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The Precordial Thump

Walker Foland, MD and Rob Orman, MD
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13:59
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Nurses Edition Commentary

Lisa Chavez, RN and Kathy Garvin, RN
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01:10

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EM:RAP 2017 September Written Summary 760 KB - PDF

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Gregory W. -

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.

Robert A. A., M.D. -

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😄

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