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EMCrit 342 - More Cardiac Arrest Mastery with PO Berve - Pre-Tidal CO2

EMCrit FOAM Feed

Scott D. Weingart, MD FCCM

Medicine, Health & Fitness, Science

4.82K Ratings

🗓️ 27 January 2023

⏱️ 46 minutes

🧾️ Download transcript

Summary

see shownotes at https://emcrit.org/342

Transcript

Click on a timestamp to play from that location

0:00.0

Hey folks, Scott Wangert here, and this is the M-Crit podcast.

0:02.8

Today, we're talking about cardiac arrest, and specifically, we're talking about monitoring

0:08.7

during cardiac arrest, and the vast majority of this episode will be on entitled CO2.

0:16.3

And I'm bringing back the maven of all things monitoring during cardiac arrest.

0:20.1

He's doing his PhD thesis on the topic, and I'll let's see how my pronunciation is

0:25.0

on this name, because I've been working on it hard.

0:28.2

Let's try that one more time.

0:30.2

Yeah, I think I'm getting it.

0:32.2

So, PO, as I call him, actually has been on once before we talked about how we're totally

0:40.2

screwing up monitoring art lines during cardiac arrest.

0:44.2

Now, that's kind of niche for a lot of you out there.

0:46.2

You're not doing art lines during cardiac arrest.

0:48.2

This one on entitled CO2, you all should be doing during cardiac arrest.

0:51.2

So, it's directly applicable, super important.

0:54.2

You'll see some of the nuances.

0:57.2

The other thing is we're going to be discussing a paper that's linked in the show notes to this episode.

1:03.2

But what's key is that we're going to be discussing the entitled CO2 waveforms in the course of cardiac arrest,

1:12.2

and as they differ from patients with a different degrees of thoracic distension.

1:19.2

Like a picture is worth a thousand words in this vein.

1:22.2

You really want to just click on over to the episode for two seconds and just look at the pictures I have there.

1:28.2

But I'm going to describe them briefly just as a lead-in, because I think it'll contextualize everything that PO talks about.

1:34.2

But normal entitled CO2 pattern that you're all used to is, you know, there's like a half second inspiration during which the entitled is reading zero.

...

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