Archive

Medical Category: Resuscitation

In-Hospital Cardiac Arrest: The First 15 Minutes

Background: Over the past few years there has been a shift in cardiac arrest from the mantra of ABC (Airway, Breathing, Circulation) to CAB (Circulation, Airway, Breathing).  There has been increased emphasis on circulation and a de-emphasis of airway management …

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Resuscitation

Post Intubation Hypotension: The AH SHITE mnemonic

You have just secured the endotracheal tube following an uneventful intubation of a moderately ill  patient in your emergency department. They had a normal pre-intubation blood pressure.  As you are calling the admit in to the ICU the patient’s nurse tells you …

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Resuscitation

Episode 36 – Resuscitate Before You Endoscopate?

Background: Upper gastrointestinal hemorrhage (UGIH) is a commonly seen complaint in the ED.  Currently, endoscopy is the standard therapy shown to not only help with diagnosis, but also risk stratify patients and potentially offer effective hemostatic treatment of acute nonvariceal …

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Abdominal and GastroinstestinalResuscitation

Is the Future of Non-Invasive Hemodynamic Monitoring Here and Ready for Primetime?

Background: Many physicians struggle with monitoring accurate continuous blood pressures, cardiac output, and response to fluids in patient resuscitation. Also, due to the invasive nature of most methods presently available (i.e. arterial lines, etc) few patients get this monitoring. Ultrasound …

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Resuscitation

Episode 34 – The Death of Mechanical CPR (mCPR)?

Background: The two most important things that we can do in cardiac arrest to improve survival and neurologically intact outcomes is high quality CPR, with limited interruptions and early defibrillation. In the case of the former, the 2015 AHA/ACC CPR updates …

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Resuscitation

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