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SGEM#394: Say Bye Bye Bicarb for Pediatric In-Hospital Cardiac Arrest

The Skeptics' Guide to EM

Sodium bicarbonate use during pediatric cardiopulmonary resuscitation: a secondary analysis of the icu-resuscitation project trial. Pediatric Crit Care Med. 2022 Date: February 15, 2023 Guest Skeptic: Dr. Carlie Myers is Pediatric Critical Care Attending at Cincinnati Children’s Hospital Medical Center.

CPR 130
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AHA/NCS Statement on Critical Care Management of Post ROSC Patients

EMDocs

Author: Brit Long, MD (@long_brit) // Reviewed by Alex Koyfman, MD (@EMHighAK) The American Heart Association (AHA) and Neurocritical Care Society (NCS) released their 2023 Scientific Statement on the critical care management of post ROSC patients. Statements: Initiate EN as soon as possible after ICU admission (100%, 20/20).

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Sodium Bicarbonate Administration During CPR and Survival Outcomes

Handtevy

Introduction Cardiopulmonary resuscitation (CPR) is a life-saving procedure performed on individuals experiencing cardiac arrest. One of the treatments historically used during CPR is sodium bicarbonate, intended to counteract the negative effects of metabolic acidosis.

CPR 52
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Episode 45: Amniotic fluid embolism with Stephanie Martin

Critical Care Scenarios

Stephanie Martin (Twitter: @OBCriticalCare, Instagram: @criticalcareob), medical director for Clinical Concepts in Obstetrics and a Maternal Fetal Medicine specialist in Scottsdale, Arizona with expertise in critical care obstetrics. She is also co-host of the Critical Care Obstetrics podcast. This is not the goal.*

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TAME Trial: Mild Hypercapnia vs Normocapnia in Out-of-Hospital Cardiac Arrest

REBEL EM

In response to this critical issue, the TAME Cardiac Arrest Trial has been launched as a definitive phase III multi-center randomized controlled trial for resuscitated cardiac arrest patients. Monitoring cerebral pressures is crucial in assessing the impact of interventions, especially in critical care scenarios.

E-9-1-1 98
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The ‘Hidden C’

Don't Forget the Bubbles

The Importance of Civility in Critical Care Resuscitation A 3-year-old patient with diabetic ketoacidosis arrives at your ED. The team sits down for a hot debrief once the patient is stabilised and transferred to the ICU. Conclusion Critical care resuscitation is stressful. Incivility can mean many things.

E-9-1-1 105
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VF arrest at home, no memory of chest pain. Angiography non-diagnostic. Does this patient need an ICD? You need all the ECGs to know for sure.

Dr. Smith's ECG Blog

His daughter immediately started CPR and another family member called EMS. Given the presentation, the cardiologist stented the vessel and the patient returned to the ICU for ongoing critical care. When EMS arrived the patient was in ventricular fibrillation. Two subsequent troponins were down trending.

Coronary 108