Journal Club Podcast #27: November 2015
Evan Shwarz, Louis Jamtgaard and I sit down and chat about fluid selection for large-volume resuscitation...
Evan Shwarz, Louis Jamtgaard and I sit down and chat about fluid selection for large-volume resuscitation...
This month I sat down with EMS physician Dr. Bridgette Svancarek and talk all about epinephrine, and whether it really does any good...
This month, the outspoken Chandra Aubin and hold hands and talk about which patients should undergo urgent cardiac cath following cardiac arrest...
Bottom Line:
In patients with ST-elevation myocardial infarction (STEMI) on ECG following ROSC, the International Liaison Committee on Resuscitation (ILCOR) clearly recommends that reperfusion therapy be attempted. In patients without STEMI, ILCOR is less clear, though, and recommends only that one “consider immediate coronary angiography in all post-cardiac arrest patients in whom ACS is suspected.”
Ultrasound expert Dan Theodoro and I discuss the use of cardiac ultrasound in predicting outcomes in cardiac arrest...
Bottom Line:
Out-of-hospital cardiac arrest remains a leading mechanism of death in the United States, with an estimated incidence of 300,000 events per year (McNally 2011). Overall survival has remained stable at approximately 8% since the 1950s (Sasson 2010) despite initiatives to improve survival rates (improved bystander CPR, public use of automated external defibrillators...