From the very start of our Residency training, Emergency Medicine Physicians are tasked with committing to memory the correctable causes of PEA arrest. It is expected any intern worth their salt should be able to recite the H’s & T’s proselytized by the AHA as far back as 1995 (1). And yet, it quickly becomes […]
Search Results for: cardiac arrest
The Case of the Precise Inaccuracy
In the world of medical science we are often lulled into a false sense of security by large sample sizes and their correspondingly small confidence intervals. We often forget that such methodologic strengths augment only a trials precision, or the likelihood a similar trial will produce similar results. Such statistical robustness speaks little towards a […]
SMACC ILCOR Session
Advanced Airway Management During Adult Cardiac Arrest Read the ILCOR Guideline and COMMENT Read and Comment on the Airway CoSTR Additional Resources The Three Papers that made the Guideline Jabre Benger Wang Vasopressors in Adult Cardiac Arrest Read the ILCOR Guideline and COMMENT Read and Comment on the Vasopressor CoSTR Additional Resources PARAMEDIC2 Please, […]
EM Nerd-The Case of the Bridge to Nowhere
The use of mechanical cardiopulmonary resuscitation (mCPR) has been a polarizing topic almost from its inception. The idea, a simple one. Why not build a machine that is capable of doing perfect chest compressions? A simple, effective way to eliminate the inconsistencies common to manual chest compressions. And yet, despite building a number of devices […]
EMCrit 257 – Pulseless Electrical Activity ( PEA ) is Stupid
PEA is so so stupid!!!!
ED Intensivist Roles
Appendix Resource Intensivist Model Detroit Receiving Hospital/Wayne State University Detroit Receiving Hospital (DRH) has addressed the challenges of caring for critically ill ED patients with an ED-centric model. A novel emergency department-based critical care (ED-CC) rotation was established in 2006 for all PGY-2 emergency medicine residents. The ED-CC resident functions as a floating resident 7:00 […]
EMCrit – RACC Lit Update 2021-12-22
All the Resus and Acute Crit Care Goodness in 10 minutes
EMCrit Wee – Ross Prager on 10 Heuristics for the New ICU Attending
10 heuristics for the new Crit Care doc from Ross Prager
Top EMCCM Articles from Tim Ellender
Tim Ellender, EM Intensivist and all around cool guy just dropped his picks for the top EMCCM articles all trainees and attendings must read.
EM Nerd-The Case of the Needless Imperative
Airway has been paramount to the management of cardiac arrest since the earliest endeavors in resuscitation. The use of tobacco smoke enemas to resuscitate drowning victims on the banks of the Thames was documented as far back as 17461. Such efforts while anatomically misplaced, were in principle well intended. Although, we have since discovered alternative […]
EMCrit RACC – Analyzing Difficult Resuscitation Cases #1 from ResusMe
STEPUP for case analysis
Mystery Post-Arrest EKG
Clinical Challenge: A patient presents to Genius General Hospital status post cardiac arrest with the following EKG. What do you think is going on? What would your next management steps be? Answer: The cause of the ST elevation here […]
EMCrit RACC-Lit Review for September 2022
All of the resuscitation and acute critical care goodness for Sept 2022
EMCrit 31 – Intra-Arrest Management
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 when the patient is moving, and how to cram as many drugs as possible into a patient in a short period of time. Looking at how I manage an arrest today, so much has changed.
EMCrit 57 – Resuscitative Extra-Corporeal Life Support (ECMO)
Joe Bellezzo, MD along with his partner-in-crime, Zack Shinar, MD have started an ED ECMO service at Sharp Memorial Hospital in San Diego. I am so jealous! In this episode of the podcast, I get to talk to Joe about how it works.
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