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Issue #3: The Latest in Critical Care, 6/5/23

PulmCCM

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.

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SGEM#238: The Epi Don’t Work for OHCA

The Skeptics' Guide to EM

A Randomized Trial of Epinephrine in Out-of-Hospital Cardiac Arrest. Case: A 51-year-old man experiences a cardiac arrest on the street. A Randomized Trial of Epinephrine in Out-of-Hospital Cardiac Arrest. Case: A 51-year-old man experiences a cardiac arrest on the street. He is unsuccessfully shocked.

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AHA and Red Cross Life Support Certifications Should Both Be Accepted

ACEP Now

For decades, only one major organization—the American Heart Association (AHA)—provided standardized training and certifications in Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS). All three leverage the latest educational methodologies.

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SGEM#350: How Did I Get Epi Alone? Vasopressin and Methylprednisolone for In-Hospital Cardiac Arrests

The Skeptics' Guide to EM

Date: November 10th, 2021 Reference: Andersen, et al: Effect of Vasopressin and Methylprednisolone vs Placebo on Return of Spontaneous Circulation in Patients With In-Hospital Cardiac Arrest. Vasopressin and Methylprednisolone for In-Hospital Cardiac Arrests first appeared on The Skeptics Guide to Emergency Medicine.

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Prehospital ECPR in metropolitan Australia

PHARM

Survival from refractory out of hospital cardiac arrest (OHCA) without timely return of spontaneous circulation (ROSC) utilising conventional advanced cardiac life support (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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POCUS findings of hemodynamically unstable PE with cardiac arrest

EMDocs

1-3 VTE is responsible for hospitalizing over 250,000 Americans every year, and there are an estimated 100,000 deaths annually associated with these conditions. 1-3 As many as 25% of acute PE cases present as sudden cardiac death. EMS verbalized concern to EPs that an “intracranial bleed” may have precipitated the event.