Remove ALS Remove ICU Remove Life Support
article thumbnail

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. Adverse events in the ICU within 90 days (new shock, cerebral ischemia, myocardial infarction, or intestinal ischemia). This data supports current practice of targeting a lower O2 sat.

article thumbnail

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. D ECLS: 18.2%

professionals

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Episode 19: Emergency medicine with Seth Trueger

Critical Care Scenarios

Yes, temporize with supportive care while you go through the process, but do the work—find a legitimate representative or documentation of the patient’s wishes to determine what they’d want before you commit them to lengthy, aggressive life support. ICU time and ED time are different. JAMA Intern Med.

ICU 100
article thumbnail

EM@3AM: Amniotic Fluid Embolism

EMDocs

Treatment is supportive with respiratory therapy, critical care, inotropic therapy, and cardiac life support. If AFE occurs during labor, immediate delivery is recommended. ” Obstet Gynecol 123(2 Pt 1): 337-348. link] Society for Maternal-Fetal Medicine. Electronic address, p. ” Am J Obstet Gynecol 215(2): B16-24.

EMS 96
article thumbnail

Suicide Attempt in the Terminally Ill Cancer Patient with Advance Directive

ACEP Now

You ultimately begin a slow naloxone infusion and admit him to the medical ICU. Patients after SA who require intubation, continuous life support, or are permanently obtunded, pose a different challenge for physicians. References Nowland R, Steeg S, Quinlivan L, et al. Wilson MP, Moutier C, Wolf L, et al.

article thumbnail

Hypothermic Cardiac Arrest: Pearls and Pitfalls

EMDocs

He requires low-dose epinephrine to maintain his mean arterial pressure (MAP) in the 60s mmHg and is transported to the cardiothoracic (CT) ICU. Carsten L, et al. Extracorporeal Life Support in Accidental Hypothermia with Cardiac Arrest—A Narrative Review. Monika BM, Martin D, Balthasar E, et al. 2009;338:b2085.

article thumbnail

Resident Journal Review: Available Evidence Regarding Targeted Temperature Management (TTM)

AAEM RSA

Nielsen N, Wetterslev J, Cronberg T et al. By the time of the study by Nielsen et al. For both groups, mean time to basic life support was determined to be one-minute, advanced life support started at 10 minutes, and time to ROSC at 25 minutes. Kirkegaard H, Soreide E, de Haas, I et al.

E-9-1-1 52