EMCrit Podcast 36 – Traumatic Arrest


Thanks to a suggestion from Melanie, this week I am discussing the management of traumatic arrest. Many things to do in these patients, but two things you definitely should not be doing are closed-chest CPR or giving ACLS medications. We discuss who gets a thoracotomy, what to do if a thoracotomy is not indicated, and when to stop. Here is a great review article: Hunt PA, … [Read more...]

EMCrit Podcast 34 – 2010 ACLS Guidelines


The brand new ACLS & BCLS guidelines were published last week. Not huge changes, but some good stuff! The free full text is available at the Circulation website. It takes hours to make your way through all of it. I boiled it down to just the facts and posted a summary on the Crashing Patient Site. ACLS 2010 Guidelines Summary In this EMCrit Podcast I discuss some of … [Read more...]

EMCrit Podcast 31 – Intra-Arrest Management


Update: Some of the information in this post and podcast has been superseded by podcast 125; so click on over there. This week we talk about managing the intra-arrest period of cardiac arrest. My paradigm has changed dramatically over the past few years. In the past, I viewed the arrest as a period to teach my residents how to place a subclavian central line, how to intubate … [Read more...]

EMCrit Lecture – Top Ten Hypothermia Tips


At this stage of the game, if your hospital is not offering hypothermia to out-of-hospital cardiac arrests, you are probably lagging behind optimal care. For shockable rhythms, you essentially double your patient's chances of leaving the hospital with good neurological outcome. However hypothermia can be tough, unless you have done a bunch. Learn from my mistakes in this … [Read more...]