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

Cardiac Rhythm Analysis, 12-Lead ECG Interpretation, Resuscitation

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Comments
Anne
Adenosine for sinus tachycardia: Try to avoid this!
If it were me, I would seek a second opinion; consult an electrophysiologist. Unlikely that you had sinus tachycardia at that rate.
2015-01-26 09:46:57
John
Adenosine given for a narrow-complex tachycardia over 150
If things such as Sepsis, Drug Use, Medication issues, Anxiety, Pain, etc.. have been ruled out, and the rate is still >160 (or whatever number you use). How else do you determine S-Tach Vs. SVT? Does a 12 Lead Help (QRS Complexes facing different directions due to different pathways etc..) or a simple 4 Lead?…
2015-01-19 19:44:32
Brandon O
Adenosine for sinus tachycardia: Try to avoid this!
She may not have had anxiety, but I bet she was a carrier...
2015-01-18 02:31:08
Brooks Walsh MD
Adenosine for sinus tachycardia: Try to avoid this!
Highly unusual for this to be sinus at that rate!
2015-01-17 19:21:04
Mel
Adenosine for sinus tachycardia: Try to avoid this!
I experience bouts of tachycardia. I had it investigated about 5 years ago after being woken during the night by projectile vomiting and feeling my heart racing/thumping with carotid pulse that I could certainly palpate but had no chance of counting (whether the 2 symptoms were related or coincidental, I don't know). I've had multiple…
2015-01-17 18:47:19

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