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.
POCUS for Shock - Don't Be SHoC-ED
Bougie vs Stylet - The BEAM Trial
IOTA - Oxygen, Less Is More
Are 3 Ports Better Than One? Triple Lumen Flow Rates
There were no statistically significant differences in pressure-bag flow rates for 1L of NS through all three ports of a standard triple-lumen catheter (TLC) compared to a 16 gauge peripheral venous catheter (PVC) or a 6Fr sheath introducer. On gravity-flow, it was not statistically different from a 16 gauge PVC. But 14ga PVC and 8.5Fr sheath rates were superior in both instances.
