Archive

Medical Category: Resuscitation

Critical Care Fundamentals: The Basics of Shock

Shock is one of the most important problems with which physicians will contend with.  The magnitude of the problem is illustrated by the high mortality associated with shock.  Assessment of perfusion is independent of arterial pressure, in that hypotension does ...

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CardiovascularResuscitation

REBEL Core Cast 12.0 – Tracheostomy Emergencies

Take Home Points on Tracheostomy Emergencies Track is mature in 7 days – don’t blindly replace before then because concern for false track creation All bleeding needs to be taken seriously and should be evaluated by surgery If not ventilating ...

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ResuscitationThoracic and Respiratory

DISCO Pilot Feasibility Study: Direct or Subacute Coronary Angiography in OHCA

Background: The clinical importance of immediate coronary angiography, with subsequent percutaneous coronary intervention (PCI) in OHCA patients without STEMI is a matter of debate.  We have already covered the COACT trial on REBEL EM, but this is a second study, the pilot ...

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CardiovascularResuscitation

REBEL Cast Episode 66: The COACT Trial – Coronary Angiography After Cardiac Arrest without STEMI

Background: Post-ROSC care is a multifaceted endeavor that includes targeted temperature management (TTM), vital-organ support, and treatment of the underlying cause of arrest. One of the most common causes of cardiac arrest is acute coronary syndrome.  Current European and American guidelines ...

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CardiovascularResuscitation

REBEL Cast Episode 65: Optimal Order of Drug Administration in Rapid Sequence Intubation

Background Information: The sequential administration of a sedative and neuromuscular blocking agent (NMBA) to facilitate the passage of an endotracheal tube is a common method of intubating in both the emergency department (ED) and intensive care unit (ICU). In fact, 85% ...

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Procedures and SkillsResuscitationThoracic and Respiratory
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