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Prehospital ECPR in metropolitan Australia

PHARM

Survival from refractory out of hospital cardiac arrest (OHCA) without timely return of spontaneous circulation (ROSC) utilising conventional advanced cardiac life support (ACLS) therapies is dismal. Time from decision to ECMO support was 16 min (11–26 min). CPR duration was 46 min (32–62 min).

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AHA and Red Cross Life Support Certifications Should Both Be Accepted

ACEP Now

For decades, only one major organization—the American Heart Association (AHA)—provided standardized training and certifications in Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS). It also offers a comprehensive “CPR for the Professional Rescuer” course.

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Therapeutics: Pacing Through Skin and Vein

Taming the SRU

In these patients, with a heart rate less than 50 beats per minute, initiate advanced cardiac life support (ACLS) bradycardia algorithm. The efficacy of transcutaneous cardiac pacing in ED.” Bektas, Firat, and Secgin Soyuncu. The American Journal of Emergency Medicine , vol.

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SGEM#238: The Epi Don’t Work for OHCA

The Skeptics' Guide to EM

Case: A 51-year-old man experiences a cardiac arrest on the street. You are the first provider on scene with Emergency Medical Services (EMS) and start high-quality Cardiopulmonary Resuscitation (CPR). A cardiac defibrillator is hooked up and the patient is in ventricular fibrillation. He is unsuccessfully shocked.

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

PulmCCM

Read in Journal of Critical Care ECMO vs CPR for pre-hospital resuscitation after cardiac arrest. Meta-analyses carry inherent risks for amplification of publication bias and have high sensitivity to study selection, and a lower boundary confidence interval of 1.01 makes me long for an adequately powered randomized trial.

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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. Epinephrine is provided and you quickly place an advanced airway.