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Intraosseous vs intravenous access: which is better during resuscitation?

PulmCCM

For out-of-hospital cardiac arrest in particular, intravenous access can be difficult to establish, delaying the administration of epinephrine and other drugs and possibly worsening outcomes. Are intraosseous devices superior to peripheral IVs for vascular access during resuscitation attempts? Read more

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Should age influence duration of CPR for cardiac arrests in the hospital?

PulmCCM

This is a series of articles on the duration of CPR for in-hospital cardiac arrest. An index to all posts in the series can be found here: Introduction Although cardiopulmonary resuscitation (CPR) is performed on more than 250,000 people in U.S. This post focuses on the effects of age on outcomes after cardiac arrest in the hospital.

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Trauma Resuscitation Updates

RebelEM

CRYSTALLOIDS Too much crystalloid resuscitation in traumatic hemorrhagic shock can increase dilutional coagulopathy, as well as increase morbidity and mortality Bickell WH et al. I recently gave a talk on the initial management of trauma patients with hemorrhagic shock. NEJM 1994. [2] NEJM 1994. [2]

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A routine resuscitation

Don't Forget the Bubbles

Elaine Bromiley went into hospital for a routine operation. He died in Victoria, Australia, in 2021 after a period of prolonged brain injury sustained in a fully equipped metropolitan hospital. I remember how I felt when. When Max entered the healthcare system, he was alert and could ask for help.

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How long should CPR be performed for non-shockable cardiac arrests in the hospital?

PulmCCM

This is part of a series of articles on the duration of CPR for in-hospital cardiac arrest. An index to all posts in the series can be found here: Introduction Although cardiopulmonary resuscitation (CPR) is performed on more than 250,000 people in U.S. About one-quarter of all in-hospital arrest patients survive to hospital discharge.

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How long should CPR be performed for shockable in-hospital cardiac arrests?

PulmCCM

Although cardiopulmonary resuscitation (CPR) is performed on more than 250,000 people in U.S. hospitals each year, physicians receive no formal guidance or training on how, when, or why it should be made. But first, let’s recap our overview of in-hospital cardiac arrest from the first post in the series.

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Outcomes from out-of-hospital cardiac arrest in nursing and care homes: a cohort study

Emergency Medicine Journal

Background Out-of-hospital cardiac arrest (OHCA) primarily affects older adults. Nursing homes are staffed by healthcare workers, able to respond immediately to cardiac arrest, including provision of bystander cardiopulmonary resuscitation (CPR). Survival to hospital discharge or 30 days was observed in 97 (2.1%) patients.