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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

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


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.