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Resident Journal Review: Available Evidence Regarding Targeted Temperature Management (TTM)

AAEM RSA

1 The primary goal of cardiopulmonary resuscitation (CPR) is to optimize coronary perfusion pressure and maintain systemic perfusion in order to prevent neurologic and other end-organ damage while working to achieve ROSC. Kirkegaard H, Soreide E, de Haas, I et al. De Fazio C, Skrifvars MB, Soreide E et al. 2019;23(1):19.

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Calcium in Out-of-Hospital Cardiac Arrest

NAEMSP

However, evidence emerged in the 1980’s demonstrating that calcium chloride had no effect on return of spontaneous circulation (ROSC) rates, and in fact could be detrimental (Landry, Foran, & Koyfman, 2014). References: 1. Current AHA guidelines do not recommend routine use of calcium in cardiac arrest (Panchal, et al., Ramazan, K.,

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Prehospital Traumatic Cardiac Arrest: A Systematic Review and Meta-analysis

REBEL EM

The search contained terms for (1) prehospital cardiac arrest or prehospital advanced life support, and (2) injuries and trauma. The OPALS Major Trauma Study: impact of advanced life-support on survival and morbidity. 2008 Apr 22;178(9):1141-52. A literature review. Prehospital Disaster Med.