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Emergency Medicine Cases

Episode 72 ACLS Guidelines 2015 Post Arrest Care

Emergency Medicine Cases

Dr. Anton Helman

Education, Health & Fitness, Courses, Medicine, Science

4.7602 Ratings

🗓️ 3 November 2015

⏱️ 65 minutes

🧾️ Download transcript

Summary

Once we've achieved ROSC our job is not over. Good post-arrest care involves maintaining blood pressure and cerebral perfusion, adequate sedation, cooling and preventing hyperthermia, considering antiarrhythmic medications, optimization of tissue oxygen delivery while avoiding hyperoxia, getting patients to PCI who need it, and looking for and treating the underlying cause. Dr. Lin and Dr. Morrison offer us their opinion on the new simplified approach to diagnosing the underlying cause of PEA arrests. We'll also discuss when it's time to terminate resuscitation or 'call the code' as well as some fascinating research on gender differences in cardiac arrest care. These co-authors of the guidelines will give us their vision of the future of cardiac arrest care and we'll wrap up the episode with a third opinion, so to speak: Dr. Weingart's take on the whole thing....

Transcript

Click on a timestamp to play from that location

0:00.0

This is part two of the 2015 updated A-CLS guidelines, cardiac arrest controversies,

0:05.6

with Dr. Lori Morrison and Dr. Steve Lynn.

0:08.4

And we'll have a special guest appearance by Dr. Scott Weingard in this episode,

0:12.8

who's going to give us his two cents on cardiac arrest care.

0:16.7

Now, in this part two, we're going to cover post-arrest care after you achieve Rosk.

0:23.1

But before we get into the meat of the podcast, I just wanted to let you know that

0:30.7

registration for the first ever EM cases course in Toronto on February 6th, where you'll get a

0:36.7

chance to hang out and learn in small

0:38.4

groups from your favorite EM cases guest experts, opens on November 17th. There's only 45

0:44.8

spots available, so be sure to sign up on the 17th. Now on to what we're going to cover in the

0:49.8

episode. Once we've achieved Rosk, our job is not over. Good post-arrest care involves maintaining

0:57.1

blood pressure and cerebral profusion, adequate sedation, cooling, and preventing hyperthermia,

1:03.7

considering anti-arhythmic medications, optimization of tissue oxygen delivery while avoiding

1:10.2

hyperoxia, getting patients to PCI who need

1:13.5

it, and looking for and treating the underlying cause. I'll get Dr. Lynn and Dr. Morrison's

1:19.0

opinion on the new simplified approach to diagnosing the underlying cause of PEA arrest, which is

1:24.6

pretty cool. We'll also discuss when it's time to terminate

1:28.4

resuscitation or call the code, as well as some fascinating research on gender differences

1:33.9

in cardiac arrest care. These co-authors of the guidelines will also give us their vision of

1:39.2

the future of cardiac arrest care, and we'll wrap up the episode with the third opinion,

1:43.6

so to speak,

1:44.6

Dr. Weingard's take on the whole thing.

...

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