Remove 2011 Remove Advances Cardiac Life Support (ACLS) Remove Shock
article thumbnail

SGEM#238: The Epi Don’t Work for OHCA

The Skeptics' Guide to EM

A cardiac defibrillator is hooked up and the patient is in ventricular fibrillation. He is unsuccessfully shocked. Background: The AHA has five steps in the Chain-of-Survival for out-of-hospital cardiac arrest (OHCA). It demonstrated better ROSC with ACLS but not better survival to hospital discharge ( SGEM#189 ).

article thumbnail

POCUS findings of hemodynamically unstable PE with cardiac arrest

EMDocs

Advanced cardiac life support (ACLS) had been initiated and on arrival at the ED, the patient was found to have Pulseless Electrical Activity (PEA). However, as shock resolved and hemodynamic stability improved, RV strain and underfilling of the LV remained apparent 30 minutes after ROSC (Vid 4).