Our excellent Critical Care Medicine Mini-Fellowship met last week for our monthly meeting. We reviewed three articles on cardiac arrest in the pregnant patient which I have summarized for you below: 1. Management of Cardiac Arrest in Pregnancy: A Systematic Review 2. Management of Cardiac Arrest in Pregnancy 3. Resuscitation of Read more…
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 is performed. He regains pulses 20 minutes after EMS arrival…Now Read more…
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 physician to be futile.” ACEP “physicians are under no ethical Read more…
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 arrest When should you give it? – Current literature Read more…
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 intubation (ETI) was associated with increased mortality and decreased neurologic Read more…