Medical Category: Resuscitation

Background: High quality CPR and early defibrillation are the cornerstones of improving outcomes in cardiac arrest.  We know that prolonged duration of pauses during chest compressions affect hemodynamics, shock conversion rates and ultimately survival [2].  Therefore, it is paramount to …

Background: The clinical importance of immediate coronary angiography after out of hospital cardiac arrest (OHCA) without STEMI continues to be debated. A systematic review and meta-analysis published in 2016 suggested that this set of patients has a high likelihood of …

Background Information: The management of patients in cardiogenic shock is often multifactorial, consisting of mechanical circulatory support, vasopressors and inotropes. While the latter two are the foundation of therapy, the literature is scarce on whether milrinone or dobutamine will be more …

Background: Awake prone positioning was an intervention adopted early in the COVID-19 pandemic for patients with hypoxemic respiratory failure.  Unfortunately, many early trials were not powered to show improvements in oxygenation, escalation of respiratory support, or mortality. The one meta-analysis …

Ketamine has been the recent go to for the hemodynamically compromised intubation. In this 18-minute presentation from Rebellion in EM 2021, Rob J. Bryant, MD reviews several studies of Ketamine vs Etomidate to clarify the current rationale for or against …