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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

On your arrival, first responders from the fire department are performing high-quality basic cardiac life support. The patient is a 54-year-old man who collapsed in front of his family after complaining of chest pain for several hours. You continue with compressions and defibrillations and your partner places an advanced airway.

CPR 274
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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). Extracorporeal Life Support in Infarct-Related Cardiogenic Shock. bleeding, stroke, limb ischemia, and hemolysis). 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. At its most basic form, ECMO or Extracorporeal Membrane Oxygenation is a way to artificially support the patient’s heart and or lungs by removing the blood from the body, oxygenating it, and returning it to the patient in real-time.

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How Much O2 Is Right in COVID?

REBEL EM

Lower vs higher oxygenation target and days alive without life support in COVID-19. Intervention: Target PaO2 = 60 mm Hg Control: Target PaO2 = 90 mm Hg Outcome (primary): Absolute number of days without life support in 90 days defined as the absence of mechanical ventilation, circulatory support, or kidney replacement.

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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! What is Sweep? Okay, easy enough.

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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. This recommendation is based upon the availability of PICU support, with lower fluid volumes and earlier vasoactive use being recommended, particularly if there are signs of fluid overload. The overall goal in managing any cause of shock is to restore oxygen delivery to the organs.

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A 20-something woman with cardiac arrest.

Dr. Smith's ECG Blog

Cardiac arrest was called and advanced life support was undertaken for this patient. The above ECGs show the initiation and continuation of a polymorphic ventricular tachycardia. Polymorphic ventricular tachycardia can be ischemic, catecholaminergic or related to QT prolongation. After about 90 seconds of chest compressions she awoke.