In 2009 and 2013 investigators published studies that demonstrated improved outcomes in patients with IHCA who received vasopressin and steroids in addition to epinephrine. However, both US and European cardiac arrest guidelines have not endorsed these medications due to lack of additional evidence. In this podcast we discuss the recently published VAM-IHCA trial, which evaluated vasopressin and steroids for patients with IHCA. Should we now be administering this combination of medications along with epinephrine for IHCA?
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In February, we discussed the results of the ADRENAL trial and implications for clinical practice. Since that time, another large trial and meta-analysis has been published. What does the latest literature add to the discussion? Where is the pendulum swinging for steroids in sepsis? Download Companion HandoutDownload You can get CME credit for this episode here! Click here for CME Account Creation Instructions ...
Several recent articles have challenged the long-held belief that we should treat fever in patients with sepsis? In this episode we review these recent studies, along with the benefits of fever in patients with an infection. A very timely and controversial topic! Download Companion HandoutDownload You can get CME credit for this episode hereClick here for CME Account Creation Instructions! ...
Though low-tidal volume ventilation has been shown to decreased mortality in patients with ARDS, the use of these settings in mechanically ventilated ED patients has been variable. In this podcast, we discuss a recent systematic review that examined the effect of low-tidal volume ventilation in the ED on clinical outcomes including mortality, length of stay, occurrence of ARDS, and duration of mechanical ventilation. Download Companion HandoutDownload You can get CME credit for this episode hereClick here for CME Account Creation Instructions ...