Let’s start by considering what our pretest probability should be regarding whether hypothermia is beneficial after cardiac arrest. Every enzyme in our body has been evolutionarily designed to function at our normal body temperature. Therefore, hypothermia will affect every chemical pathway. As such, hypothermia is an incredibly blunt tool. It’s hard to think of any […]
Search Results for: cardiac arrest
EMCrit 361 – Life Threatening Tox and Toxicologic Cardiac Arrests from the AHA
AHA Guidelines on Critical Care Toxicology
PulmCrit wee- When guidelines disagree: neuroprognostication post cardiac arrest
Recently, two sets of guidelines for neuroprognostication following cardiac arrest were released – almost simultaneously. In a perfect world, two evidence-based guidelines based on the same evidence would be the same. But of course, this isn’t actually the case. The guidelines differ significantly. The Neurocritical Care Society guidelines recommended this general approach:(36949360) Meanwhile, the Canadian […]
EMCrit 228 – Physiology-Guided Cardiac Arrest Management with Dr. Robert Sutton
Physiology-Guided Cardiac Arrest Management in 2018 with Dr. Robert Sutton
EMCrit 122 – Cardiac Arrest after the Toxicology of Smoke Inhalation with Lewis Nelson
What is the proper care for a patient in cardiac arrest or shock after smoke inhalation if they don’t have severe burns?
EMCrit 113 – Post-Cardiac Arrest Care in 2013 with Stephen Bernard – Part I
Dr. Stephen Bernard on the topic of post-arrest care
IBCC – Neuroprognostication after cardiac arrest
CONTENTS Rapid Reference 🚀 Introduction Early brain death is (still) death Prognostic value of historical information Confounding factors & hypothermia Timing & serial evaluation Prognostic tests Neurological examination EEG Myoclonus SSEPs (Somatosensory evoked potentials) CT scan MRI Neuron-specific enolase Multimodal prognostication Podcast Questions & discussion Pitfalls PDF of this chapter (or create customized PDF) timing of tests […]
EMCrit 74 – Who the Heck to Cool after Cardiac Arrest with Ben Abella
Today we are joined by Benjamin Abella, MD to discuss who to cool after cardiac arrest.
EMCrit 342 – More Cardiac Arrest Mastery with PO Berve – Pre-Tidal CO2
More cardiac arrest mastery with the sonorambler
EMCrit 305 – Post-Cardiac Arrest Hypothermia (or not) – TTM2 Synthesis with Niklas Nielsen and Josef Dankiewicz
The TTM2 trial changes game for post-cardiac arrest management. I am joined today with the study’s authors to discuss this amazing paper.
EMCrit 244 – Incredibly Important Wrinkles to Titrated Vasopressors during CPR in Cardiac Arrest with PO Berve
We’ve been doing it all wrong–mysteries solved thanks to PO Berve
EMCrit 232 – SteelMan Debate – EMS Field Decisions in Cardiac Arrest with Howie Mell
Stay or Go with Cardiac Arrest in the Field?
PulmCrit Wee – Pragmatic comparison of 33C vs. 36C after cardiac arrest
A post last year discussed the top 10 reasons to stop cooling to 33C. It was based largely on the Nielsen trial, which showed similar outcomes between therapeutic hypothermia (TH33) and therapeutic temperature management (TTM36). However, this trial left some questions about how these protocols would perform outside the context of a RCT (external validity). Last year’s post speculated that since TTM36 is easier to achieve, it would out-perform TH33 in real-world conditions.
EMCrit 243 – The COACT Trial on Early vs. Delayed Cath after Cardiac Arrest without STEMI
New evidence on who needs to go to lab after cardiac arrest
EMCrit 204 – The Nurse-Led Code with Joe Bellezzo
Nurses should be leading cardiac arrest management
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