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IV versus IO: Does your Site of Access Matter in Cardiac Arrest?

NAEMSP

Background Despite conflicting literature to support some pharmacological therapies in out of hospital cardiac arrest, the American Heart Association (AHA) currently recommends obtaining vascular access intravenously or intraosseously in cardiac arrest. [1] 1] Table from Hamam et al. 9] Figure from Clemency et al. Circulation.

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

EMDocs

The neurologic section was divided into (1) brain oxygenation, perfusion, edema, and intracranial pressure (ICP); (2) seizures and the ictal-interictal continuum (IIC); and (3) sedation and analgesia. Reference: Hirsch KG, Abella BS, Amorim E, et al; American Heart Association, Neurocritical Care Society. 2023 Dec 1.

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Subarachnoid hemorrhage: ED presentation, evaluation, and management

EMDocs

This neurological evaluation should include assessment and documentation of the GCS, the presence of any neurologic deficits, and an NIHSS. 9 Delayed NCHCT is less sensitive due to decreased visibility of blood collection secondary to red blood cell (RBC) degradation. 2022 Jan;39(1-2):35-48. Avest E, Taylor S, Wilson M, et al.

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