Mechanically ventilating the patient with a severe asthma exacerbation is fraught with peril. Incorrect settings for tidal volume, respiratory rate, pressure triggers, or inspiratory flow can quickly worsen hyperinflation and case hemodynamic collapse. In this episode we tackle the pitfalls and provide the key pearls you NEED to know!
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A critical component to post-arrest care for the patient with ROSC following out-of-hospital cardiac arrest is early coronary angiography. Current guidelines recommend immediate cardiac angiography for patients with evidence of a STEMI on their post-arrest ECG. For the more common scenario of non-diagnostic ECGs, the role of early coronary angiography remains uncertain. In this podcast, superstar Amal Mattu joins us to discuss an article just published in the New England Journal of Medicine on early coronary angiography for patients without evidence of STEMI following ROSC. You can get CME credit for this episode here! Click here for CME Account Creation Instructions ...
Emergency medicine, critical care, and resuscitationists often use the Shock Index to identify patients with increased mortality. The Shock Index is calculated by dividing heart rate by the systolic blood pressure, with a value > 0.8 identifying a potential critically ill patient. In the setting of sepsis, the use of systolic blood pressure to calculate the Shock Index may be less sensitive. In this podcast, we review a recent article that suggests the use of the Diastolic Shock Index may be better in identifying septic patients who require earlier initiation of vasopressor medications. Download Companion HandoutDownload You can get CME credit for this episode here!Click here for CME Account Creation Instructions ...
Current guidelines for post-cardiac arrest management recommend TTM (32C to 36C) for all patients with coma after resuscitation from cardiac arrest. The benefit of TTM is primarily seen in patients who present with a shockable rhythm. However, nonshockable rhythms are now the most common presenting rhythm in patients with cardiac arrest. The use of TTM in patients with nonshockable rhythms remains controversial. In this podcast, we discuss the latest randomized article on the use of TTM in patients with cardiac arrest with a nonshockable rhythm. Should these results change YOUR practice? Download Companion HandoutDownload You can get CME credit for this episode here! Click here for CME Account Creation Instructions ...
