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IV versus IO: Does your Site of Access Matter in Cardiac Arrest?

NAEMSP

Meyer MD Clinical Scenario You are dispatched to a 57-year-old male with a witnessed cardiac arrest and bystander CPR being performed. Your partner deploys the cardiac monitor and while CPR is continued you turn your attention to establishing vascular access. 1] Table from Hamam et al. 9] Figure from Clemency et al.

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Calcium in Out-of-Hospital Cardiac Arrest

NAEMSP

CPR is taken over by responding crews, and he is placed on a cardiac monitor/defibrillator. The take home message: “Irrespective of presenting rhythm, in patients with cardiac arrest, there is no conclusive evidence that administration of calcium during cardiopulmonary resuscitation (CPR) improves survival.”

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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. 2017.8978.

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Major Trauma – Injuries by Assault

Don't Forget the Bubbles

E: Exposure and Environmental Control: Fully expose to check for other life-threatening injuries while maintaining normothermia. This case meets the threshold for CT head within 1 hour, and given the mechanism and inability to clear the cervical spine due to the patients GCS guidance would suggest imaging this.

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