Remove 2020 Remove CPR Remove Shock
article thumbnail

Shock Differently - Out of Hospital Cardiac Arrest

Taming the SRU

4) This higher likelihood of attaining return of spontaneous circulation (ROSC) is contingent upon high quality CPR and early defibrillation. One therapy is vector change defibrillation, in which the defibrillation pads are placed in the anterior posterior configuration to change the direction of the shock delivered through the myocardium.

Shock 73
article thumbnail

Extreme shock and cardiac arrest in COVID patient

Dr. Smith's ECG Blog

He underwent CPR, and regained a pulse after epinephrine, with an organized narrow complex rhythm at 140, but still with severe shock. Assessment was severe sudden cardiogenic shock. He remained hypotensive and in shock. JAMA Cardiol [Internet] 2020;Available from: [link] 4. They recorded an EC G: New ST Elevation.

Shock 52
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Trending Sources

article thumbnail

Therapeutics: Pacing Through Skin and Vein

Taming the SRU

Follow this algorithm in patients with unstable bradycardia with acute heart failure, change in mental status, or concern for shock, physicians should start with atropine, 1 mg and may be continued every 3 to 5 minutes if effective. Bektas, Firat, and Secgin Soyuncu. The efficacy of transcutaneous cardiac pacing in ED.”

article thumbnail

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

The Skeptics' Guide to EM

Survival After Intravenous Versus Intraosseous Amiodarone, Lidocaine, or Placebo in Out-of-Hospital Shock-Refractory Cardiac Arrest. 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.

Shock 52
article thumbnail

1 hour of CPR, then ECMO circulation, then successful defibrillation.

Dr. Smith's ECG Blog

ECMO Flow was achieved after approximately 1 hour of high quality CPR. In this case, profound shock for 1 hour would result in the same degree of infarction. The Type 2 MI would then have been a result of the prolonged severe shock while in arrest. 24, 2020 post ( link to that post given above ). Troponin I rose to 44.1

CPR 52
article thumbnail

Episode 51 - Nonoperative Management of Traumatic Hemorrhagic Shock in the Emergency Department

EB Medicine

Write us at emplify@ebmedicine.net.

article thumbnail

SGEM#394: Say Bye Bye Bicarb for Pediatric In-Hospital Cardiac Arrest

The Skeptics' Guide to EM

He is found to be in hypoxic respiratory failure and septic shock. Your team begins high quality cardiopulmonary resuscitation (CPR). Apart from high-quality CPR and early defibrillation, many other interventions we try lack a strong evidence base. Parents note that he has been progressively more tired and difficult to arouse.