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Medical Category: Resuscitation

Pre-Charging the Defibrillator Before Rhythm Checks in Cardiac Arrest

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 …

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Resuscitation

REBEL Cast Ep101: The TOMAHAWK Trial – Angiography after OHCA without STEMI

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 …

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CardiovascularResuscitation

DoReMi Trial: Milrinone vs Dobutamine for Treatment of Cardiogenic Shock

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 …

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CardiovascularResuscitation

Awake Proning for COVID-19 Acute Hypoxemic Respiratory Failure

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 …

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ResuscitationThoracic and Respiratory

Rebellion21: Ketamine vs Etomidate for RSI via Rob J. Bryant, MD

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 …

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ResuscitationThoracic and Respiratory

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