Archive

Medical Category: Resuscitation

SCOPE-DKA: Normal Saline vs Plasmalyte in Severe DKA

Background Information:  Diabetic Ketoacidosis (DKA) is a life-threatening complication of diabetes that we frequently encounter in both the emergency department (ED) and intensive care unit (ICU). While intravenous fluid replacement remains one of several cornerstones of therapies, much debate exists …

Read More
Endocrine, Metabolic, Fluid, and ElectrolytesResuscitation

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 …

Read More
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 …

Read More
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 …

Read More
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 …

Read More
ResuscitationThoracic and Respiratory

Sponsored