Category Archives: Resuscitation

Severe Accidental Hypothermia

By Taylor Moran-Gates, MD Please refer to EMCrit 1. >32c: -Treatment is simple: Passive rewarming, warm blankets. -Evaluate other causes: hypoglycemia, etoh, myxedema, Addison’s, sepsis. -Labs: cbc, chemistry, tfts, cortisol, cultures. -Bradycardia: sinus bradycardia is expected, and does not require … Continue reading

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Erasing Death

By Sabrina Schmitz, MD “Erasing Death” Explores the Science of Resuscitation (NPR—Feb 20, 2013) SUMMARY:   This is an NPR interview of Dr. Sam Parnia, Director of Resuscitation Medicine at Stony Brook, in which he discusses ideas presented in his … Continue reading

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Post Cardiac Arrest Syndrome: a review of therapeutic strategies

Stub D, Bernard S, Duffy SJ, Kaye DM. Circulation. 2011 Apr 5; 123(13):1428-35   By Felipe Teran, MD   Article capsule The significant morbidity and mortality associated with patients who survive to an Out-of-Hospital Cardiac Arrest (OHCA) has driven the … Continue reading

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Crash-2

By Nelson Wong, MD Effects of tranexamic acid on death, vascular occlusive events, and blood transfusion in trauma patients with significant haemorrhage (CRASH-2): a randomized, placebo-controlled trial Lancet 2010;376:23-32 Background Trauma is a major cause of death worldwide.  Lethal triad … Continue reading

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Lessons from the STOP Sepsis Collaborative

By Avital Porat, MD Please refer to EMCrit Take home lessons after ~ 10,000 patients enrolled in STOP Sepsis Collaborative   Recognition/Screening- Let nurse’s handle this. They are doing a good job. Modified version of SIRS criteria screened at triage … Continue reading

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Mind of a Resuscitationist: STOP POINTS!

By Amy Sanghvi, MD Please refer to EMCRIT Your patient is in shock with a low MAP and on 2 pressors, or you about to start a second pressor agent, have second pressor STOP POINTS: Think for a second! Septic … Continue reading

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ICU Rounds – Lactic Acidosis Type B

By Raashee Kedia MD Lactic Acidosis  Part 2– Jeffery S. Guy http://itunes.apple.com/us/podcast/icu-rounds/id254707344 Type B lactic acidosis = elevation of LA not due to poor oxygen delivery. 3 types: – B1 – due to underlying disease – B2 – due to … Continue reading

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ICU Rounds: Lactic Acidosis Type A

By Raashee Kedia MD Lactic Acidosis – Jeffery S. Guy http://itunes.apple.com/us/podcast/icu-rounds/id254707344 What is lactate a real measure of? Tool to measure oxygen kinetics or oxygen delivery. Shock is when oxygen demand exceeds oxygen delivery. Glucose goes through glycolysis to become … Continue reading

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EMCRIT 53 – Needle Vs Cric

by Christie Lech MD EMCRIT 53 Minh Le Cong – Why needle cric is superior to surgical techniques: First, identify there is a problem – a cannot oxygenate/cannot intubate situation.  Then, proceed to the neck. Get a 14 gauge cannula and … Continue reading

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EMCRIT 67 – Tranexamic Acid (TXA)

By Tatiana Havryliuk MD TXA: inhibits the breakdown of clot It is an anti-fibrinolytic Possibly anti-inflammatory too. Crash 2 trial (Lancet 2010) – >20,000 subjects all over the world – primary outcome: survival – absolute mortality reduction of 1.5% in … Continue reading

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