Tag: cardiac arrest

Peri-intubation Arrest

This EM-Critical Care Medicine case presentation focused on a very complex resuscitation with multiple facets. The case is notable because it includes most, if not all, of the factors we should consider when worrying about a peri-intubation arrest. Let’s recap…

Extracorporeal Membrane Oxygenation

Case A 35 year-old female with no PMH is brought in by her mother for acting strangely. Mother notes the patient has had two days of cough and cold-like symptoms with nausea today. She slept all day and upon waking,…

To Cath or Not to Cath

  Quick case: It’s 3am.  A 55yM, with a pmhx of chubbiness, DM, HTN is brought in by EMS after being found down.  He is pulse-less, with an initial rhythm of ventricular fibrillation.  He is shocked appropriately and exquisite ACLS…

Morning Report: 11/15/2013

Thanks to Dr. LoCascio for today’s Morning Report!   Out-of-Hospital Cardiac Arrest   AMA Council on Ethical and Judicial Affairs states that CPR may be withheld, even if requested, “when efforts to resuscitate a patient are judged by the treating…

Morning Report: 11/12/2013

Here’s Dr. DiMare with another Morning Report!   Fibrinolytics for Suspected PE in Cardiac Arrest   tPA in cardiac arrest seems like a great idea –       81% are from MI and PE –       only 2-10% survival in out of hospital…

Evidence-Lite Medicine

A few weeks ago, Dr Harriott gave a talk on out-of-hospital cardiac arrest (OHCA) and pre-hospital airway management.  She reviewed some historical context for the current EMS system and airway management. Her literature search suggested that for OHCA, paramedic-operated endotracheal…