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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 LifeSupport 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.
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 lifesupport. Resuscitation 2023. Resuscitation 2023. We have looked at OHCA more than a dozen times on the SGEM.
Revascularization of the culprit lesion remains one of the few established treatments though there are numerous other unproven modalities including extracorporeal lifesupport (ECLS). Zeymer HT et al. Extracorporeal LifeSupport in Infarct-Related Cardiogenic Shock. References: Zeymer HT et al.
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.,
Paper: Nielsen FM et al. Lower vs higher oxygenation target and days alive without lifesupport 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.
This is beyond the scope of this blog post. Although historically used quite frequently, dopamine is no longer recommended by advanced lifesupport 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.
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.
Article : Vianen NJ et al. The search contained terms for (1) prehospital cardiac arrest or prehospital advanced lifesupport, and (2) injuries and trauma. References: Grasner JT, et al. The OPALS Major Trauma Study: impact of advanced life-support on survival and morbidity. PMID: 16128477 Tran A, et al.
Paper: Mason JM, et al. These results were corroborated with other another study by Gritensko et al. References Mason JM, et al. 2018, PMID: 30571262 Gritsenko, Diana, et al. Link to Paper Here Shojaee M, et al. Amiodarone versus digoxin for acute rate control of atrial fibrillation in the emergency department.
He was started on Extracorporeal LifeSupport ("VA ECMO") Here is the ECG on ECMO: Very low voltage On Day 3, the EF recovered (that seems quick!) 3–8 Shi et al. Sandoval Y, Smith SW, Sexter A, et al. Shi S, Qin M, Shen B, et al. Guo T, Fan Y, Chen M, et al. Lala A, Johnson KW, Russak AJ, et al.
REBEL Cast Ep113 – Defibrillation Strategies for Refractory Ventricular Fibrillation Click here for Direct Download of the Podcast Paper: Cheskes S, et al. REFERENCES: Cheskes S, et al. 2022 Nov 6 PMID: 36342151 Cheskes S, et al. Defibrillation Strategies for Refractory Ventricular Fibrillation. N Engl J Med. N Engl J Med.
The patient was put on Extracorporeal LifeSupport in the ED 3 hours after initial resuscitation, the core temp was 30° C and the patient was defibrillated with a single attempt. Rituparna et al — as well as Chauhan and Brahma ( Int. A middle-aged man was found outside in the cold in full arrest in ventricular fibrillation.
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