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Update: Some of the information in this post and podcast has been superseded by podcast 125; so click on over there.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 Podcast 20 – The Crashing Atrial Fibrillation Patient


Your patient is pale and diaphoretic. Blood pressure is 70/50. Heart rate is 178. EKG shows atrial fibrillation... What are you going to do??? Yeah, yeah the Pavlovian ACLS response--You cardiovert. Wonderful, except it didn't change a thing. Now what? In this episode, I discuss the crashing atrial fibrillation patient. Shock If the patient is chronically in atrial fib, … [Read more...]