Earlier epinephrine administration for non-shockable rhythm was associated with better overall survival to discharge and neurologically-intact survival.  Reducing EMS time to the scene, time to IV (or IO) access, and time to drug may improve survival in this group of patients.

Drones carrying a rescue buoy were able to find and rescue simulated (and three real) drowning victims in half the time of a traditional lifeguard or one on a Jet Ski.

For trauma (or any) patients arriving in extremis, the IO route was fast and had a very high success rate compared to peripheral IV or central line.

Lactate values run in a satellite lab elsewhere in the hospital vs in an ED-based lab were artefactually elevated by 0.22mmol/L (2.21 vs. 1.99).

With all the talk of using balanced, lower chloride solutions for volume in the ED and ICU, we thought it might be a good idea to discuss the potential downsides of LR.

Bag mask ventilation and endotracheal intubation were equal for airway management in patients with cardiac arrest in terms of good neurological outcome at 28-days.

There is a difference between PEA rhythms.  Slow rates of electrical activity had the usual dismal prognosis.  But those with electrical rates >60 had survival and favorable neurological outcome comparable to VF/VT, 22% and 15% respectively.

Allowing penetrating or blunt trauma patients to remain temporarily hypotensive in the field vs giving volume resuscitation prior to definitive surgical repair improves mortality and seems to decrease blood loss and need for transfusion of blood products.

This study gives high quality evidence that hyperoxia post-arrest is harmful.  For each hour of hyperoxia (PaO2 >300), risk of poor neurological outcome rose by 3%.  Number needed to harm was 8.

Children with a non-fatal drowning event who present to the ED with normal vital signs and normal SpO2 very rarely deteriorated.  The 3% (2/62) who had delayed complications did so within one hour of arrival.