article thumbnail

Critical Care Management of Patients After Cardiac Arrest: A Scientific Statement From the American Heart Association and Neurocritical Care Society

Circulation

The critical care management of patients after cardiac arrest is burdened by a lack of high-quality clinical studies and the resultant lack of high-certainty evidence. Critical care management is crucial in patients after cardiac arrest and affects outcome. Circulation, Ahead of Print.

article thumbnail

Factors vary for mode of death after cardiac arrest in hospitals

Medical Xpress - Cardiology

Mortality rates after cardiac arrest are high, but there are important differences among patients who survive to receive hospital care before their death, according to a study published in American Journal of Critical Care.

article thumbnail

Interhospital Variation in Admissions Managed With Critical Care Therapies or Invasive Hemodynamic Monitoring in Tertiary Cardiac Intensive Care Units: An Analysis From the Critical Care Cardiology Trials Network Registry

Circulation: Cardiovascular Quality & Outcomes

Admissions to CICUs with the highest tertile of CCRx utilization had a greater burden of comorbidities, had more diagnoses of ST–elevation myocardial infarction, cardiac arrest, or cardiogenic shock, and had higher Sequential Organ Failure Assessment scores. CCRx was provided to 62.2% (interhospital range of 21.3%–87.1%)

article thumbnail

Preoxygenation with noninvasive ventilation better than that with oxygen mask alone

All About Cardiovascular System and Disorders

Study by PREOXI Investigators and the Pragmatic Critical Care Research Group published in the New England Journal of Medicine compared the effects of preoxygenation with noninvasive ventilation and preoxygenation with oxygen mask, prior to intubation among critically ill persons [1]. While hypoxemia occurred in 9.1%

article thumbnail

VF arrest at home, no memory of chest pain. Angiography non-diagnostic. Does this patient need an ICD? You need all the ECGs to know for sure.

Dr. Smith's ECG Blog

Given the presentation, the cardiologist stented the vessel and the patient returned to the ICU for ongoing critical care. Frick's presentation in today's case is its simplicity in conveying a critically important finding affecting the outcome of this patient. Two subsequent troponins were down trending.

article thumbnail

STEMI with Life-Threatening Hypokalemia and Incessant Torsades de Pointes

Dr. Smith's ECG Blog

If cardiac arrest from hypokalemia is imminent (i.e., As I indicated above, in our cardiac arrest case, after pushing 40 mEq, the K only went up to 4.2 Crit Care Med. 1991 May;19(5):694-9 Objective: To evaluate the efficacy and safety of potassium replacement infusions in critically ill patients.

STEMI 52
article thumbnail

Another deadly and confusing ECG. Are you still one of the many people who will be fooled by this ECG, or do you recognize it instantly?

Dr. Smith's ECG Blog

It is critically important for all EM and critical care providers to have an intimate understanding of hyperkalemia and its ECG findings. Steve, what do you think of this ECG in this Cardiac Arrest Patient?" HyperKalemia with Cardiac Arrest. Is this just right bundle branch block?