Despite continued advances in resuscitation, favorable outcomes for patients with OHCA who receive standard resuscitation remain dismal. In recent years there has been significant interest in the use of ECMO for OHCA. However, the evidence demonstrating the efficacy of ECMO in OHCA remains limited. In this podcast we review the recent ARREST Trial, which evaluated ECMO-facilitated resuscitation in OHCA. In addition, we also discuss a recent systematic review on VA-ECMO for massive PE.
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As we gain more experience managing critically ill patients with COVID-19 infection there has been a shift away from immediate intubation and towards more frequent use of non-invasive ventilatory strategies. Dr. Michael Allison joins CCPEM this podcast to discuss the latest evidence, controversies, and recommendations on the use of HFNC in COVID-19 patients. Download Companion HandoutDownload Download Article About This TopicDownload You can get CME credit for this episode here!Click here for CME Account Creation Instructions Play episode here! ...
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 ...
Recent trials have produced conflicting results on the benefit of epinephrine in patients with OHCA. PARAMEDIC2 was just published and is the largest randomized double-blind, placebo-controlled trial to evaluate the use of epinephrine in OHCA. Dr. Rory Spiegel joins... Download Companion MaterialDownload ...
