Tagged ‘Resuscitation’

Core

Hypothermia

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An article on the many nuances to care of the critically ill hypothermic patient.
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Journal Review

Delayed Fluid Resuscitation for Hypotensive Patients with Penetrating Torso Injuries

Filed Under: Tags: , , February 6th, 2019 Leave a Comment

Prior to this study, the preoperative approach to hypotensive patients with trauma included prompt intravenous infusion of isotonic fluids – the rationale being to sustain tissue perfusion and vital organ function while diagnostic and therapeutic procedures were underway.
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Core

Capnography

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A brief article on capnography and its applications in the ED.
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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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