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veterans’ hospitals did not show a mortality reduction from low-dose methylprednisolone. Patients receiving hydrocortisone required more insulin, but did not have higher observed rates of hospital-acquired infections or gastrointestinal bleeding. iatrogenic or hospital-acquired) were excluded.
A Randomized Trial of Epinephrine in Out-of-HospitalCardiac Arrest. Case: A 51-year-old man experiences a cardiac arrest on the street. A Randomized Trial of Epinephrine in Out-of-HospitalCardiac Arrest. Case: A 51-year-old man experiences a cardiac arrest on the street. He is unsuccessfully shocked.
For decades, only one major organization—the American Heart Association (AHA)—provided standardized training and certifications in AdvancedCardiacLifeSupport (ACLS) and Pediatric AdvancedLifeSupport (PALS). It also offers a comprehensive “CPR for the Professional Rescuer” course.
Date: November 10th, 2021 Reference: Andersen, et al: Effect of Vasopressin and Methylprednisolone vs Placebo on Return of Spontaneous Circulation in Patients With In-HospitalCardiac Arrest. Vasopressin and Methylprednisolone for In-HospitalCardiac Arrests first appeared on The Skeptics Guide to Emergency Medicine.
Survival from refractory out of hospitalcardiac arrest (OHCA) without timely return of spontaneous circulation (ROSC) utilising conventional advancedcardiaclifesupport (ACLS) therapies is dismal. Time from decision to ECMO support was 16 min (11–26 min). CPR duration was 46 min (32–62 min).
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