Category Archives: AHLR

CPR AND AMIODARONE

There’s a new RCT out in NEJM on amiodarone and lidocaine in cardiac arrest. It’s an interesting study we wrote on, but needed a less categorical take. In the unselected study population, amiodarone and lidocaine did little for the patients. … Continue reading






Posted in AHLR, Emergency Medicine, Prehospital Medicine | 7 Comments

NEW CPR GUIDELINES

The Norwegian Resuscitation Council has released revised guidelines for CPR, and presented them at the Scandinavian conference for emergency medicine, SAM 16. These recommendations might differ from international recommendations. Click image or “more” for a quick English translation and run-through … Continue reading






Posted in AHLR, Emergency Medicine, Prehospital Medicine | 4 Comments

FAST THORACOTOMY

Ultrasound is being used for procedures and decision making everywhere. Now, someone’s evaluated it for decision making in penetrating trauma cardiac arrest emergent thoracotomies. Is there a place (and time) for ultrasound in this setting? A new article in Annals … Continue reading






Posted in AHLR, Trauma, Ultrasound | 4 Comments

TEE DURING CARDIAC ARREST

Transesophageal echocardiography (TEE or TOE) used to be the domain of cardiologists. It has lately seeped into other areas of medicine where hemodynamic evaluation is crucial. ICU’s and occasionally OR’s use them even for non-cardiac surgery. But the TEE probe … Continue reading






Posted in AHLR, Emergency Medicine, Ultrasound | 2 Comments

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 | 9 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 | 6 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 | 3 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?






Posted in AHLR, ECLS, ECMO | Leave a comment

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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