Remove ACS Remove Life Support Remove STEMI
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SGEM#344: We Will…We Will Cath You – But should We After An OHCA Without ST Elevations?

The Skeptics' Guide to EM

The paramedics achieve return of spontaneous circulation (ROSC) after CPR, advanced cardiac life support (ALCS), and Intubation. Acute coronary syndrome (ACS) is responsible for the majority (60%) of all OHCAs in patients. She has a history of hypertension and non-insulin dependent diabetes mellitus.

EMR 130
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2023 AHA Update on ACLS

EMDocs

Editorial Comment: ECPR may be considered in patients refractory to standard ACS in the right situation. Editorial Comment : Yes to PCI after arrest with STEMI on ECG. COR 2a, LOE B-R. Appropriately trained personnel and an equipped system of care are a must. COR 3, No benefit, LOE B-R. Circulation. 2023 Dec 18. doi: 10.1161/CIR.0000000000001194.

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AHA/NCS Statement on Critical Care Management of Post ROSC Patients

EMDocs

Statements: Early risk stratification is not intended as a tool for triage to withdraw life support and is not used for that purpose (90.5%, 19/21). Evaluate for mechanical support in those with refractory hypotension (ECMO). However, early risk assessment may help guide clinical interventions.

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Extreme shock and cardiac arrest in COVID patient

Dr. Smith's ECG Blog

He was started on Extracorporeal Life Support ("VA ECMO") Here is the ECG on ECMO: Very low voltage On Day 3, the EF recovered (that seems quick!) In a series of 18 patients with COVID and ST elevation, 8 were diagnosed with STEMI, 6 of whom had an angiogram and it showed obstructive coronary disease. of Cardiology AC, Others.

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