Background: In the United States 424,000 out of hospital cardiac arrests occur per year with a 10.4% overall survival rate.1 Refractory Ventricular Fibrillation (RVF) is a complication of cardiac arrest and has varying definitions in the literature but is commonly defined as ventricular fibrillation that does not respond to, or resists, three or more defibrillation attempts.2,3Although […]
Archive for category: Resuscitation
Background: POCUS has become a powerful tool in the evaluation of critically ill patients in the ED. However, in patients with cardiac arrest, the use of POCUS has been shown to significantly increase the duration of pauses. This is concerning as high quality CPR with minimal interruptions is one of the keys to maximizing ROSC and […]
Background:There is a lack of high quality RCTs investigating optimal airway management in patients with out-of-hospital cardiac arrest (OHCA). The majority of evidence comes from observational studies and expert opinion. The observational trials have consistently favored basic airway management (i.e. BVM) over tracheal intubation . Supraglottic airway(SGA) devices offer an alternative advanced airway management technique to endotracheal […]
This past week, one hundred clinicians went back to work inspired. They were reinvigorated, motivated and full of knowledge. They were the delegates, faculty and volunteers of #resusTO. This inaugural event (hopefully) laid the groundwork for many more to come as it was a success by any measure. ResusTO, the brain child of human factors […]
REBEL Cast Ep58 – Would you be SHoC-ED if POCUS did not Improve Clinical Outcomes in Patients with Undifferentiated Shock?
Background: POCUS has been touted as the stethoscope 2.0, a true game changer in patient care. There is no patient population that this statement should hold more true for, than in patients with undifferentiated shock (SBP <100mmHg or SI > 1). Everyone has a story about how ultrasound changed their management or even saved a patient’s life. Unfortunately, […]