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The Guidelines Graveyard: What gets chosen, what gets buried?

Handtevy

On November 14, 2024, ILCOR released their latest recommendations for adult and pediatric basic and advanced life support. Theres a lot to unpack, and Ill be highlighting the key changes during our upcoming webinar. If you havent registered yet, follow the CLICK HERE and join us for an in-depth review.

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Tech, Toys and a Python

#badEM

David is an Advanced Life Support paramedic, the Netcare911 Head of Clinical Leadership and the Faculty Manager of Netcare Education’s Faculty of Emergency and Critical Care. We would like to thank all our sponsors for making this possible.

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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. Outcomes with advanced versus basic life support in blunt trauma.

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A Beginner’s Guide to Vasoactive Drug use in Children with Septic Shock

Don't Forget the Bubbles

This is beyond the scope of this blog post. Although historically used quite frequently, dopamine is no longer recommended by advanced life support guidelines for septic shock unless adrenaline/noradrenaline are unavailable. The overall goal in managing any cause of shock is to restore oxygen delivery to the organs.

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A 20-something woman with cardiac arrest.

Dr. Smith's ECG Blog

Cardiac arrest was called and advanced life support was undertaken for this patient. Common causes of acquired long QT is electrolyte disturbances (hypokalemia, hypomagnesemia, hypocalcemia) and side effect of certain medications. The patient was given chest compressions while waiting for the cardiac arrest team to arrive.