Remove Administration Remove CPR Remove Hyperthermia / Hypothermia
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Hypothermic Cardiac Arrest: Pearls and Pitfalls

EMDocs

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.

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2023 AHA Update on Management Cardiac Arrest or Life-Threatening Toxicity Due to Poisoning

EMDocs

Naloxone administration may reverse respiratory arrest, preventing progression to cardiac arrest. Standard advanced life support with the addition of administration of sodium bicarbonate is appropriate for the treatment of life-threatening dysrhythmias caused by cocaine or other sodium channel blockers. COR 2a, LOE B-NR.

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Major Trauma – Injuries by Assault

Don't Forget the Bubbles

Excessive IV fluid administration should be avoided due to the risk of acidosis, coagulopathy and electrolyte disturbance – all of which evidence shows significantly increased mortality. In the bleeding trauma patient, fluid resuscitation aims to avoid the diamond of death (acidosis, coagulopathy, hypothermia and hypocalcaemia).

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2023 AHA Update on ACLS

EMDocs

For patients with OHCA, use of steroids during CPR is of uncertain benefit. Routine administration of calcium for treatment of cardiac arrest is not recommended. Patients with spontaneous hypothermia after ROSC unresponsive to verbal commands should not routinely be actively or passively rewarmed faster than 0.5° C per hour.

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Pediatric Submersion Injury Tips

ACEP Now

Optimally, bystander CPR, including the administration of rescue breaths, should be initiated prior to arrival of emergency medical services. Oxygen administration, with or without ventilatory support, is the mainstay of treatment. Fluid resuscitation will likely be warranted, and with crystalloid solution is most appropriate.

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REBEL Cast Ep113: Defibrillation Strategies for Refractory Ventricular Fibrillation

RebelEM

trying harder and longer knowing they are enrolled in this study) Use of two different models of defibrillators may negatively impact the internal validity of this pilot study Certain baseline characteristics were not balanced, such as: prehospital intubation and Epinephrine administration.

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Grand Rounds Recap 5.3.23

Taming the SRU

mg/kg of IBW Seek to match a patient's minute ventilation with TV and RR after intubation Intentionally match patient's intrinsic RR noted prior to intubation Note that healthy lungs can handle 8 mL/kg, based on IBW, if that is useful for compensation Secure your ETT Thomas Tube Holder is a new ETT holder on Air Care for ETT down to size 6.5