Brian Villa

This month’s EAST Monthly Literature Review on Emergency General Surgery is brought to you by Sumeet V. Jain, MD, MBA and Justin Hatchimonji, MD, Brian Villa and Andrew Manhan, DO. Thank you to our sponsor @HaemoneticsCorp! Read the #EASTLitReview here and share your feedback: bit.ly/3K2rg0y

A team of great minds here at @USFHealthMed @USFResearch is looking into exactly this! If only there was a way to quickly look through the chest to see where the mid left ventricle is…….. We think we have an idea 💡🧐 Thanks to @FTeranMD for highlighting how we do CPR

CPR saves lives. We all know the tenants to high quality CPR yet its 2025 and 50% of the CPR is done in the wrong location ☠️ Quality CPR per AHA: 1) Push at 100-120bpm 2) Do CPR on the sternum 3) Push deep 4) Allow for complete recoil. It turns out, that in real life hearts sit in variable positions in the chest (some more central, some lower, some more axillary). This means that 50% of the time CPR is done too high (based on TEE literature) which compresses the LVOT or Aorta and NOT the ventricles. CPR done of the LVOT / Aorta have lower rates of ROSC, lower ETCO2, lower diastolic blood pressure! The @ResusTEEproject registry led by @FTeranMD is studying whether wrong CPR location results in worse neurologically in tact survival... The gap to solving this? There isn't an easy solution without using #resusTEE to position CPR over the right location. Retweet this so a young medical innovator finds this and wants to create a device that uses AI/ML to create a safe and simple probe (or device) that can be used to improve CPR position. Improving CPR quality by 50% could save tens of thousands of lives per year!!

Me watching all the #Match2025 posts