Archive

Medical Category: Resuscitation

REBEL Cast Ep104: VAM-IHCA – Vasopressin and Methylprednisolone for In-Hospital Cardiac Arrest

Background: Two prior trials compared the addition of vasopressin 20 IU (for each dose of epinephrine) and methylprednisolone 40mg to placebo for in hospital cardiac arrest. The 1st trial was published in 2009 [2] and the second in 2013 [3].  …

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Resuscitation

Are You Pausing Too Long During CPR?

Background: Outside of early defibrillation and high-quality CPR, little has been shown to improve outcomes in out-of-hospital cardiac arrest (OHCA). In theory, rapid identification of the underlying cause of arrest can be beneficial. Many emergency clinicians have adopted Point-of-care ultrasound (POCUS) …

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CardiovascularResuscitation

SCOPE-DKA: Normal Saline vs Plasmalyte in Severe DKA

Background Information:  Diabetic Ketoacidosis (DKA) is a life-threatening complication of diabetes that we frequently encounter in both the emergency department (ED) and intensive care unit (ICU). While intravenous fluid replacement remains one of several cornerstones of therapies, much debate exists …

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Endocrine, Metabolic, Fluid, and ElectrolytesResuscitation

Pre-Charging the Defibrillator Before Rhythm Checks in Cardiac Arrest

Background: High quality CPR and early defibrillation are the cornerstones of improving outcomes in cardiac arrest.  We know that prolonged duration of pauses during chest compressions affect hemodynamics, shock conversion rates and ultimately survival [2].  Therefore, it is paramount to …

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Resuscitation

REBEL Cast Ep101: The TOMAHAWK Trial – Angiography after OHCA without STEMI

Background: The clinical importance of immediate coronary angiography after out of hospital cardiac arrest (OHCA) without STEMI continues to be debated. A systematic review and meta-analysis published in 2016 suggested that this set of patients has a high likelihood of …

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CardiovascularResuscitation

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