Archive for category: Resuscitation

Intensive Blood Pressure Control Doesn’t Benefit Patients with Acute Cerebral Hemorrhage (ATACH-2)

04 Aug
August 4, 2016

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketBackground: Hemorrhagic stroke accounts for only 11-22% of all strokes but up to 50% of all stroke mortality. Additionally, there is significant disability associated with the disease in survivors. Much of our attention in the Emergency Department (ED) is guided towards preventing expansion of bleeding and secondary injury after […]

ALPS: Amiodarone, Lidocaine or Placebo Study in OHCA

25 Apr
April 25, 2016

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketBackground: Many Out-of-Hospital Cardiac Arrest (OHCA) are attributable to ventricular fibrillation (VF) or pulseless ventricular tachycardia (VT). Both are said to be treatable presentations of OHCA, due to their responsiveness to defibrillation. VF and VT can persist or recur after defibrillation with an inverse relationship between the duration of […]

Succinylcholine vs Rocuronium for RSI in Traumatic Brain Injury

21 Apr
April 21, 2016

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketBackground: Airway management is a critical part of the management of patients presenting with traumatic brain injury (TBI). Emergency Physicians (EPs) have no ability to change the primary injury once it has occurred and so our focus is on preventing secondary brain injury. Hypoxemia and hypercarbia are major contributors […]

Is Apneic Oxygenation Overhyped with Scott Weingart

04 Apr
April 4, 2016

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketWelcome back to the April 2016 edition of REBELCast. For this episode I was lucky enough to get Scott Weingart on the show to talk to us about all things Apneic Oxygenation (ApOx). ApOx is a concept that has been around for some time in the operating room literature, but only […]

Cardiocerebral Resuscitation: Hands-Only CPR

21 Jan
January 21, 2016

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketOne of the major reasons contributing to dismal survival rates in out-of-hospital cardiac arrest (OHCA) is the lack of bystander initiated cardiopulmonary resuscitation (CPR). Even though the majority of OHCA is witnessed, only 1 in 5 patients will receive bystander initiated CPR [1].  Survey studies have shown that bystanders […]

Classic Journal Review: The OPALS Study

14 Jan
January 14, 2016

Facebook Twitter Google+ Pinterest LinkedIn Reddit Pocket The Ontario Prehospital Advanced Life Support (OPALS) Study Background: Sudden cardiac arrest is common and, obviously, very bad. In the US, there are about 500,000 cardiac arrests each year. About half of these cardiac arrests are OHCA and the survival rate is pretty poor. The most recent survival […]

The Role of TEE in Cardiac Arrest

04 Jan
January 4, 2016

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketBackground: Sudden cardiac arrest has very poor outcomes; less than 11% of patients in cardiac arrest in the Emergency Department survive to discharge from the hospital. The management of cardiac arrest is algorithmic because providers have limited tools at their disposal and limited knowledge of the patient’s past medical […]

November 2015 REBELCast: All Vascular Access Episode

12 Nov
November 12, 2015

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketWelcome to the November 2015 REBELCast, where Swami, Matt, and I are going to tackle a couple of topics in the world of Vascular Access. Peripheral intravenous (PIV) access is one of the most common procedures we perform in the emergency department (ED) and central venous catheter (CVC), although decreasing […]

The SPLIT Trial: Saline vs Plasma-Lyte Fluid Therapy

15 Oct
October 15, 2015

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketThere has been a lot of debate over the recent years about the safety of crystalloid fluid therapy in acutely ill patients. Several observational studies have shown an increased risk of acute kidney injury (AKI)  with the use of normal saline (NS). Other observational studies have shown a decreased […]

Beyond ACLS – POCUS in Cardiac Arrest

20 Aug
August 20, 2015

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketAs we have discussed in previous posts, the care of patients with cardiac arrest is a key skill for Emergency Providers. ACLS provides a foundation for care but is rife with shortcomings including, but not limited to, reliance on outdated data and inability to adapt in the face of […]

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