Remove 2020 Remove CPR Remove Hyperthermia / Hypothermia
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Hypothermia and drowning

Don't Forget the Bubbles

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.

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SGEM#306: Fire Brigade and the Staying Alive App for OHCAs in Paris

The Skeptics' Guide to EM

Date: October 21st, 2020 Guest Skeptic: Dr. Justin Morgenstern is an emergency physician, creator of the excellent #FOAMed project called First10EM.com and a member of the #SGEMHOP team. AEM Oct 2020. AEM Oct 2020. SGEM#64 : Classic EM Papers (OPALS Study) * SGEM#136 : CPR – Man or Machine? Reference: Derkenne et al.

CPR 52
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SGEM#314: OHCA – Should you Take ‘em on the Run Baby if you Don’t get ROSC?

The Skeptics' Guide to EM

JAMA 2020 Guest Skeptic: Mike Carter is a former paramedic and current PA practicing in pulmonary and critical care as well as an adjunct professor of emergency medical services […] The post SGEM#314: OHCA – Should you Take ‘em on the Run Baby if you Don’t get ROSC? CPR is currently in progress with a single shock having been delivered.

EMS 52
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SGEM#340: Andale, Andale Get An IO, IO for Adult OHCA?

The Skeptics' Guide to EM

Circulation 2020 Guest Skeptic: Missy Carter is a PA practicing in emergency medicine in the Seattle area and an adjunct faculty member with the Tacoma Community College paramedic program. They performed high-quality CPR and shocked the patient twice before giving amiodarone via intraosseous (IO). Reference: Daya et al.

Shock 52
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The Science on Targeted Temperature Management

ACEP Now

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.

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Single ventricle defects and the hunt for the best shunt

Don't Forget the Bubbles

The team start CPR, and this is emergently converted to extra-corporeal cardiopulmonary resuscitation via the open sternotomy wound. The JET is treated by deepening sedation (to minimise exogenous and endogenous catecholamines), optimizing electrolytes and active mild hypothermia. 2014;129(20):2013-2020. 2018;37(7):879-885.

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The EMERGE Trial: Emergency vs Delayed Catheterization in Survivors of Out-of-Hospital Cardiac Arrest

RebelEM

PMID: 35675081 What They Did: National, multicenter, randomized control, open-label parallel trial performed at 22 centers in FrancePatients enrolled from January 19, 2017 – November 23, 2020. It’s unclear how many patients sustained a cardiac arrest but were not enrolled, indicating the presence of selection bias. Bougouin, W.,