Category Archives: AHLR

CPR: MAN VS MACHINE: 1-1

Are mechanical chest compression robots better than your average ambo? The LINC trial in JAMA seeks to answer that. LUCAS, probably the most popular mechanical chest compressor, has been tested in a study against man. 2.600 patients randomised to man … Continue reading

Posted in AHLR, Emergency Medicine | 6 Comments

CPR ON STEROIDS

Vasopressin has been advocated in and out of the CPR algorithm. Adrenaline is still hanging in there. And now the Greeks want to add steroids?! In this pretty solid multi center trial, they randomised cardiac arrest patients to standard adrenaline … Continue reading

Posted in AHLR, Emergency Medicine, Intensive Care | 3 Comments

EMERGENCY ECMO

“If you can put in a central line or a dialysis catheter, you can place a patient on ECMO” – Dr. Zach Shinar We have discussed ECMO-CPR, or ECLS, earlier. Those papers were on in-hospital cardiac arrests. Here’s a real … Continue reading

Posted in AHLR, Emergency Medicine | 2 Comments

LOST AND FOUND: FEBRUARY

A few medical bits and pieces from around the net. This time on chest drains and intercostal arteries, and on predicting futile resuscitation.

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ECMO CPR

Hjertestans behandles fremdeles med middelaldermetoder, og ikke overraskende med meget lav overlevelse. Det beste vi har å tilby er rytmisk portørknusing av thorax, eventuelt kombinert med noen skvett adrenalin. I det 21. århundrede må det da finnes en bedre metode?

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MOUTH-TO-NOSE

Mun-till-mun-ventilation (MTM) har försvunnit från HLR-algoritmerna för vuxna. Teorin grundade sig på experiment från en man som hette Safar som på 50-talet lyckades bibehålla SaO2 över 90% hos frivilliga patienter i anestesi.

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