Antiarrhythmics In Arrest - New ILCOR Update

Antiarrhythmics In Arrest - New ILCOR Update

The European Resuscitation Council International Liaison Committee on Resuscitation 2018 guideline has made one minor change regarding antiarrhythmic drugs in arrest: lidocaine, in place of amiodarone, is now a viable, equally effective option in patients with VF/pVT refractory to defibrillation.

ETT vs. SGA for OHCA - Metaanalysis Includes AIRWAYS-2 and PART

ETT vs. SGA for OHCA - Metaanalysis Includes AIRWAYS-2 and PART

There was no difference in an endotracheal tube vs supraglottic airway for patients with out-of-hospital cardiac arrest in the outcomes of return of spontaneous circulation, survival to admission, survival to discharge, or survival with good neurological outcome in studies with low risk of bias in this large metaanalysis.

Migraine - A Better Steroid than Dexamethasone?

Migraine - A Better Steroid than Dexamethasone?

Methylprednisolone acetate 160mg IM was not better than dexamethasone 10mg IM (both given with metoclopramide 10mg IM) for reducing headache days in the week following the ED visit in migraine patients.

New AHA Bradycardia Guidelines

New AHA Bradycardia Guidelines

The newest AHA guidelines address the evaluation and management of bradycardia and conduction disorders. This includes sinus node dysfunction, AV blocks, and bundle branch blocks.  Here’s what you need to know as an emergency physician.

Ketamine RCT - Multiple Rib Fractures

Ketamine RCT - Multiple Rib Fractures

Low dose ketamine did not reduce overall pain or opioid use in this study of patients with rib fractures. However, for severely injured patients with ISS>15, ketamine allowed patients to achieve the same level of pain control with significantly less opioid medication.

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