Resuscitation

Until such time that the newly born infant has successfully made the transition to air breathing it is dependent on the placenta and umbilical cord for respiration.  

What is the optimal site for chest compression in univentricular patients?  

A new study looks at the long-term post-discharge survival among ICU patients with sepsis who received in-hospital cardiopulmonary resuscitation.  

In previous discussions, we have addressed that IV fluid choices affect patient outcomes in septic shock, and we have shown the evidence that invasive monitoring coupled with aggressive treatments are actually harming our patients.  The question we now face is what is the result of over-resuscitation?   

How do you interpret quantitative capnography waveforms? We own the resuscitation of critically ill patients, and with boarding increasing in EDs, we need to know how to interpret waveforms. This instrument can provide a great deal of important information if properly understood.  

Abdominal compartment syndrome (ACS) has come to the forefront of emergency medicine, critical care, and resuscitation literature. Why does this condition occur, how is it diagnosed, and what can you do if you suspect ACS? This post provides a comprehensive review of ACS.  

Sepsis, severe sepsis, and septic shock represent increasingly severe systemic inflammatory responses to infection. Sepsis is common in the aging population, and it disproportionately affects patients with cancer and underlying immunosuppression. In its most severe form, sepsis causes multiple organ dysfunction that can produce a state of chronic critical illness characterized by severe immune dysfunction and catabolism. Much has been learnt about the pathogenesis of sepsis at the molecular, cell, and intact organ level. Despite uncertainties in hemodynamic management and several treatments that have failed in clinical trials, investigational therapies increasingly target sepsis induced organ and immune dysfunction. Outcomes in sepsis have greatly improved overall, probably because of an enhanced focus on early diagnosis and fluid resuscitation, the rapid delivery of effective antibiotics, and other improvements in supportive care for critically ill patients. These improvements include lung protective ventilation, more judicious use of blood products, and strategies to reduce nosocomial infections.  

Sepsis, severe sepsis, and septic shock represent increasingly severe systemic inflammatory responses to infection. Sepsis is common in the aging population, and it disproportionately affects patients with cancer and underlying immunosuppression. In its most severe form, sepsis causes multiple organ dysfunction that can produce a state of chronic critical illness characterized by severe immune dysfunction and catabolism. Much has been learnt about the pathogenesis of sepsis at the molecular, cell, and intact organ level. Despite uncertainties in hemodynamic management and several treatments that have failed in clinical trials, investigational therapies increasingly target sepsis induced organ and immune dysfunction. Outcomes in sepsis have greatly improved overall, probably because of an enhanced focus on early diagnosis and fluid resuscitation, the rapid delivery of effective antibiotics, and other improvements in supportive care for critically ill patients. These improvements include lung protective ventilation, more judicious use of blood products, and strategies to reduce nosocomial infections.  

In the resus room, clarity of communication between team members is critical to patient safety and effective resuscitation. We are used to following standardised clinical algorithms for cardiac arrests and many other emergency presentations, but there is no standardisation of vocabulary or communication style. Communication failures are a major source of error in resuscitation, suggesting this is an area in which we need to improve.  

  Positions for adventurous doctors available now in 2016! Imagine your day starting with a flight over the most spectacular countryside in Australia! Resuscitation Flash teams on the end of the phone Royal Flying Doctor Service offers more than health checks and prescriptions at community outreach day  

Scott Weingart's lecture at SMACC-Chicago was on OODA loops and the supremacy of System I for resuscitation The post The Resuscitationist Mindset: Bread Baking and OODA Loops – Scott Weingart appeared first on Intensive Care Network. http://intensivecarenetwork.com/resuscitationist-mindset-bread-baking-ooda-loops-scott-weingart/  

Nowadays, that person who haven´t heard about Humanizing Care, is because he/she lives on another planet. I am a nurse. I work at the Hospital General Universitario de Albacete, exactly in Anesthesia and Resuscitation Unit (REA), and as in every ICU, we suffer stress, burn-out and work overload. Stopping and thinking on what we can improve……  

Last weekend I got my butt handed to me and I’m feeling really good about it. I entered my first Brazilian Jiu Jitsu competition, and was beaten unequivocally, having had to submit to avoid having my arm broken after about three minutes into the fight. So what’s to be so cheerful about? Essentially, the whole endeavour was an experiment, and the experiment was a success. I learned a heap about learning, and about myself. Lessons that can be applied to learning resuscitation medicine, or learning anything.  

This article provides a summary of the latest updates to the guidelines for resuscitation and advanced life support -- and discusses the evidence for the recommendations.  

Because of the significant improvements shown, one leading expert said the study "is of considerable importance" to the field and has "notable public-health implications."  

Thousands of people in England are having "do not resuscitate" orders imposed on them without their family's knowledge, an audit of dying patients finds.  

Scott Weingart's lecture at SMACC-Chicago was on OODA loops and the supremacy of System I for resuscitation  

Jim Manning discusses SAAS - the endovascular-extracorporeal perfusion resuscitation technique designed specifically to treat cardiac arrest.  

One of the resuscitation strategies, monitoring for interruptions in chest compressions, increased survival more than twofold and was practiced by more than 50% of the top survival hospitals.  

Instructive ECGs in Clinical Context ----Archives, Popular Posts, and an Index of all ECGs are down the right-hand side.