Remove CPR Remove Hyperthermia / Hypothermia Remove Outcomes
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Hypothermia and drowning

Don't Forget the Bubbles

She was intubated at the scene and transported to your ED, with cardiopulmonary resuscitation (CPR) performed en route. Still, after a quick Google search, you realise that hypothermia potently affects potassium shift from the extracellular to the intracellular and extravascular spaces. Despite good quality CPR, there is no ROSC.

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Hypothermic Cardiac Arrest: Pearls and Pitfalls

EMDocs

Patients can have excellent outcomes despite prolonged resuscitation. 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.

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The Latest in Critical Care, 1/29/24 (Issue #27)

PulmCCM

Patients presenting with hypothermia should not be warmed too quickly (allowing their temperature to increase by <0.5°C/hour). Epinephrine remains the drug of choice during CPR Epinephrine remains the first-line therapy for cardiac arrest due to non-shockable rhythms (i.e., ECMO used as CPR is referred to as ECPR.)

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SGEM#391: Is it Time for a Cool Change (Hypothermia After In-Hospital Cardiac Arrest)?

The Skeptics' Guide to EM

You are tidying your things […] The post SGEM#391: Is it Time for a Cool Change (Hypothermia After In-Hospital Cardiac Arrest)? The nurses started CPR immediately and place pads before you even arrived. Are we supposed to be starting hypothermia?” first appeared on The Skeptics Guide to Emergency Medicine.

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SGEM #404: Sitting on the Dock of the Bay-esian Interpretation of Therapeutic Hypothermia for Pediatric Cardiac Arrest

The Skeptics' Guide to EM

She is part of the Don’t Forget the Bubbles team and faculty at Queen Mary […] The post SGEM #404: Sitting on the Dock of the Bay-esian Interpretation of Therapeutic Hypothermia for Pediatric Cardiac Arrest first appeared on The Skeptics Guide to Emergency Medicine. They started cardiopulmonary resuscitation (CPR) until EMS arrived.

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SGEM#275: 10th Avenue Freeze Out – Therapeutic Hypothermia after Non-Shockable Cardiac Arrest

The Skeptics' Guide to EM

Case: A 59-year-old […] The post SGEM#275: 10th Avenue Freeze Out – Therapeutic Hypothermia after Non-Shockable Cardiac Arrest first appeared on The Skeptics Guide to Emergency Medicine. She had a witnessed arrest, and CPR was initiated by bystanders. Background: We have covered therapeutic hypothermia many times on the SGEM.

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SGEM#329: Will Corticosteroids Help if…I Will Survive a Cardiac Arrest?

The Skeptics' Guide to EM

CPR is initiated and a hospital rapid response team is called. This contrasts with what the public sees watching CPR being done on TV. Improving outcomes for patients with cardiac arrests has been an ongoing challenge in pre-hospital and in hospital medicine. The resuscitation team arrives and ACLS protocols are continued.

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