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While pre-cordial thump is on my bucket list of things to do in my career, I'm not sure I'm convinced that this is all that effective. While certainly it's tempting to say that there is a cause-effect relationship ("patient in asystole" *thump* "patient is awake"), if it was truly only a few seconds, I don't immediately think that it was the thump, I would attribute the patient's ROSC to resolution of his sinus pause.
If a precordial thump works in asystole be deliverying 4-8 joules, why don't we shock asystole?
(Something doesn't add up.)
Thank you for any thoughts😄
What you do matters.