Resuscitation

Outcomes of cardiac arrest resuscitation efforts no different in hospitals that allow families to watch and those that don'tWhen a hospital patient's heart stops, the...  

The general rule for treatment of patients in cardiac arrest is that once resuscitation measures have begun, they must be continued uninterruptedly until the patient shows signs of life or is...  

The first time I performed cardiopulmonary resuscitation [CPR] on a patient was in the emergency department of Sunnybrook Hospital in Toronto, Canada; it was certainly an indelible moment in my training. As an intern, and especially as medical consult at Bellevue Hospital in New York City, I was involved in the resuscitative efforts of countless patients and this continued during my fellowship at Stanford. Throughout these years I’ve found that the physiological nuances of CPR are important for all resuscitationists to recognize in an effort to improve care of the pulseless patient.  

https://vimeo.com/99883063   Ten minute screencast describing an expanded ABCs mnemonic. Mobile  

Cliff Reid delivers another moving talk on when we should, and especially when we shouldn't stop when resuscitating.  

Vasopressor stop points, cognitive stop points, and other ramblings...  

This week we discuss the resuscitation of the hemorrhagic shock patient with Dr. Richard Dutton, MD. Rick was director of trauma anesthesia at the Shock Trauma Center when I trained there. He is an incredible teacher, clinician, and researcher.  

Trauma resuscitation of the critically ill hemorrhagic shock patient. The concept of bare minimum normotension and massive transfusion  

Trauma resuscitation of the critically ill hemorrhagic shock patient  

Joe Novak was a Combat Pilot and now is an EP. In this fantastic lecture, he brings the concepts of Combat Aviation to the art of Resuscitation.  

I am joined by Bryan Hayes to discuss the avoidance of critical medication errors during resuscitations.  

Cardiac Rhythm Analysis, 12-Lead ECG Interpretation, Resuscitation  

(ITUNES OR LISTEN HERE) The Free Open Access Medical Education (FOAM) Dr. Josh Farkas of the PulmCrit blog has produced a couple of blog posts on the importance of renal protection in sepsis, Renoresuscitation: Sepsis resuscitation designed to avoid long-term complications and Renal microvascular hemodynamics in sepsis: a new paradigm.  Much of this is theoretical and certainly not…  

Update in Trauma Literature Dave MacKinnon Mike Brzozowski Damage Control Resuscitation, Predicting the crump factor, occult hemothorax, tranexamic acid and more.....  

reddit: the front page of the internet  

When a hospital patient's heart stops, the drama starts, as doctors and nurses work furiously at resuscitation. Some hospitals allow family members to watch, while the majority do not. Now, a study has shown for the first time on a national scale that patients do just as well after a cardiac arrest either way.  

Stream Advances in resuscitation by BMJ talk medicine from desktop or your mobile device  

Stream Journal Club: Lung protective mechanical ventilation by BMJ talk medicine from desktop or your mobile device  

Hey Ryan, As always great work and post. I did want to make sure something was clarified from your post.....Looking at the results, a significant portion of “usual” care patients still get arterial catheters (62.2%), CVCs (50.9%), and vasopressors (46.6%). What this tells me is that our “usual” care has components of the EGDT algorithm engrained in it. Sick patients need fluids, antibiotics, and supportive therapies (i.e. Early critical care and resuscitation), but they don’t need CVP and SCVO2 monitoring to dictate their care. So there are still components of EGDT that should continue to be used, it is the invasive monitoring that is not really needed. Hope all is well.Salim