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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.

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

NAEMSP

Background Despite conflicting literature to support some pharmacological therapies in out of hospital cardiac arrest, the American Heart Association (AHA) currently recommends obtaining vascular access intravenously or intraosseously in cardiac arrest. [1] 1] Table from Hamam et al. 9] Figure from Clemency et al. Circulation.

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The Pediatric Airway: Considerations and Challenges

ACEP Now

1 Pediatric rapid sequence intubation (RSI) in the ED is associated with a higher frequency of failed first attempts and adverse effects than in adult patients. Paralytic agents include rocuronium at 1 mg/kg IV and succinylcholine at 1-2 mg/kg IV. What is the most appropriate treatment at this time? mg/kg IV, ketamine at 1.5–2

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Calcium in Out-of-Hospital Cardiac Arrest

NAEMSP

This CI does include 1; and further and further analysis of the data showed that the likelihood that calcium has a beneficial effect (e.g. The overall conclusion was that as less than 1% of cardiac arrest etiologies fall into a group that would potentially benefit from calcium, that routine use should be avoided (Padrao, et.

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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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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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