Archive for category: Critical Care

Diabetic Ketoacidosis (DKA) Myths

02 Nov
November 2, 2015

Recently, I was asked to give a lecture to both my residents and nurses at the University of Texas Health Science Center at San Antonio (UTHSCSA) on some common DKA myths. Now this topic was originally covered by my good friend Anand Swaminathan on multiple platforms and I did ask his permission to create this blogpost with the […]

Why You Should More Than Consider a Vasopressin, Steroid, and Epinephrine (VSE) Cocktail

29 Oct
October 29, 2015

The newly published 2015 AHA guidelines recommend that: “In IHCA, the combination of Vasopressin, Epinephrine, and Methylprednisolone and post-arrest Hydrocortisone as described by Mentzelopoulos et al. maybe considered; however, further studies are needed before recommending the routine use of this strategy (Class IIb, LOE C-LD)” Mentzelopoulos et al. [2][3] have published two separate randomized, double-blind, placebo-controlled […]

CPR in Out of Hospital Cardiac Arrest: Man vs Machine

26 Oct
October 26, 2015

Background: In cardiac arrest, high quality, uninterrupted CPR is essential to help improve survival rates. In theory, mechanical CPR should provide CPR at a standard depth and rate for prolonged periods without a decline in quality, which should help improve survival and survival with good neurologic outcomes. There are many types of mechanical chest compression […]

REBEL Cast Wee: Our Top 5 AHA 2015 Guideline Updates for CPR and ECC

22 Oct
October 22, 2015

In case you have not heard or not read it on the twittersphere, the American Heart Association just released their 2015 Guidelines Update for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care (ECC) in Circulation. I am joined by Mr. Security, Matt Astin for this episode and we both read through this massive 15 part document and […]

The HEAT Trial – Acetaminophen in ICU Patients with Fever

19 Oct
October 19, 2015

Background: Acetaminophen (paracetamol) is commonly used to lower the temperature of patients with fever suspected to be causeed by an infection in both homes across the world and the hospital. There are, however, opposing theories to the utility of decreasing fever in these situations. One side argues that fever places “additional physiological stress on patients,” […]

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