52 in 52 – #13: The ARREST Trial
Week 13 of the 52 in 52 series looks at the ARREST trial and VA ECMO with angiography and reperfusion in OHCA with ROSC.
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ecmo
Journal Feed Weekly Wrap-Up
This week Clay covers the Canadian TIA score, VA ECMO for massive PE with cardiac arrest, and the 10 commandments of EM.
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Trauma ICU Rounds – The rEVOLUTION of ECMO
What are the indications for ECMO beyond ARDS and refractory cardiogenic shock?
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Journal Feed Weekly Wrap-up
This week’s Journal Feed Wrap-Up brings you ECMO, signs of critical illness in cancer, maintenance fluids in pediatric patients, and hyperkalemia therapy.
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ECMO in the Ped ED
Remaining vigilant for the child with a subtle presentation of a severe illness is part of our job in the Ped ED; however, sometimes, the illness is not subtle and the child requires critical actions (ex, Damage Control Resuscitation, Mechanical Ventilation, Optimize Chest Compressions) . Often, it is best to consider these critical actions prior to needing to do them so there is no delay. One such, potentially life-saving, critical action is Extracorporeal Membrane Oxygenation (ECMO). Recently there was a nice review of Pediatric ECMO [Gehrmann, 2015] that deserves further contemplation. Below are some highlights from that article:
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Hypothermia and Drowning Pearls
Winter is coming…well maybe not yet, but you never know when you will see your next drowning or hypothermic patient will enter your ED, so be prepared! Check out the latest pearls on hypothermia and drowning!
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