by Mark Froats, Josee Malette | Aug 3, 2023 | BHP Corner, cardiac arrest, Featured, Prehospital and Transport Medicine
Case You and your partner arrive at a scene where a 67-year-old male had a witnessed collapse 5 minutes ago and CPR is in progress; he is in cardiac arrest. The initial rhythm is ventricular fibrillation. You continue CPR with a King LT and provide 3 shocks, along...
by Chirag Bhat, Hans Rosenberg, Krishan Yadav | Feb 6, 2023 | Cardiology, Critical Care, Featured, Journal Club, Prehospital and Transport Medicine
Methodology: 4.5/5 Usefulness: 4.5/5 Cheskes S, et al. N Engl J Med. 2022 Nov 6. Question and Methods: A cluster-randomized open-label trial evaluating survival in adult patients with refractory ventricular fibrillation during OHCA treated by paramedics with standard...
by Renee Bradley, Josee Malette | Aug 26, 2021 | Featured, Grand Round Summaries, Resuscitation, Ultrasound
There are 35,000 out-of-hospital cardiac arrests (OHCA) annually in Canada6. Patient survival in OHCA increases dramatically with resuscitation; bystander CPR, use of AEDs and activation of EMS. Signifiant gains have been made with education at both the community and...
by Hans Rosenberg | Feb 22, 2021 | cardiac arrest, Cardiology, Critical Care, Featured, Journal Club, Resuscitation
Methodology: 3.5/5 Usefulness: 3.5/5 Yannopoulos D, et al. Lancet. 2020 Dec 5;396(10265):1807-1816. Question and Methods: The ARREST trial was a phase 2, single centre, open-label, RCT comparing early ECMO facilitated resuscitation to ED-based standard ACLS care for...
by Lindsay Cheskes, Kate O'Connell | May 21, 2020 | cardiac arrest, Cardiology, Critical Care, Featured, Grand Round Summaries, Resuscitation
This post takes a deep dive into the pathophysiology, presentation and management of electrical storm in the emergency department. The management focuses on patients with implantable cardioverter-defibrillators receiving multiple shocks, patients with polymorphic...
