2013 CPR Resuscitation 
Don't Forget the Bubbles
NOVEMBER 29, 2023
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.
Dr. Smith's ECG Blog
OCTOBER 20, 2013
Medics found her apneic and pulseless, began CPR, and she was found to be in asystole. Because the patient had asystole, was resuscitated without difficulty, and had no neurologic function, suspected a cerebral hemorrhage was suspected as the etiology of the arrest, specifically subarachnoid hemorrhage. Sprenkle M. Bachour FA.
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EMDocs
OCTOBER 9, 2023
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.
PHEM Cast
APRIL 16, 2018
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.
The Skeptics' Guide to EM
MAY 8, 2021
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.
PHEM Cast
SEPTEMBER 6, 2017
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. trauma 2004) showed that end-tidal CO2 may be of value in predicting outcome from major trauma (19). O Capnogram showing rebreathing during inspiration.
ACEP Now
APRIL 3, 2024
Targeted temperature management (TTM) for patients following cardiac arrest resuscitation has gone through several dosing iterations in the past two decades. Recent Clinical Evidence on Post-Arrest TTM The accumulated post-arrest care literature makes clear that careful fever avoidance following resuscitation is essential.
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