Category Archives: cardiac arrest

EMCrit Wee: Are extraglottic airways harmful in cardiac arrest?

By Benjamin Schnapp, MD http://emcrit.org/wee/extraglottic-airways-harmful-cardiac-arrest/ King Tube, Combitube, LMA were tested in a swine model of cardiac arrest. A large drop in carotid blood flow was seen with insertion of all devices. Thought is that airways may be compressing the … Continue reading

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EMCrit Podcast 74: Who the Heck to Cool after Cardiac Arrest with Ben Abella

By Tatiana Havyrliuk, MD http://emcrit.org/podcasts/who-to-cool-after-arrest/ -       Difficult decision -> need strict hospital-wide guidelines -       should cool all VT/Vfib arrests -       other rhythms – not much evidence, still cause reperfusion injury, so why not cool? -       Rhythm doesn’t really matter, it’s … Continue reading

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ERCAST – Cardiac Arrest

By Christie Lech, MD http://blog.ercast.org/2012/03/cardiac-arrest/ End tidal CO2: The best monitor you can have on a patient during cardiac arrest It is a monitor of 1) ventilation and 2) cardiac output, as a patient gets sicker, ETCO2 becomes more representative … Continue reading

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EMRAP: Post Cardiac Arrest Syndrome- Amal Mattu

By Michael Guthrie MD EMRAP  April 2012 Cardiology Corner-Post Cardiac Arrest Syndrome What to do when you get that arrest patient back?? That is after the high fiving ends..Amal and Mel share their thoughts. Contributors: Amal Mattu, MD Mel Herbert, … Continue reading

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Amal Mattu’s 2011 Cardiology Literature Update

By Vincent Roddy, MD Cardiac Arrest: -        “ABC” changed to -> “CAB” in cardiac arrest; Compressions, ie -> circulation most important in resuscitation of cardiac arrest patient -        PPV bad for patients à increased intra-thoracic pressure -> decreases venous return … Continue reading

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SMARTEM: Cardiac arrest – Pharmacotherapy Part 2

By Will Fleischman, MD & Kei Ko, MD SMART Cardiac Arrest: Pharmacotherapy Part 2: Pharmacotherapy Hallelujuah!: AHA 2010 guidelines admit that there is no evidence of benefit from drugs Stiell study: phased in ACLS bundles including advanced airway management, epinephrine, atropine, … Continue reading

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SMARTEM: Cardiac arrest – Pharmacotherapy Part 1

By Will Fleischman, MD & Kei Ko, MD SMART Cardiac Arrest: Pharmacotherapy Part 1: A Modern History of Cardiac Arrest Treatment With the advent of electricity in the early 20 th century, and the problematic electrocution of line workers, ConEd partners … Continue reading

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Traumatic Arrest

Post by Dena Asaad Reiter, MD EMCRIT #36 Traumatic cardiac arrest is a completely different entity from non-traumatic arrest and should thus be approached very differently. Closed chest compressions and ACLS medications have no role in traumatic arrest, as the … Continue reading

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Wide Complex Tachycardia

By Dena Asaad-Reiter In the June 2011 EMRAP wide-complex tachycardia is discussed and answers 3 questions: Question #1: Your colleague gave adenosine to a stable patient with a wide complex tachycardia, and the post conversion EKG demonstrated a bundle branch … Continue reading

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Afib Unleashed

Head on over to ERCAST.org and search for Afib Unleashed. What is the optimal pad placement? – Optimal pad placement for cardioversion depends on the rhythm you are converting – For cardioversion of Afib, optimal placement will direct the energy to … Continue reading

Posted in 1Advanced, 1Intermediate, cardiac arrest, Chest pain, Critical Care, ERCAST, Procedures, Resuscitation | Leave a comment