Comment on With Conflicting Evidence, What Should We Do? – Oxygen
In the comments to With Conflicting Evidence, What Should We Do? – Oxygen is the following from Dr. Brooks Walsh. The importance of this study is that it may suggest that hyperoxia may be...
View ArticleEpinephrine for V Tach – Instant Death or Effective Treatment?
The patient has V Tach (Ventricular Tachycardia) with a pulse. After amiodarone is given the patient’s blood pressure drops and the patient becomes unstable. The patient is still awake, so...
View ArticleWhy Did We Remove Atropine From ACLS? Part I
As of 2010, atropine is gone from the ACLS (Advanced Cardiac Life Support) treatment guidelines and nobody seems to be upset. We never had good evidence to support treatment of dead people with...
View ArticleWhy Did We Remove Atropine From ACLS? Part II
Continuing from Part I. The AHA (American Heart Association) stopped recommendeding use of atropine for the treatment of PEA (Pulseless Electrical Activity) or asystole in the 2010 ACLS (Advanced...
View ArticleDark Ages of ACLS Comment on Part II of ‘Why Did We Remove Atropine From ACLS?’
In the response to Why Did We Remove Atropine From ACLS? Part II is the following from mpatk – What does that leave us with? Compressions in cardiac arrest. Defibrillation in VF cardiac arrest....
View ArticleA Resuscitation Question So Obvious That . . . .
Here is a question that was asked as an example of something so obvious only an idiot would get it wrong. I cannot come up with any right answer. The immediate treatment of cardiac arrest includes...
View ArticleRemote CPR Skills Testing Online – A Crazy Idea?
On the MedicCast, Jamie Davis interviews Roy Shaw of SUMO about a method of remote CPR certification for health care providers. The Single Use Manikin Option, or SUMO™, is an AHA-compliant way of...
View ArticleDoes a Placebo vs. Adrenaline Study Deprive Patients of Necessary Care...
Some in the media have been critical of the upcoming British study of adrenaline (epinephrine) vs. placebo for cardiac arrest.[1] They assume that the guidelines require that we give adrenaline, but...
View ArticleThe Kitchen Sink Approach to Cardiac Arrest
When faced with death, we can become desperate, stop thinking clearly, and just try anything. Alternative medicine thrives on the desperation of people who are not thinking clearly. We should be...
View ArticleThe assessment of the hemodynamic disturbances in patients in the early...
– There is not much research on the goal of postresuscitation care, other than recognition that leaving the hospital with a functioning brain is the goal. This abstract looks at some of the early...
View ArticleIs Epinephrine a Rat Poison AND a Human Poison?
– Dr. Minh LeCong has been a proponent of epinephrine in cardiac arrest, but he is now realizing that the evidence in favor of epinephrine is weak, old, and limited to animal studies. In humans, the...
View ArticleWhat is the basis for post-resuscitation treatment recommendations?
– We spend a lot of time worrying about how to get a pulse back. We spend so much time on getting that pulse back, that some of us think that producing a pulse is what matters. Once we have a pulse...
View ArticleWhat is Evidence-Based Medicine?
– First, Evidence-Based Medicine is a confusing term. Ironically, many people have different interpretations of what Evidence-Based means. The whole idea of scientific evidence is to minimize the...
View ArticleDetails on NIPPV for CHF Works, ACLS Algorithms Do Not at the 1-Union-801...
I have forgotten to post about a podcast that was kind enough to have me as a guest on the topic of CPAP (which works) and ACLS (Advanced Cardiac Life Support) drugs (which don’t work). John...
View ArticleIs a half a bottle of nitro too much for a single dose?
In what I last wrote about the emergency treatment of CHF (Congestive Heart Failure) and furosemide (Lasix – frusemide in Commonwealth countries) being a bad drug,[1] I also mentioned what Peter...
View ArticleMore evidence that interrupting chest compressions kills
This article starts with a misunderstanding of evidence that is common in medicine, and very deadly. The trend of treating patients on-site — instead of en route — has become the latest standard...
View ArticleOptimizing Outcomes in Cardiac Arrest
One more of the great presentations at EMS Expo was on improving outcomes from cardiac arrest.[1] Lake Sumter EMS does not follow the AHA (American Heart Association) ACLS (Advanced Cardiac Life...
View ArticleThe Myth that Narcan Reverses Cardiac Arrest
We are supposed to search for the potentially reversible causes of cardiac arrest and treat those causes. Since naloxone (Narcan) is the most familiar antidote out there, many people assume that we...
View ArticlePotentially Reversible Causes of Cardiac Arrest and the Futility of CPR for...
DocXology did not like my criticism of the futility of CPR in trauma – I think you are setting up a straw man with your naloxone argument. There is not even biomedical plausibility for the...
View ArticleThe Parachute Study as an Objection to Studying Ventilations in Cardiac Arrest
The use of ventilations in cardiac arrest is an example of a treatment that some of us defend by reference to the parachute study. We assume that we understand all we need to know about physiology,...
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