Category Archives: Cardiology

ARRESTED DEVELOPMENT?

An interesting survey recently published in Resuscitation looks at arrest teams for in-hospital cardiac arrest. As anyone in the FOAM-o-sphere is well aware, trauma teams, prehospital teams and ED cardiac arrest teams are increasingly well oiled and the importance of … Continue reading






Posted in Cardiology, Emergency Medicine | 1 Comment

EWWW!

I found two interesting papers in EMJ. Both recently published. If you intubate a fresh frozen cadaver and ventilate you will get a transient capnography trace very similar to a trace from a living patient. I had heard about it before but … Continue reading






Posted in Airway management, Cardiology, CPR, Emergency Medicine | 1 Comment

E-CPR STRIKES AGAIN

ECMO for cardiac arrest, E-CPR, has been shown several times to increase survival more than any other intervention we have available. Here’s yet another retrospective study to support the findings in previous trials (links at end of post). Survival with … Continue reading






Posted in Cardiology, ECMO, Emergency Medicine | 11 Comments

COUGH CPR

There are a few magic lo-tech treatments about. There’s the precordial thump, but there’s also the self administered cough CPR. Documented in several case series from the cath labs of the 70s and 80s, coughing every 1-3 seconds was shown … Continue reading






Posted in Cardiology, CPR | Leave a comment

AVOID THE OXYGEN REFLEX

We’ve been waiting for the AVOID study, since we mentioned it a few years ago in another post on the harm of excessive oxygen. AVOID (Air Versus Oxygen in Myocardial Infarction). Now, it’s out. As expected, it shows that unnecessary … Continue reading






Posted in Cardiology, Emergency Medicine, Intensive Care | 31 Comments

I AM THE RESURRECTION

If you make a study on interventions on dead people, you don’t expect much. Well, the Alfred in Melbourne did such a study – and got a resurrection rate of over 50%! Their intervention group was people in refractory cardiac … Continue reading






Posted in Cardiology, ECLS, ECMO, Emergency Medicine, Intensive Care | 3 Comments

E-POINT SEPTAL SEPARATION

A paper in AJEM describes a way to quickly assess left ventricular function that I wasn’t too familiar with. By measuring the distance between the anterior mitral valve and interventricular septum we can roughly assess the heart’s ejection fraction.






Posted in Cardiology, Emergency Medicine, Ultrasound | 6 Comments

DEATH TO THE YELLOW CATHETER OF DEATH

It’s not news but I recommend you read Paul E Marik’s review of the Pulmonary Artery Catheter (PAC) from Annals of Intensive Care 2013. Basically he tears the whole thing apart, writes an obituary and suggest we make it a … Continue reading






Posted in Cardiology, Intensive Care | Leave a comment

MORE EVIDENCE LINKING FEVER AND MORTALITY AFTER ROSC

A Danish study in Resuscitation sheds more light on the link between fever and mortality in post-ROSC patients. It is interesting as it fits nicely with the recently published, and highly controversial, study in NEJM that suggested hypothermia isn’t working … Continue reading






Posted in Cardiology, CPR, Emergency Medicine | Leave a comment

THERAPEUTIC HYPOTHERMIA – NOT SO COOL

A recent study published in New England Journal of Medicine has created a splash in EM social media. While it acknowledges that temperature control is important, it also suggests therapeutic cooling of cardiac arrest survivors does not work.






Posted in Cardiology, Emergency Medicine, Intensive Care | 8 Comments