Medical Category: Resuscitation

Effect of Intra-Arrest Transport and eCPR on Neurologic Outcomes in Refractory OHCA

Background Information: Refractory out of hospital cardiac arrest (OHCA) is defined as prolonged cardiac arrest and cardiac arrest without return of spontaneous circulation (ROSC). In addition to an already morbid condition, the chances of these patients surviving drops below 5% …

Read More

REBEL Core Cast 75.0 – Femoral Lines

Take Home Points: Newer data suggests that the infection and DVT rates for femoral lines are similar to that for internal jugular central lines. In a resuscitation situation, there are likely faster ways to obtain access than a femoral line …

Read More
Procedures and SkillsResuscitation

REBEL Cast Ep107: The BOUGIE Trial – Bougie First in All Emergency Intubations?

Background: Emergency endotracheal intubation is a potentially life-saving procedure in the management of critically-ill patients. The inherent risks associated with the procedure challenge us to refine our skills and adopt new techniques that can improve our performance. The bougie is …

Read More
Procedures and SkillsResuscitation

The Modified Valsalva Maneuver: Head Down, Legs Up

Background: Supraventricular tachycardia (SVT) is not an uncommon presentation to the emergency department. A common first-line therapy for hemodynamically stable SVT is the standard Valsalva maneuver (sVm) but it has a low success rate (5-20%). After failed conversion to normal …

Read More

REBEL Cast Ep106: The COCA Trial – Calcium in Cardiac Arrest

Background: The utility of pharmacological interventions for patients with OHCA are rather limited with no robust evidence that they improve outcomes.  Calcium, one of the pharmacological options has both inotropic and vasopressor effects. Additionally, calcium plays an important role in …

Read More