Archive for category: Resuscitation

Post Intubation Sedation for Pregnant Patients

10 Aug
August 10, 2015

Facebook Twitter Google+ Pinterest LinkedIn Reddit Pocket You have just intubated a seizing eclamptic woman who is 34 weeks pregnant. As she is being prepped for transfer to the OB unit for an emergent C-section your nurse asks you what medications you would like for post intubation analgesia and sedation. You have limited recollection of […]

Beyond ACLS: CPR, Defibrillation, and Epinephrine

23 Jul
July 23, 2015

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketAdvanced Cardiac Life Support (ACLS) provides a well structured framework for those who resuscitate infrequently. There is room to move beyond the algorithm to potentially provide better care for our patients for those who resuscitate frequently. I will describe some tweaks to the way CPR, defibrillation, and medications are […]

September REBELCast

02 Sep
September 2, 2014

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketWelcome to the September REBELCast 2014, where Matt, Swami, and I are going to tackle a couple more scenarios to help your clinical practice.  Today, we are going to specifically tackle two different topics: Topic #1: The use of Non-Invasive Positive Pressure Ventilation (NIPPV) in the Pre-Hospital Treatment of […]

Preoxygenation and Apneic Oxygenation

24 Mar
March 24, 2014

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketPreoxygenation and apneic oxygenation are key in emergency airway management, prevention of desaturation, and very important to patient safety.  One of the best papers I have ever read on this was written by Scott D. Weingart (@emcrit) and Richard M. Levitan (@airwaycam) in the Annals of Emergency Medicine in […]

Social Media And Critical Care (SMACC)

21 Mar
March 21, 2014

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketThis year I was fortunate enough to attend the Social Media And Critical Care (SMACC) conference from Mar 19th – 21st, 2014 at the Gold Coast Australia, also known as SMACCGOLD.  SMACC is a modern, academic meeting, mixed with on-line technologies to deliver innovation in education in the fields […]

Three Predictors of Success in Cardiac Arrest

25 Jan
January 25, 2014

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketThe goal of resuscitation in cardiac arrest is to respond in a timely, effective manner that leads to good patient outcomes.  Resuscitation is not taking an ACLS and BLS course and going through the motions of a code. There have been several studies looking at the quality of intubation […]

CPR: Hands-on or Hands-off Defibrillation

01 Nov
November 1, 2013

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketPauses in chest compressions are known to be detrimental to survival in cardiac arrest, so much so that the 2010 American Heart Association (AHA) emphasize high-quality compressions while minimizing interruptions. There have been some studies that now advocate for continuous chest compressions during a defibrillation shock. There have been […]

Is ATLS wrong about palpable blood pressure estimates?

01 Nov
November 1, 2013

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketIn Advanced Trauma Life Support (ATLS), we learned that a carotid, femoral, and radial pulse correlates to a certain systolic blood pressure (SBP) in hypotensive trauma patients.  Specifically ATLS stated:  Carotid pulse only = SBP 60 – 70 mmHg  Carotid & Femoral pulse only = SBP 70 – 80 […]

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