20 episodes

Welcome to Penn Medicine's TTM Academy Podcast, focused on targeted temperature management, post-arrest and critical care. For more information, visit our website at pennTTM.com

Topics for future shows come from listeners like YOU! Send ideas for new shows to TTMtraining@pennmedicine.upenn.edu.

Join the TTM Academy Text Notification list by texting TTM to 31996.

** TTM Academy podcasts are intended for medical education only and should not be used for clinical decision making. **

Penn Medicine's TTM Academy Podcasts Penn Medicine TTM Academy

    • Medicine
    • 5.0, 41 Ratings

Welcome to Penn Medicine's TTM Academy Podcast, focused on targeted temperature management, post-arrest and critical care. For more information, visit our website at pennTTM.com

Topics for future shows come from listeners like YOU! Send ideas for new shows to TTMtraining@pennmedicine.upenn.edu.

Join the TTM Academy Text Notification list by texting TTM to 31996.

** TTM Academy podcasts are intended for medical education only and should not be used for clinical decision making. **

    Episode 20 - Resuscitation Guideline in the time of COVID-19

    Episode 20 - Resuscitation Guideline in the time of COVID-19

    Dr. Felipe Teran joins Drs. Cindy Hsu and Hans van Schuppen to discuss recent guidance regarding cardiac arrest resuscitation during the COVID-19 pandemic.
    Key publications referenced in this episode:

     Couper K, Taylor-Phillips S, Grove A, et al. COVID-19 in cardiac arrest and infection risk to rescuers: A systematic review. Resuscitation. 2020; 151:59-66. https://pubmed.ncbi.nlm.nih.gov/32325096/


    Edelson DP, Sasson C, Chan PS, et al. Interim Guidance for Basic and Advanced Life Support in Adults, Children, and Neonates With Suspected or Confirmed COVID-19: From the Emergency Cardiovascular Care Committee and Get With the Guidelines-Resuscitation Adult and Pediatric Task Forces of the American Heart Association in Collaboration with the American Academy of Pediatrics, American Association for Respiratory Care, American College of Emergency Physicians, The Society of Critical Care Anesthesiologists, and American Society of Anesthesiologists: Supporting Organizations: American Association of Critical Care Nurses and National EMS Physicians. Circulation. 2020 https://pubmed.ncbi.nlm.nih.gov/32270695/


    Perkins GD, Morley PT, Nolan JP, et al. International Liaison Committee on Resuscitation: COVID-19 consensus on science, treatment recommendations and task force insights. Resuscitation. 2020; 151:145-147. https://pubmed.ncbi.nlm.nih.gov/32371027/


    Perkins GD, Couper K. COVID-19: long-term effects on the community response to cardiac arrest? Lancet Public Health. 2020 https://pubmed.ncbi.nlm.nih.gov/32473112/

    • 37 min
    Episode 19 - OHCA during the COVID-19 pandemic: Implications of COVID-19 for resuscitation care

    Episode 19 - OHCA during the COVID-19 pandemic: Implications of COVID-19 for resuscitation care

    Dr. Felipe Teran discusses the recent studies pertainig to OHCA during the COVID-19 pandemic.
     
    Key publications referenced in this episode:
    Baldi E et al. Out-of-hospital cardiac arrest during the Covid-19 outbreak in Italy. N Engl J Med 2020 Apr 29; [e-pub]. (https://doi.org/10.1056/NEJMc2010418)
    Marijon E, Karam N, Jost D, et al. Out-of-hospital cardiac arrest during the COVID-19 pandemic in Paris, France: a population-based, observational study. Lancet Public Health. 2020
    Sayre MR, Barnard LM, Counts CR, et al. Prevalence of COVID-19 in Out-of-Hospital Cardiac Arrest: Implications for Bystander CPR. Circulation. 2020. DOI: 10.1161/CIRCULATIONAHA.120.048951

    • 21 min
    Episode 18 - Survivorship: The new frontier in post-arrest care

    Episode 18 - Survivorship: The new frontier in post-arrest care

    Dr. Abella discusses a very recent American Heart Association scientific statement on cardiac arrest survivorship, increasingly recognized as an important topic around the globe. While many studies have evaluated survival to hospital discharge, or even survival at 90 or 180 days post-arrest – survival is not enough. Increasing data suggest that even among “good” neurologic survivors (those with Cerebral Performance Category 1 or 2), life-limited challenges remain, including depression, PTSD, cognitive deficits and other challenges to quality of life.
     
    Key readings: 
    Sawyer KN, et al. Sudden Cardiac Arrest Survivorship: A Scientific Statement From the American Heart Association. Circulation 2020 Feb 12 [epub ahead of print]. https://www.ncbi.nlm.nih.gov/pubmed/32078390
     
    Lilja G, et al. Return to Work and Participation in Society After Out-of-Hospital Cardiac Arrest. Circ Cardiovasc Qual Outcomes. 2018 Jan;11(1):e003566. https://www.ncbi.nlm.nih.gov/pubmed/29326145
     
    AHA Podcast on the Survivorship Scientific Statement: https://soundcloud.com/americanheartstroke/podcast-survivorship 

    • 21 min
    Episode 17 - New evidence: physician perspectives on post-arrest neuroprognostication

    Episode 17 - New evidence: physician perspectives on post-arrest neuroprognostication

    Drs. Teran and Abella discuss a hot-off-the-press survey study by Maciel CB et al (Critical Care Medicine, 2020), probing physician perspectives and practice on post-arrest neurologic assessment and prognostication. Do all of us follow the international guidelines for this phase of care? What are points of confusion in current “real world” practice?  Join us to answer these questions and hear about key action items for all of us who manage post-arrest care.
    Key reading:
    Neuroprognostication Practices in Postcardiac Arrest Patients: An International Survey of Critical Care Providers. Maciel CB, Barden MM, Youn TS, Dhakar MB, Greer DM. Crit Care Med. 2020 Feb;48(2):e107-e114. https://www.ncbi.nlm.nih.gov/pubmed/31939809

    • 22 min
    Episode 16 - Gender differences in cardiac arrest and post-arrest care

    Episode 16 - Gender differences in cardiac arrest and post-arrest care

    Drs. Abella and Teran discuss the scientific literature surrounding gender differences in care during and following cardiac arrest. From differences in bystander CPR provision for public cardiac arrests to post-arrest DNR status and cardiac catheterization; listen to hear more.
     
    Key publications for this episode:
    Lindgren E et al. Gender differences in utilization of coronary angiography and angiographic findings after out-of-hospital cardiac arrest: A registry study. Resuscitation. 2019 Oct;143:189-195. https://www.ncbi.nlm.nih.gov/pubmed/31330199
    Perman SM et al. Sex Differences in "Do Not Attempt Resuscitation" Orders After Out-of-Hospital Cardiac Arrest and the Relationship to Critical Hospital Interventions. Clin Ther. 2019 Jun;41(6):1029-1037. https://www.ncbi.nlm.nih.gov/pubmed/31047712
    Jeong JS et al. Gender disparities in percutaneous coronary intervention in out-of-hospital cardiac arrest. Am J Emerg Med. 2019 Apr;37(4):632-638. https://www.ncbi.nlm.nih.gov/pubmed/30563798
    Blewer AL et al. Gender Disparities Among Adult Recipients of Bystander Cardiopulmonary Resuscitation in the Public. Circ Cardiovasc Qual Outcomes. 2018 Aug;11(8):e004710. https://www.ncbi.nlm.nih.gov/pubmed/30354377

    • 19 min
    Episode 15 - ReSS Year in Review: Part 2 of 2

    Episode 15 - ReSS Year in Review: Part 2 of 2

    Drs. Robert Neumar and Cindy Hsu (both at University of Michigan) continue their discussion with Dr. Felipe Teran following the plenary “Year in Review” presentation by Dr. Neumar at the American Heart Association Resuscitation Science Symposium (ReSS) in Philadelphia. If you missed ReSS, this is your chance to hear summaries of the top studies that impacted cardiac arrest and post-arrest care in the past 12 months. Note that this is the second part of a two-part podcast: Check your earlier in this feed for Episode 14 contains the first half of this conversation.
    Key readings for this podcast include:
    Nordberg P et al. Effect of Trans-Nasal Evaporative Intra-arrest Cooling on Functional Neurologic Outcome in Out-of-Hospital Cardiac Arrest: The PRINCESS Randomized Clinical Trial. JAMA2019 May 7;321(17):1677-1685. https://www.ncbi.nlm.nih.gov/pubmed/31063573
    Lascarrou JB et al. Targeted Temperature Management for Cardiac Arrest with Nonshockable Rhythm. N Engl J Med. 2019 Dec 12;381(24):2327-2337. https://www.ncbi.nlm.nih.gov/pubmed/31577396
    Scarpino et al. Neurophysiology and neuroimaging accurately predict poor neurological outcome within 24 hours after cardiac arrest: The ProNeCA prospective multicentre prognostication study. Resuscitation. 2019 Oct;143:115-123. https://www.ncbi.nlm.nih.gov/pubmed/31400398
    Moseby-Knappe M et al. Serum Neurofilament Light Chain for Prognosis of Outcome After Cardiac Arrest. JAMA Neurol. 2019 Jan 1;76(1):64-71. https://www.ncbi.nlm.nih.gov/pubmed/30383090
    Oddo M et al. Quantitative versus standard pupillary light reflex for early prognostication in comatose cardiac arrest patients: an international prospective multicenter double-blinded study. Intensive Care Med. 2018 Dec;44(12):2102-2111. https://www.ncbi.nlm.nih.gov/pubmed/30478620
    Vreselja Z et al. Restoration of brain circulation and cellular functions hours post-mortem. Nature. 2019 Apr;568(7752):336-343. https://www.ncbi.nlm.nih.gov/pubmed/30996318

    • 25 min

Customer Reviews

5.0 out of 5
41 Ratings

41 Ratings

laothamk ,

Wonderful podcasts

Thanks guys for making these podcasts. They’re so informative and clinically relevant. It has already helped me in my own practice. I have been telling my coworkers to listen to them too!

RichG7711 ,

Great Medical Podcast

Great podcast for understanding what happens in the event of cardiac arrest and what medical professionals can (or at least should) do

NEED LAG LESS GAME ,

Great Podcast

Such an educational podcast - both for clinicians and students interested in the subject !!

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