Zach Shinar at The Big Sick 2019. Full talk w video and notes at https://scanfoam.org/

1. Dear Mavens of
Resuscitation
Zack Shinar
Vice Chair of Emergency Medicine
Sharp Memorial Hospital
San Diego, CA
@ZackShinar

3. Dear Mavens of
Resuscitation
Zack Shinar
Vice Chair of Emergency Medicine
Sharp Memorial Hospital
San Diego, CA
@ZackShinar

4. Technologic
Advancement

6. 4.6 mm
22 nm

7. 22 nm
4,600,000 nm

8. Our Obligation as
Mavens

11. Task #1:
Do the Basics Well

15. Report Card
• Undiagnosed Pneumothorax
• Undiagnosed Hyperkalemia
• Misplaced Defib Pad
• Delay to First Shock

17. Nurse Code Team
Leader

18. Doc Code Team
Leader

19. Task #2
Understand the Limitations of the
Technology

20. Bad New Technology

21. Mechanical CPR

24. Task #3
Educate Your Surroundings

26. 0
10
20
30
40
50
60
70
Average Duration of CPR
35% Survival
59 Minutes of
CPR

28. Task #4:
Dream Big

29. Pre-Hospital
Cath Lab
ER

30. Japan’s Hybrid Emergency Room

31. Take the Cath Lab to the People

32. Worldwide Burden of
Cardiac Arrest

33. It’s all about Asystole

35. 17%19%

36. My Birthday Present

37. Intra-Arrest Neuroprognostication

38. The Transistor

39. Sweden

41. Mavens Conclusions
• Do the Basics Well
• Understand the Limits of the Technology
• Educate Your Surrroundings
• Dream Big
@ZackShinar