Shockingly Ineffective - Double Sequential Defibrillation for Refractory Vfib and Vtach
Does EtCO2 Matter In Pediatric Arrest?
Antiarrhythmics In Arrest - New ILCOR Update
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.
Extracorporeal Life Support in the Emergency Department
RCTs Made Simple as Infographics
We want to feature great free medical education #FOAMed resources from around the web. One I learned of this week is called Visualmed. It is run by a third year IM resident at UConn, Usama Nasir. It takes key RCTs and turns them into infographics.
An Easy Way To Simplify Intubation During Arrest
Double Sequential Defibrillation - Should We Do This?
Has Targeted Temperature Management Gotten Lax?
Do Antiarrhythmic Drugs Help In Cardiac Arrest?
Prehospital Airway Management
How Many Intubations Does It Take For Proficiency?
It is estimated that to place an endotracheal tube (ETT) successfully in 30-60 seconds, using direct laryngoscopy, would take 3-5 years of experience and 137-243 endotracheal intubations (ETI). Increased experience did not reduce the time chest compressions were paused. The key take home is that ETI during CPR is really hard. Be prepared.
AIRWAYS-2 - SGA vs ETT for Out-of-Hospital Cardiac Arrest
EMS ETT or LT for OHCA? Answers in PART
For adults with out-of-hospital cardiac arrest, initial laryngeal tube insertion by emergency medical service providers was associated with improved 72-hour survival, return of spontaneous circulation, hospital survival, favorable neurologic outcome, and airway success compared to initial endotracheal tube insertion.
COMBAT - Plasma First During Ground Transport
Risk of Emergent Thoracotomy
PAMPer - Prehospital Plasma for Hemorrhagic Shock Saves Lives
PARAMEDIC2 - Epinephrine in Arrest RCT
Epinephrine for out-of-hospital cardiac arrest improved overall 30-day survival (3.2%, epi vs 2.4%, placebo) but did not improve survival to discharge with a good neurological outcome. In fact, more patients who received epinephrine and survived had severe neurological impairment than in the placebo group.
