Remove 2010 Remove CPR Remove Shock
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SGEM#394: Say Bye Bye Bicarb for Pediatric In-Hospital Cardiac Arrest

The Skeptics' Guide to EM

He is found to be in hypoxic respiratory failure and septic shock. Your team begins high quality cardiopulmonary resuscitation (CPR). Apart from high-quality CPR and early defibrillation, many other interventions we try lack a strong evidence base. Parents note that he has been progressively more tired and difficult to arouse.

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REBEL Cast Ep123: Reduced-Dose Systemic Peripheral Alteplase in Massive PE?

RebelEM

CHEST 2010. in the paper but 2.7% to ≈0.99 (p<0.001) Mean MPI/Tei Index≈ 0.47 Efficacy and Safety of Low Dose Recombinant Tissue-Type Plasminogen Activator for the Treatment of Acute Pulmonary Thromboemolism: A Randomized, Multicenter Controlled Trial. PMID: 19741062 Kucher N et al. Circ 2014.

Stroke 136
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Single ventricle defects and the hunt for the best shunt

Don't Forget the Bubbles

But, they may present postnatally with cyanosis/hypoxaemia due to insufficient pulmonary blood flow, cardiogenic shock due to insufficient systemic blood flow, or both. The team start CPR, and this is emergently converted to extra-corporeal cardiopulmonary resuscitation via the open sternotomy wound.

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What Is the Best Defibrillation Strategy for Refractory Ventricular Fibrillation?

ACEP Now

1 Overall, survival is poor following cardiac arrest, and is affected by factors including age, comorbidities, witnessed arrest, early CPR, early defibrillation, and return of spontaneous circulation (ROSC). Improvement of out-of-hospital cardiac arrest survival rate after implementation of the 2010 resuscitation guidelines.

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Episode 20: End Tidal Carbon Dioxide

PHEM Cast

Qvigstad et al showed in again in Resuscitation in 2013, confirming inter-individual variation in effectiveness of CPR using ETCO2 as a surrogate for CO Trauma Deakin et al. (J. trauma 2004) showed that end-tidal CO2 may be of value in predicting outcome from major trauma (19).

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Diagnostics and Therapeutics: Managing Pneumothorax

Taming the SRU

Common causes include central venous catheterization (subclavian or internal jugular), lung biopsy, barotrauma from PPV, thoracentesis, bronchoscopy, pacemaker insertion, CPR, and intercostal nerve block [12, 14]. J Emerg Trauma Shock. Management of spontaneous pneumothorax: British Thoracic Society Pleural Disease Guideline 2010.