Nov 15 2016
Post-arrest culprit lesions with no STEMI on ECG
A third of patients would benefit from post-arrest cath even if they lack STEMI criteria on ECG.
Nov 11 2016
Double defib for refractory v-fib
For shock-refractory v-fib, double sequential defibrillation is an option.
Oct 28 2016
RINSE but don’t repeat
Prehospital cold saline during CPR did not improve outcome and may have caused harm.
Oct 11 2016
Therapeutic hypothermia in pediatric drowning
Therapeutic hypothermia did not benefit pediatric drowning victims over normothermia.
Sep 29 2016
Antiarrhythmic drugs – no survival difference
Similar to the recent NEJM study, neither amiodarone nor lidocaine improved survival to hospital discharge in out of hospital cardiac arrest with shockable rhythm in this systematic review.
Aug 29 2016
Procainamide beats amiodarone for VT
Procainamide beat amiodarone for stable VT in this RCT.
Aug 01 2016
Don’t try to predict outcome in the ED after ROSC
Prognostication of neurological outcome is not possible in the ED. Don't try it.
Jul 07 2016
ROC ALPS – Drugs no help in cardiac arrest
Short Attention Span Summary Neither amiodarone nor lidocaine made an impact on survival or neurological outcome for out-of-hospital arrest due to shock-refractory v-fib or pulseless v-tach. In witnessed arrest, patients who received active drug had improved survival. My take is that I don’t plan to stop using antiarrhythmic agents for patients with v-fib or v-tach […]
Jun 29 2016
Survival with prolonged CPR better than expected
Short Attention Span Summary Is it ever beneficial to do CPR longer than 10 minutes, as survival theoretically drops 10% per minute? In this Danish study, an amazing 14% with CPR > 25 minutes survived at 30 days (18/19 able to live at home vs. nursing home). FOAM Report So it turns out we are […]