Tagged ‘Resuscitation’

Journal Review

Esmolol in Refractory Ventricular Fibrillation

Filed Under: Tags: , , July 26th, 2018 Leave a Comment

Refractory ventricular fibrillation (VF) is very difficult to manage. Up until recently, emergency providers were limited to defibrillation and delivery of high quality CPR as well as amiodarone administration. However,
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Journal Review

NaHCO3 in Cardiac Arrest

Filed Under: Tags: , , June 28th, 2018 Leave a Comment

As with all medications in cardiac arrest (i.e. epinephrine, amiodarone) the benefits of sodium bicarbonate administration have been discussed and debated for decades. While it is clear that sodium bicarbonate can play a role in resuscitation of arrest due to hyperkalemia,
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Journal Review

Balanced Solutions vs 0.9% Saline in Critical Care (SMART)

Filed Under: Tags: , , , , , May 24th, 2018 Leave a Comment

Although 0.9% sodium chloride (“normal” saline) is traditionally the most commonly used intravenous fluid, it is unclear if “normal” saline is the best fluid. Data from prior studies suggests 0.9% saline use may result in hyperchloremic acidosis.
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Journal Review

ADRENAL – Corticosteroids in Septic Shock

Filed Under: Tags: , , , May 3rd, 2018 Leave a Comment

During physiological stress, hypotension, or severe infection, the hypothalamic-pituitary-adrenal (HPA) axis is activated. The hypothalamus secretes corticotrophin-releasing hormone (CRH) stimulating the release of adrenocorticotrophin hormone (ACTH) from the anterior pituitary.
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Core

Petition to Retire the Surviving Sepsis Campaign Guidelines

Filed Under: Tags: , , , , One Comment

This post is a multi-physician, multi-specialty petition detailing significant concerns with the surviving sepsis campaign guidelines.
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Core

Topics in Post-ROSC Care

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This post explores controversial topics in post-ROSC care including the use of NCHCT, hemodynamic goals and cardiac catheterization
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Journal Review

IO vs. IV in Out-of-Hospital Cardiac Arrest (OHCA)

Filed Under: Tags: , , , March 22nd, 2018 Leave a Comment

This Journal Review is cross-posted on REBEL EM.

Placement of vascular access for administration of resuscitation drugs and fluids is a common procedure in the management of out of hospital cardiac arrest (OHCA).
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Journal Review

Apneic Oxygenation in the ICU

Filed Under: Tags: , , , March 15th, 2018 Leave a Comment

Hypoxemia is the most common complication of endotracheal intubation in the critically ill and the strongest risk factor for periprocedural cardiac arrest and death. The traditional approach to avoiding desaturation during intubation is preoxygenation.
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