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Airway POCUS | ECPR vs. ACLS

JournalFeed

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

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. published in Resuscitation 2011.

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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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ToxCard: Local Anesthetic Systemic Toxicity

EMDocs

1] CV manifestations include: Bradycardia, tachycardia, ventricular dysrhythmias, cardiac arrest. [1-5] 1-3,5,7,9] All patients developing symptoms of LAST should be placed on a continuous cardiac monitor and have an ECG performed. [2] For patients who in cardiac arrest standard Advanced Cardiac Life Support (ACLS) should be initiated.

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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.

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POCUS findings of hemodynamically unstable PE with cardiac arrest

EMDocs

Advanced cardiac life support (ACLS) had been initiated and on arrival at the ED, the patient was found to have Pulseless Electrical Activity (PEA). These imaging windows require only the basic POCUS skill and can be rapidly implemented in the evaluation of cardiac arrest patients. 2022 Aug 27;14(8):e28481.