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ECPR evidence – a historical journey

Intensive Blog

Everything ECMO 048: History of ECPR evidence and considerations for future research Author: Dr George Walker Peer reviewer: A/Prof Aidan Burrell Introduction The first recorded attempts to resuscitate patients were as early as 1530 where Swiss physician Paracelsus used fireplace bellows to reinflate the lungs of those who had stopped breathing.

CPR 130
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Awake, and Paralysed: A Never Event

Don't Forget the Bubbles

Tragically, several attempts at resuscitation upon arrival at the emergency department were unsuccessful. This is referred to as CPR I nduced C onsciousness ( CPRIC ). 2013 Jan;31(1):222-6. Rocuronium ( a muscle relaxant ) alone was administered as he became combative. Another attempt led to an oesophageal intubation.

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Hypothermic Cardiac Arrest: Pearls and Pitfalls

EMDocs

Hypothermic Arrest In general, hypothermic patients in cardiac arrest should be aggressively resuscitated. Patients can have excellent outcomes despite prolonged resuscitation. 2,3 If the patient meets criteria for resuscitation, they generally are not declared dead until their core temperature is above 32℃ (“warm and dead”).

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Grand Rounds Recap 9.6.23

Taming the SRU

ETT onto a fiberoptic scope.

CPR 88
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Episode 28: LOST

PHEM Cast

It might be better to consider traumatic cardiac arrest as a completely different disease eg LOST: Low Output State due to Trauma The 2015 European Resuscitation Council and UK Resuscitation Council Algorithms for Traumatic Cardiac Arrest: To read the whole ERC guideline on special circumstances cardiac arrest including trauma, click here.

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SGEM#329: Will Corticosteroids Help if…I Will Survive a Cardiac Arrest?

The Skeptics' Guide to EM

CPR is initiated and a hospital rapid response team is called. The resuscitation team arrives and ACLS protocols are continued. This contrasts with what the public sees watching CPR being done on TV. The issue of whether corticosteroids should be administered is brought up during the code.

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Systemic Steroids: An ED Focused Overview

EMDocs

1 Though hydrocortisone is often included in ‘crash carts,’ the most recent consensus on cardiopulmonary resuscitation (CPR) has a weak recommendation against the use of corticosteroids during CPR. Published 2013 Aug 15. 6 However, due to the vasoconstrictive effects, hydrocortisone may be useful in refractory shock.