This week, I wanted to quickly review some of the latest resuscitation literature. Let’s look at 3 studies. STUDY 1 Yamamoto M et al. Diagnostic value of lead aVR in electrocardiography for identifying acute coronary lesions in patients with out of hospital cardiac arrest. Resuscitation 2019 142:97-103 Background Emergency coronary angiography is currently recommended in…

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If you haven’t caught the newly published Paramedic-2  trial, here’s a brief rant that tells you everything you need to know. The ostensible reason for the publication has been the ongoing debate about the role of adrenaline in cardiac arrest. In fact the very first line of the paper reads “concerns about the use of…

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Massive propranolol overdose is perhaps one of the most challenging overdoses to manage. In 2009 we posted a case we had. We have progressed in our management since then. CASE A 26 yo woman is brought to the ED by ambulance. She has been found by her mother in her bedroom in a confused state.…

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In the patient who presents with cariogenic shock, the cath lab and a stent or a CABG is probably the treatment of choice, however we don’t always have those luxuries. What inotrope(s) do we use in cariogenic shock? How do we approach those patients for the best outcome? Here is a recent case. It is…

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