Episode #11 – Are we harming patients with oxygen?

EMS 12-Lead podcast – Episode #11 – Are we harming patients with oxygen?

In this episode of the EMS 12-Lead podcast we're joined by Kelly Arashin, ACNP, CCNS and Mike McEvoy, PhD, RN, CCRN, REMT-P at EMS Today 2013 in Washington D.C. We discuss the benefits and dangers of oxygen administration. 

Kelly is a dual boarded advanced practice nurse and Chair of the Hypothermia Steering Committee at Hilton Head Hospital in Hilton Head Island, SC.

Mike describes himself as a nurse, paramedic, firefighter, and medical college professor. He is also Chair of the Resuscitation Committee for University Teaching Hospital in Albany, NY.

Mike is the author of the article Can Oxygen Hurt? and taught an educational session at Physio-Control University entitled To Give Oxygen or Not: That is the Question. 

*** Update ***

Thanks to Brooks Walsh, M.D. for bringing this article to our attention:

Association between arterial hyperoxia following resuscitation from cardiac arrest and in-hospital mortality

Tom Bouthillet, Kelly Arashin, Mike McEvoy at EMS Today 2013

Special thanks to Physio-Control, JEMS, PennWell, and the ProMed Network

You can also watch the video version.

See also:

Follow Kelly Arashin on Twitter at @BarefootNurse24

Visit Kelly's blog

Follow Mike McEvoy on Twitter at @McEvoyMike

Visit Mike's website

Subscribe to the EMS 12-Lead podcast on iTunes

6 Comments

  • PJ says:

    Really interesting podcast.
    Appreciated the issue about ventilating to End Tidal Co2 values
    Thanks

  • Jon Kavanagh says:

    It is all a bit mind-blowing (for those of us shifting our practices).  We hold these truths to be evident, yet can't quite walk out on the ledge and be confident in the studies.  Perhaps as the agencies that tell us what to do (AHA/ILCOR, etc.) get on board, or are made to be less influential (read, fear of going against the authorities), change will happen…

  • Nathan says:

    Glad to heat Im not the only one struggling with motivating change with medical directors and other providers!

  • Nathan says:

    *hear*

  • Peet Nienaber says:

    Hi, thanks guys, this was very interisting, I hope this go down to EMS as protocol. 

  • Maria says:

    Hey all, this was absolutely great…so very informative.  Hopefully the changes mentioned here can be implemented into EMS sooner rather than later.

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EMS 12-Lead

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Comments
know it all parapup
83 Year Old Male: Shortness of Breath
@ Kyle I would question your authority to call out people for not having a license or being a know it all parapup when your tx basically entails "call medical control." I think we can both agree that his cardiac output is not great at all. I assume your reluctance to give him any other…
2014-10-30 20:26:11
Kyle
83 Year Old Male: Shortness of Breath
Well st elevation in avr and v1 associated with anterior and lateral depression would call for possible posterior wall MI. 15 lead would be in order. Also check all the leads for appropriate placing. If v7, v8, and v9 show the elevation i would treat as a STEMI per my protocol. Asprin only until medical…
2014-10-30 18:14:05
Tim
The most awesome STEMI test on the internet!
Thanks for the app. It made me think about all that one may see in the field. The only problem was I never got a score or saw the results of how I did other than saying I had completed the test. Anyway a great way to get the old brain working.
2014-10-30 13:14:27
Brian
83 Year Old Male: Shortness of Breath
I mostly agree with dustin. I believe this is may be an isolated posterior MI. The R wave in V2 points to it being a posterior MI. otherwise it is a 1st degree av block with a LAHB. I am somewhat concerned with the concordant t segment depression noted and in fact if you were…
2014-10-30 04:22:44
Karl Brennan
Understanding Amiodarone
Great article , however in VF caused by hyperkalemia it should be avoided along with lidocaine , Since it shuts down the K channels, the eiteiology of the arrest hyper K, K channels are needed to exchange K in the cell. Calcium , Bicarbonate, dextrose and insulin should be used to decrease K levels along…
2014-10-30 03:04:45

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