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Extracorporeal Life Support in Infarct-Related Cardiogenic Shock

EMOttawa

5 Thiele H, et al. Methods: Open label RCT with 417 patients comparing 30-day all-cause mortality between ECLS versus standard […] The post Extracorporeal Life Support in Infarct-Related Cardiogenic Shock appeared first on EMOttawa Blog. Methodology: 4/5 Usefulness: 3.5/5 N Engl J Med. 2023 Oct 5;389(14):1286-1297.

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SGEM#426: All the Small Things – Small Bag Ventilation Masks in Out of Hospital Cardiac Arrest

The Skeptics' Guide to EM

Reference: Snyder BD, Van Dyke MR, Walker RG, et al. Reference: Snyder BD, Van Dyke MR, Walker RG, et al. On your arrival, first responders from the fire department are performing high-quality basic cardiac life support. Resuscitation 2023. Resuscitation 2023. We have looked at OHCA more than a dozen times on the SGEM.

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The ECLS-SHOCK Trial: ECPR in Infarct-Related Cardiogenic Shock

REBEL EM

Revascularization of the culprit lesion remains one of the few established treatments though there are numerous other unproven modalities including extracorporeal life support (ECLS). Zeymer HT et al. Extracorporeal Life Support in Infarct-Related Cardiogenic Shock. References: Zeymer HT et al.

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MCS Series: ECMO Basics

FOAMfrat

In this blog we will explore the basic goals of ECMO and the four main components seen in every ECMO circuit. However, each patient is different and may require circuit modifications to achieve the optimal level of support. We will explore these customizations in the next MCS blog post. Let’s get started! Lich, Bryan V.,

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How Much O2 Is Right in COVID?

REBEL EM

Paper: Nielsen FM et al. Lower vs higher oxygenation target and days alive without life support in COVID-19. This data supports current practice of targeting a lower O2 sat. appeared first on REBEL EM - Emergency Medicine Blog. The HOT-COVID Randomized Controlled Trial.

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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. link] Owen VS, Rosgen BK, Cherak SJ, et al. link] Weiss SL, Peters MJ, Alhazzani W, et al.

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Mechanical Circulatory Support Series: Sweep

FOAMfrat

My primary interest in these blog posts is to write about the unique transport considerations of Mechanical Circulatory Support Devices (MCS) and to help educate the readers on the physiological concepts of MCS devices and how they work. My contact information is at the bottom of the blog! MacLaren G., In: 5th edition.