Compression Pauses for Ultrasound During Cardiac Arrest

I have often felt like we stop too often in arrests for a variety of factors. Maybe I am just old school? Maybe I have read way too much about intrathorasic pressure being important in survival outcomes? I feel like since POCUS came on the scene we are often stopping to look at the heart during the arrest. Of course this has value on several levels but it’s a fine line. This article provides a limited study but more than anything we need to be aware of our time off chest.

How long and how often is a rhythm check/cardiac US viable? Should we do them more/less often and pause compressions to confirm cardiac standstill? Does it change the outcomes?

Impact of US Guided Cardiac Arrest Resuscitation on Compression Pauses

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