Medical Student Rotations
Clinical rotations for medical students provides intensive training on post-arrest physiology and the spectrum of care for the cardiac arrest patients. Investigative interests include: neuroprognostication, optimal duration of and temperature for therapeutic hypothermia, seizure prevention, inflammatory effects of therapeutic hypothermia, and mitochondrial injury during the post-arrest phase.
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Emergency Medicine rotation on the PCAS service are coordinated as an elective month through the EM residency office. Rotatiing residents round on the PCAS service, see new consults (some on-call) and are encouraged to complete some scholarly work related to resuscitation.
There is no formal fellowship training for post-cardiac arrest care. In-person consultation as performed at UPMC-Presbyterian is a model that may only be appropriate for high-volume referral centers. Nevertheless, our vision is that every hospital should have one or more champions for cardiac arrest care. That champion or his team will provide education, QI, protocol development and integration of clinical services. That champion should work with EMS and the community to enhance survival and prevention of sudden death. Because so many specialists are central to the care of post-cardiac arrest patients, a champion might be a cardiologist, an intensivist, an emergency physician, a hospitalist or some other specialist. We are happy to work with interested practitioners to share the specialized knowledge in this field.
For the past few years, emergency medicine research fellows, particularly those with research interests that include resuscitation, work on the PCAS service. This experience has provided access to a variety of special patient populations.