Update in cardiac resuscitation
Following table summarizes latest in cardiac resuscitation
cardiology
63 yrs old male with left arm numbness
63 yrs old male with history of renal stones, smoking presented with 6 hours history of left arm numbness and elevated blood pressure. CT chest with contrast images shown What should be done ? Submit answers using contact form on about tab.
Hypothermia versus Normothermia after Out-of-Hospital Cardiac Arrest
Josef Dankiewicz, Tobias Cronberg, Gisela Lilja et el published a trial of normothermia vs hypothermia in out of hospital cardiac arrest in NEJM. BACKGROUND Targeted temperature management (TTM, therapeutic hypothermia) after cardiac arrest first came to use in clinical setting since the publication of two landmark articles in 2002(1,2). Earlier it was noted that persons … Read more
ECMO in refractory out of hospital VFib cardiac arrest
Yannopoulos D, Bartos J, Raveendran G, Walser E, et al published a trial in the Lancet about therapy in patients with out of hospital refractory ventricular fibrillation cardiac arrest. WHAT Phase 2, single-center, open-label, pragmatic, randomized clinical trial. WHERE University of Minnesota Medical Center (MN, USA) PATIENTS Adult patients (aged 18-75) with out of hospital … Read more
Update in cardiac resuscitation : New CPR Guidelines
Ashish Panchel, Jason Bartos, Jose Cabanas et el published uptdated guidelines for cardiac resuscitation in Circulation. Salient features are summarized in this picture. Now a days the guidelines are updated on a continuous basis but these are the salient changes summarized in a table form. Most updated treatment recommendations for cardiac arrest resuscitation FOR … Read more
2019 Focused update on Advanced cardiac life support
American Heart Association published focused update on Advanced Cardiac Life Support in conjunction with 2019 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendation from International liaison committee on resuscitation(ILCOR). This focus update provide new recommendations for use of advanced airways, vasopressors and extracorporeal CPR( ECPR). Rest of the guidelines remain … Read more
Norepinephrine superior in cardiogenic shock after myocardial infarction
Levy B, Clere-Jehl R, Legras A et el published results of prospective double-blind multicenter randomized control trial comparing Epinephrine and norepinephrine in patients with cardiogenic shock secondary to percutaneous coronary intervention treated acute myocardial infarction. BACKGROUND Use of vasopressor agents during severe cardiogenic shock is to maintain the adequacy of and organ blood flow, which … Read more