Do you administer thrombolytics during cardiac arrest? Or maybe you don't believe in thrombolytics, but are totally down with fibrinolytics during arrest. Who do you administer them to and which one do you use? I give you my own circuitous ramblings on the topic in this episode.
Who Should Get Lysed?
- TROICA (19092151)
Studies not Included in that SR/MA
- PEAPETT (27422214) (RebelM Review)
- French Registry Trial (31381884)
Full Dose Tenecteplase via Manufacturer Recs or 50 mg of Alteplase by IV Push over ~60 seconds (29880524)
How Long Should You Keep Going?
- 30-60 minutes after lytic administration
===Ad from Friends===
“EZDrips is a non-profit application that facilitates the administration of medications in adult and pediatric resuscitation and critical care. You enter the patient’s weight and the app does the rest for you. We are not on the App Store so visit us at www.ezdrips.com. The first 200 subscribers at www.ezdrips.com/emcrit get the app for free, for life!”
Fred and JF
Evidence on the lack of utility of the RV during arrest to dx PE
Now on to the Podcast…
Latest posts by Scott Weingart (see all)
- EMCrit Podcast 263 – The Venous Side – Part 1 – VEXUS Score with Phillipe Rola - January 14, 2020
- EMCrit 262 – Midlines – Part 1 - December 27, 2019
- EMCrit 261 – Thrombolysis during Cardiac Arrest - December 12, 2019