Archive

Medical Category: Resuscitation

Can We Agree on Cardiac Standstill?

Background: Point of Care Ultrasound (POCUS) has gained wider use in resuscitation of patients presenting with cardiac arrest. POCUS can play an important role in determining the etiology of arrest as well as being used to determine the presence or ...

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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 , 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
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