Resuscitation

Reading Time: 3 minutes Adrenal crisis is a life-threatening condition with increased morbidity if the condition is not recognized early and management is not initiated promptly. In this post, a brief review of adrenal insufficiency is provided with emphasis on early resuscitation and specific treatments.

Reading Time: 2 minutes A recently published study examines a potential correlation between neurologically intact survival of OHCA and early administration of epinephrine.

Reading Time: 2 minutes End-tidal CO2 is a very useful tool when caring for cardiac arrest patients. Many clinicians use it to determine the prognosis of patients who are in PEA. But is one number enough? Does the change of end-tidal CO2 provide a more accurate assessment of the futility of the resuscitation efforts?

Reading Time: 3 minutes Mechanical CPR (MCPR) is increasingly popular during OHCA resuscitation. Are these devices the game changers for out-of-hospital cardiac arrest care?

Reading Time: 4 minutes Should we be using Lactated Ringers in sepsis? Won’t we increase the lactic acid further? Here we discuss the flawed reasoning behind blaming Lactated Ringers for exacerbating lactic acidosis.

Reading Time: 3 minutes Patients presenting to the ED after an out-of-hospital cardiac arrest may harbor serious conditions that warrant prompt recognition and management. Does a pan scan of these patients impact diagnostic accuracy and hospital survival?

Reading Time: 4 minutes Should we be using Lactated Ringers in hyperkalemia? Won’t we increase the potassium further? Here we discuss the flawed reasoning behind avoiding Lactated Ringers in hyperkalemia.

Reading Time: 3 minutes For decades EMS clinicians have been trained to expedite transport to the hospital for the sickest patients. Rapid movement to transport often occurs at the expense of aggressive medical intervention and current evidence suggests that for certain patients this practice may be deleterious.

Reading Time: 4 minutes Intravenous vitamin K can be given for warfarin reversal, although the exact dose may depend on the clinical scenario.

Reading Time: 3 minutes Is there a role for propofol in the management of ventricular storm? Like with most things in Medicine, focus on the big picture.