Private practice with Dr Seth Bilazarian

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Chest compressions: Radical change to practice?

Nov 9, 2012 14:30 EST


It's supposed to be a foregone conclusion (right?), but one debate at AHA 2012 provided convincing arguments against chest compressions. This could be a major paradigm shift: To compress or not to compress?

See:

Capucci A, Aschieri D, Pelizzonia V et al. Improved survival in out-of-hospital cardiac arrest by not performing CPR: Comparison of two response systems in the same city. Heart Rhythm Society 2012 Special Abstract Session. Available here.








Your comments
Chest compressions: Radical change to practice?
# 1 of 2
December 13, 2012 05:41 (EST)
Diane Campbell
challenging the sacred cow
Wow ! Thank you so much for posting such a thoughtful summary of this talk.Gotta admit it makes a lot of reasoned sense.
Author's disclosure (Dec 13, 2012)
I have no relevant disclosures to make in connection with this topic.
# 2 of 2
December 17, 2012 10:46 (EST)
E. Michael  Avaritt
To CPR or Not To CPR?
WoW! Why do i think of leeches after reading this blog??? We may be on to something here...
Author's disclosure (Dec 17, 2012)
I have no relevant disclosures to make in connection with this topic.

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About Dr Seth Bilazarian
Seth Bilazarian MD has been a Clinical and Interventional Cardiologist at Pentucket Medical Associates in Massachusetts since 1993. He is board certified in Internal Medicine, Cardiovascular Medicine, Nuclear Cardiology, Vascular Ultrasound, Interventional Cardiology, and Vascular and Endovascular Medicine.

Dr Bilazarian performs coronary and peripheral interventions at Lahey Clinic and Massachusetts General Hospital. He has been an investigator in the interventional laboratory for new devices including drug-eluting stents, distal protection devices, imaging devices (OCT and InfraRed), and anticoagulant pharmacotherapy.

Dr Bilazarian is an active participant in clinical trials in congestive heart failure, hypertension, coronary disease prevention, prediabetes management, anemia, atrial fibrillation, and anticoagulation/antiplatelet therapies in the outpatient setting. He has authored numerous papers and book chapters in clinical cardiology. He was appointed as a physician advisor to the circulatory device panel of the FDA in 2008.
About this blog
My intent is to create a forum for dialogue on issues pertinent to private practice cardiology around topics such as:

  • Integration of new data and guidelines on inpatient and outpatient practice in clinical and interventional cardiology
  • Practice approaches to the extra clinical issues in dealing with managed care insurers
  • Strategies for navigating the restrictions of pharmacy benefits managers (PBMs) on pharmacologic therapies for our patients
  • Experiences with restrictions on testing and imaging
The video blog (VLOG) will provide an opportunity to share broadly different approaches to the common conundrums we face in caring for patients. My hope is that this forum will provide useful data points for practice outside of tertiary and academic centers and a look inside community hospitals and physician?s practice patterns in the office, starting with mine.