All Episodes

Displaying 1 - 20 of 101 in total

Ep 101 - PreOxygenation and Why Words Matter

We've covered pre-oxygenation strategies and intubation alot on this podcast, mayber more than anyting else. We covered the definition of FPS in E74, the DEVICE trial ...

Ep 100 - Amio v Lido in OHCA w Tanner Smida

The 2017 NEJM study, ALPS, compared amiodarone, lidocaine, and placebo for refractory shockable rhythms in adults with out of hospital cardiac arrest. They found no si...

Ep 99 - Adenosine or Diltiazem for SVT?

We just got a new paper that compares initial treatment with adenosine compared with diltiazem for the treatment of adults with SVT in the ED. Wouldn’t it be great if ...

Ep 98 - Does the Sequence of RSI Medications Matter

The next time you go to intubate a patient, should you give the sedation before the paralytic or the paralytic before the sedative? Does it matter? And what the hell d...

E97 - Bayes and Calcium Before Diltiazem in Atrial Fibrillation

We covered a paper in episode 81 that suggested treating atrial fibrillation with rapid ventricular response in the field could lower mortality. But it also drops BP a...

E96 - MCD Wrap Up

Wrapping up a series of 5 episodes, Dr Jarvis finishes his discussion of mechanical CPR devices (MCDs) talking about papers from Utah, Vienna, Anchorage, and Cincinnat...

E95 - LUCAS Literature

Last episode we described the literature showing no survival benefit to patients with the AutoPulse device. Fear not, I wasn’t ignoring the LUCAS, I just felt it deser...

E94 - AutoPulse Literature

Our story so far.. episode 92 looked at a study showing lower survival from in-hospital cardiac arrest in patients treated with mechanical compression devices. Episode...

E93 - LUCAS: The Austin Experience

Ever wonder what would happen to cardiac arrest survival after a system implements LUCAS devices and trains really hard to deploy them appropriately? Wonder no more. D...

Ep 92 - Mechanical CPR in InHospital Arrest

We know the literature on mechanical CPR devices on mortality in out of hospital cardiac arrest (we DO know this literature, right?), but what about in-hospital arrest...

Ep 91 - The Bloody Details

New Orleans implemented a blood program and assessed the impact of the program on mortality. Dr Jarvis dives into the details of the paper and then Dr Remle Crowe join...

Ep90 - IV vs IO in OHCA

We've reviewed several papers in the past that suggest there might be an advantage to using IV access compared to IO access for medications in cardiac arrest. Is that ...

Ep 89 - IM Epi in OHCA, Part II

Back in episode 80 we discussed a feasibility study out of Salt Lake City that showed IM epi resulted in 3-minute faster administration in cardiac arrest. It was under...

Ep88 - Naloxone in Cardiac Arrest?

Do you give naloxone to patients who are in cardiac arrest? Should you? Can it possibly provide any benefit at all once you are already providing effective ventilation...

Ep87 - Those CPR Pauses, Though...

Remember when we learned interruptions in compressions take a long time to recover blood pressure from? And how, to avoid these, we should do continuous compressions t...

Ep86 - The PREOXI Trial

What’s the best way to pre-oxygenate our patients prior to intubation? The evidence for this question has been mixed for some time. Dr Jarvis discusses the PREOXI Tria...

Ep85 - Intubation: Is More Better?

There is evidence that clinician experience with intubation is associated with improved success rates and evidence that missed intubation attempts are associated with ...

Ep84 - Nebulized Ketamine?

Description: Let’s say you were looking for a safe and effective BLS option for analgesia. Something other than oral acetaminophen or ibuprofen. You want the Green Whi...

Ep 83 - EtCO2 in Cardiac Arrest

What value does EtCO2 have when predicting survival from cardiac arrest? We all know a sharp spike in EtCO2 is associated with ROSC, but what about persistently elevat...

E82 - Ketamine v Etomidate for RSI: A Bayesian Meta-Analysis

The debate about which drug to use for sedation before RSI will... not… die. Advocates for both ketamine and etomidate approach the argument with near-religious zeal. ...

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