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Airway POCUS | ECPR vs. ACLS


ECPR vs. ACLS Spoon Feed: Early extracorporeal cardiopulmonary resuscitation (ECPR, aka ECMO) was not superior to standard advanced cardiac life support (ACLS) for 180-day survival with good neurological outcome, but there may be a silver lining.

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SGEM#238: The Epi Don’t Work for OHCA

The Skeptics' Guide to EM

This was a before and after study to see if advanced cardiac life support (ACLS) techniques, including IV epinephrine, would improve survival to discharge. This step is controversial, and we have covered it on the SGEM with the classic OPALS trial by Legend of Emergency Medicine Dr. Ian Stiell ( SGEM#64 ).


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Issue #3: The Latest in Critical Care, 6/5/23


There was no significant difference in survival with a favorable neurologic outcome at 30 days (20% vs 16% nominally favoring the ECMO group, P=0.52) or at 6 months.

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SGEM#350: How Did I Get Epi Alone? Vasopressin and Methylprednisolone for In-Hospital Cardiac Arrests

The Skeptics' Guide to EM

You arrive and see that the Advanced Cardiac Life Support (ACLS) algorithm is being followed for adult cardiac arrest patients with pulseless electrical activity (PEA). Cardiopulmonary resuscitation (CPR) is in progress. The monitor shows a non-shockable rhythm.