2019 CPR Hyperthermia / Hypothermia 
Don't Forget the Bubbles
JUNE 30, 2023
She was intubated at the scene and transported to your ED, with cardiopulmonary resuscitation (CPR) performed en route. Still, after a quick Google search, you realise that hypothermia potently affects potassium shift from the extracellular to the intracellular and extravascular spaces. Despite good quality CPR, there is no ROSC.
The Skeptics' Guide to EM
NOVEMBER 16, 2019
Date: November 6th, 2019 Reference: Lascarrou et al. NEJM Oct 2019 Guest Skeptic: Dr. Laura Melville (@lmelville535) is an emergency physician in Brooklyn, New York, is a part of the New York ACEP Research Committee, ALL NYC EM, and is the NYP-Brooklyn Methodist Resident Research Director. Reference: Lascarrou et al.
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EMDocs
JANUARY 16, 2024
Some authors recommend not starting chest compressions in hypothermia unless there is no organized cardiac activity (e.g., 2 In reality you may start compressions before you confirm that hypothermia was the primary cause of cardiac arrest. Obtaining a core temperature early in any arrest suspected to be from hypothermia is key.
The Skeptics' Guide to EM
MARCH 2, 2019
Date: February 26th, 2019 Reference: Benger et al. Date: February 26th, 2019 Reference: Benger et al. It required multiple attempts which caused several prolonged interruptions in CPR. Key to survival is high-quality CPR and early defibrillation. Key to survival is high-quality CPR and early defibrillation.
Dr. Smith's ECG Blog
FEBRUARY 8, 2022
On arrival, CPR was continued and core temperature was measured at 18° C (64.4° First described in 1953 ( by Dr. John Osborn ) — these Osborn waves are most commonly associated with significant hypothermia ( usually not seen until core temperature is below 90°F ). Chest compressions and ventilation were begun.
ACEP Now
APRIL 3, 2024
Early work on TTM in 2002 showed benefit to cooling to 33 degrees Celsius, which subsequently influenced international resuscitation guidelines to recommend mild hypothermia at 32 degrees to 34 degrees Celsius in 2005. degrees Celsius. 5,6 In 2021, the TTM2 trial was published. degrees Celsius for 72 hours. Click to enlarge.
RebelEM
MARCH 30, 2023
The TOMAHAWK (Desch 2021), COACT (Abella 2019), and PEARL (Lemkes 2019) trials examined patients with OHCA without ST elevation with a shockable rhythm, and investigators found no difference in delayed versus emergency angiogram. Only 51 of 138 patients randomized to the delayed CAG received the allocated intervention. Bougouin, W.,
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