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

PulmCCM

Corticosteroids for community-acquired pneumonia have been studied with inconclusive results, and expert guidelines currently advise against their use except in patients with refractory septic shock. Patients with septic shock or influenza were excluded. standards of care.

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SGEM#238: The Epi Don’t Work for OHCA

The Skeptics' Guide to EM

A cardiac defibrillator is hooked up and the patient is in ventricular fibrillation. He is unsuccessfully shocked. Background: The AHA has five steps in the Chain-of-Survival for out-of-hospital cardiac arrest (OHCA). There was also no increase in survivors with good neurological outcomes with ACLS.