Archive

Medical Category: Resuscitation

Turn it (All the Way) Up: Flush Rate O2 for Pre-Oxygenation

Background: There has been a lot of buzz recently about the importance of pre-oxygenation in emergency airway management.  The recent publication of the ENDAO trial [2], a randomized clinical trial of ApOx vs no ApOx also emphasized this point.  In …

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Resuscitation

ATHOS-3: A New Vasopressor For Treatment of Vasodilatory Shock?

Background: As I walk to the bedside to re-examine my patient with refractory hypotension, I start thinking what else can I do? My patient came into the hospital with septic shock secondary community acquired pneumonia requiring me to intubate her due …

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Resuscitation

The ENDAO Trial: Is Apneic Oxygenation a Futile Intervention in ED RSI?

Background: One of the most feared complications associated with rapid sequence intubation (RSI) is hypoxemia ultimately leading to cardiac arrest.  The FELLOW Trial, a recent randomized controlled trial demonstrated no difference in hypoxemia rates between patients that received apneic oxygenation …

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Resuscitation

The Utility of Amiodarone in Cardiac Arrest – Systematic Review and Meta-Analysis

Background: In 2016 the annual incidence of out-of-hospital cardiac arrest (OHCA) in the United States was roughly 360,000 and 209,000 for in-hospital cardiac arrest (IHCA) (Mozaffarian 2016). Though survival rates are relatively dismal, arrests in the setting of shock amenable …

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Resuscitation

Impact of POCUS During Cardiac Arrest Resuscitation on Compression Pauses

The provision of high-quality compressions with minimal interruptions is central to the management of cardiac arrest. Along with defibrillation, high-quality compressions are the only interventions proven to improve patient-oriented outcomes. Recently, point-of-care ultrasound (POCUS) has gained greater use in cardiac …

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Resuscitation

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