"There is no evidence that giving any anti-arrhythmic drug routinely during a cardiac arrest increases rate of survival discharge. Despite the lack of long-term outcome data, it is reasonable to continue to use anti-arrhythmic drugs on a routine basis." — ARC
The decision to stop CPR should be tailored according to the specifics of the individual case and is based on clinical judgement. The decision is best made by the Team Leader in consultation with other team members
Fluid responsiveness is an increase of stroke volume of 10-15% after the patient receives 500 ml of crystalloid over 10-15 minutes (as defined by Paul Marik). The definitive test for fluid responsiveness is a Fluid challenge
KEY FEATURES CAB rather than ABC (30:2) 2 min cycles early, high quality, uninterrupted at least 100/min (rather than around) avoid excessive ventilation early defibrillation (higher joules for cardioversion) amiodarone after 3rd shock adrenaline every 4 minutes (every 2nd cycle)…
Regardless of the underlying cause of the illness, the provision of meticulous supportive care is essential to the management of any critically ill patient. Back in 2005, Jean Louis Vincent popularised the FAST HUGS mnemonic for recalling the key issues to review when looking after a critically ill patient.
KEY FEATURES CAB (ERC still advocates 5 initial rescue breaths) good quality CPR in 15:2 ratio removal of ‘look, listen, feel’ de-emphasis on pulse check AED and defibrillation use encouraged (infants manual defibrillation) capnography recommended defibrillation: 4 J/kg adrenaline 10…
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