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Hospital-administered ECPR for out-of-hospital cardiac arrest: an observational cohort study

Emergency Medicine Journal

Background Extracorporeal cardiopulmonary resuscitation (ECPR) is a treatment method for refractory out-of-hospital cardiac arrest (OHCA) requiring a complex chain of care. All patients received mechanical CPR, epinephrine and/or amiodarone. Cases of hypothermic cardiac arrest were excluded. –6.9)

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Therapeutics: Pacing Through Skin and Vein

Taming the SRU

LaFollette is an Associate Professor in Emergency Medicine at the University of Cincinnati and co-editor of TamingtheSRU.com References Adult Bradycardia Algorithm , 2020, cpr.heart.org/-/media/cpr-files/cpr-guidelines-files/algorithms/algorithmacls_bradycardia_200612.pdf. Bektas, Firat, and Secgin Soyuncu. EMCrit Blog.

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Learning about human factors in the emergency department

Don't Forget the Bubbles

They’re getting CPR. Resuscitation is a team sport. Role stickers or role aprons with names on them are simple measures to highlight resuscitation roles. A study in Denmark in 2021 explored barriers to effective resuscitation in over 900 in-hospital resuscitations across six hospitals in Denmark. Ready your team.

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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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Electrical injuries

Don't Forget the Bubbles

Prolonged CPR should be considered as outcomes are generally good, even if asystole is the presenting rhythm. Judicious fluid resuscitation is critical; patients may become volume-deplete due to fluid loss/oedema secondary to burns. Volume resuscitation in patients with high-voltage electrical injuries. Wiley; 2016.

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SGEM#183: Don’t RINSE, Don’t Repeat

The Skeptics' Guide to EM

Circulation 2016. Circulation 2016. By-standard CPR is started and EMS is called. They arrive quickly and take over the resuscitation. They continue CPR, get intravenous access, give a round of epinephrine and then wonder if they should start rapid cooling en-route to the hospital with some cold saline.

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What is the rhythm?

Dr. Smith's ECG Blog

Bystander CPR. He was resuscitated into a perfusing rhythm. A patient was found down approximately 30 minutes after taking methamphetamine. Medics found patient in PEA arrest. He went in and out of arrest until arrival at the ED.

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