165856983910noreply@blogger.comBlogger8125tag:blogger.com,1999:blog-4505990433916682663.post-33208176256920148842009-05-20T22:22:17.105-04:002009-05-20T22:22:17.105-04:00Adam,
High quality research is important to all o...Adam,<br /><br />High quality research is important to all of medicine. It is just more of a problem in EMS, because of the way we are set up. Everything tends toward isolation, rather than collaboration.<br /><br />I haven't read all of those studies, either, but I will read most of them.Rogue Medichttps://www.blogger.com/profile/07598646309630074992noreply@blogger.comtag:blogger.com,1999:blog-4505990433916682663.post-4476125075489166822009-05-20T21:31:03.066-04:002009-05-20T21:31:03.066-04:00Its a wonder we play this back and forth game in t...Its a wonder we play this back and forth game in the world of medicine. You gotta love the aspect of an ever-changing field; however, it can be frustrating not always knowing for sure if what you are doing is the best you CAN do. I'm really glad you decided to follow up my original post, this is exactly what I want for this blog. Discussions about evidence-based medicine. Anyone who has read this single post alone, has learned something. Thanks for emailing me that info by the way RM, still haven't read it all.Adam Thompson, EMT-Phttps://www.blogger.com/profile/18107359165856983910noreply@blogger.comtag:blogger.com,1999:blog-4505990433916682663.post-57082632716137073522009-05-20T19:50:54.774-04:002009-05-20T19:50:54.774-04:00Shaggy,
"So if it does not hurt, but shows potent...Shaggy,<br /><br />"So if it does not hurt, but shows potential to be more effective than 0%, and only takes a second...hmmm."<br /> <br />I do not think that we can conclude that the precordial thump "does not hurt." That may be true, but this study does not demonstrate it.<br /><br />There were a couple of dramatic responses after the precordial thump, but what about the rest of the patients who received precordial thump? There is a lot of information that was not reported.<br /><br />I think that the precordial thump does provide a net benefit, but we need to figure out when it is indicated, how it should be delivered, and what treatment should follow it. <br /><br />Can I prove there is a net benefit? No.Rogue Medichttps://www.blogger.com/profile/07598646309630074992noreply@blogger.comtag:blogger.com,1999:blog-4505990433916682663.post-5095125856331936252009-05-20T19:40:49.255-04:002009-05-20T19:40:49.255-04:00Adam,
Since they did not train the medics in the ...Adam,<br /><br />Since they did not train the medics in the precordial thump, the way each medic handled those questions was left up to the medic. That is one of the weak points. It was viewed as a way to make the study reflect reality, but if this is to be done regularly, there needs to be some agreement about what is being done.Rogue Medichttps://www.blogger.com/profile/07598646309630074992noreply@blogger.comtag:blogger.com,1999:blog-4505990433916682663.post-1293328371557655122009-05-18T05:49:00.000-04:002009-05-18T05:49:00.000-04:00Thanks Shaggy, RM just emailed me a boat load of r...Thanks Shaggy, RM just emailed me a boat load of research. This might not be the last you'll hear about this....Adam Thompson, EMT-Phttps://www.blogger.com/profile/18107359165856983910noreply@blogger.comtag:blogger.com,1999:blog-4505990433916682663.post-89739576743922501972009-05-18T03:56:00.000-04:002009-05-18T03:56:00.000-04:00You two guys did a great job of presenting the lit...You two guys did a great job of presenting the literature. Wow. Even if we still stand scratching our heads. Great job.Shaggyhttps://www.blogger.com/profile/10687847155700323439noreply@blogger.comtag:blogger.com,1999:blog-4505990433916682663.post-13454187540210446722009-05-18T03:34:00.000-04:002009-05-18T03:34:00.000-04:00So if it does not hurt, but shows potential to be ...So if it does not hurt, but shows potential to be more effective than 0%, and only takes a second...hmmm.Shaggyhttps://www.blogger.com/profile/10687847155700323439noreply@blogger.comtag:blogger.com,1999:blog-4505990433916682663.post-6823924168591472972009-05-17T22:07:00.000-04:002009-05-17T22:07:00.000-04:00I've read a lot of studies, but this one has left ...I've read a lot of studies, but this one has left me with more unanswered questions than any other. Was the asystole confirmed in multiple leads? How long after thump did they wait to see if a rhythm change occurred? All those questions you asked, and more. I couldn't find any other concrete research. The studies in my post were barely helpful in answering anything. <br /><br />ps. I am going to add your label to this for you.Adam Thompson, EMT-Phttps://www.blogger.com/profile/18107359165856983910noreply@blogger.com