Aditya C. Shekhar

Lower socioeconomic status is associated with lower rates of survival after out-of-hospital cardiac arrest (OHCA). Across 744,164 OHCA cases, we report lower rates of witnessed arrests in ZIP Codes where >10% below poverty line. Out now: sciencedirect.com/science/articl…

We’re proud to congratulate @dj_deets on receiving the @american_heart Early Career Investigator Award in Resuscitation Science, honoring his impactful research advancing the science of cardiac resuscitation. #AHA25 #CardioX #CardioTwitter

We reviewed every NTSB accident report with ≥1 serious injury where turbulence was cited as a contributing factor between 2008-2023. Out now in @@SESC_AmSurg: doi.org/10.1177/000313…

Happy Halloween!

@laertezz @MMRCbeat @TamingtheSRU @UMichiganEM Welcome to Minnesota! Let me know if you need local recs!

Thrilled to be joining the @UMNAnesthesia and @MMRCbeat teams! Excited to learn, collaborate, and advance care together. #CriticalCare #ResuscitationScience #UMN @TamingtheSRU @UMichiganEM

We compared out-of-hospital cardiac arrest at US airports versus other public (non-residential settings) and found significant differences between locations. @joshkimbre @JacobStebel Out now in JAMA Network Open: jamanetwork.com/journals/jaman…

Across 1000+ patients with acute stroke at an urban comprehensive stroke center, prehospital notification (calling and activating a stroke code from the field) led to faster CTs and interventions. @joshkimbre @JacobStebel @brianmacgrory @JMedic2JDoc tandfonline.com/eprint/Y7YFK5G…

@joshkimbre Next step: now that we have a trial showing MIH visits do not significantly increase risk of readmissions, let's see how the patients felt? Wonder if patients prefer the convenience of in-home visits.

When randomized to in-home paramedic visits in a MIH program or transition of care coordinator phone call, is MIH superior at reducing 30d readmissions and improving health status? No, OR 0.97 (95% CI: 0.80-1.16) and 1.83 (95% CI -0.75-4.4).

We looked at four Friday the 13th's between 2022 and 2024 and found they were not associated with an increase in EMS calls or cardiac arrests – myth busted! authors.elsevier.com/a/1kk3%7E2dHVQ… @joshkimbre @JacobStebel @_AlexZhou @JacobDesman @eeabbs

We enjoyed your paper on infant cardiac arrest — please come to our fish farming conference…

We examined 1,136 prehospital cricothyrotomies in the United States and found the following: 1) 72.4% in male and 66.2% in ≤60 yrs 2) 47.2% during cardiac arrest 3) no disparities in success rates Out now in Chest: sciencedirect.com/science/articl… @joshkimbre @eeabbs @JacobStebel

@mdonnino @critconcepts Assuming echo isn’t available, is there harm in shocking the first asystole after prolonged VT/VF?

many moons ago, this was a debate in the acls guidelines & whoever reviewed at the time came out with warning against shocking asystole if my understanding is correct. I think the original assessment was based on observational data. In the era of ECHO/ultrasound, can now see cases of apparent asystole that are actually v-fib even if rare so would seem to make sense to reconsider that concept - I am curious if there has been anything published on rate of unrecognized vfib in asystole when using ECHO? I think that would be the data necessary to push the concept forward for guidelines. And, agree, I do not see much downside of a shock - I have heard the counterargument "takes away from other things" though there is not a lot to do in refractory "apparent" asystole.

A hypothetical stance on cardiac arrest: Some apparent asystole is actually fine V-fib. There is therefore potential benefit, and no real harm, to routinely, empirically shocking asystole, just in case. Argue for/against? #medtwitter

We looked at 6 years worth of ambulance transports from D1 college football games at UMN (go gophers!) — here’s what we found. Avg of 0.8 BLS and 0.3 ALS transports per game. Median age 22 yrs, alcohol involved in ~50%, and 32% with GCS<15. @CoffeeandData @rball490 cambridge.org/core/journals/…

We examined 844,021 out-of-hospital cardiac arrests. Here’s what wasn’t documented. @Resus_Plus @joshkimbre @TheSanjayPujar @eeabbs sciencedirect.com/science/articl…

159 seconds. That's the average time savings attributable to lights and siren use by ambulance. @CoffeeandData and I conducted a scoping review of 9 studies that directly compared drive time with lights/siren vs. no lights/siren across the same route. emerald.com/insight/conten…

In @Resus_Plus, we compared OHCA cases responded to by ground ambulance with cases responded to by HEMS in the US. OHCA treated by HEMS: more likely to be male, White, <60 yrs & <18 yrs, traumatic etiology, witnessed, and initially-shockable. @AMPAdocs @UChicagoEM sciencedirect.com/science/articl…