#EMConf: CAT
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Critically Appraised Topic: Does a Low Tidal Volume Mechanical Ventilation Strategy Benefit Patients without ARDS?
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Category (Day):
Tom Sewatsky, MD
Low Tidal Volume Strategy for Patients without ARDS; Takeaways from PReVENT
Editor:
EMS brings in a 67 year old male in a PEA arrest. ROSC is obtained after twenty minutes of downtime. He was intubated by EMS during transport. A colleague talks to the family and she lets you know that he was complaining of shortness of breath and chest pain for an hour before he had a witnessed cardiac arrest and that his PMH includes HLD and HTN. The respiratory therapist is asking for the ventilator settings.
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Deviation from Standard ACLS: Esmolol for Refractory VF/VT
Editor:
You have a patient in cardiac arrest getting high quality CPR with an initial rhythm of pulseless VT that has been defibrillated three times and received a total of 3 mg of epinephrine and a loading dose of 300 mg of amiodarone. As you continue ACLS, the patient remains in VT. Are there alternative treatments to consider?
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Mechanical Ventilation Alarms: High Airway Pressure
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You are called to the bedside of a mechanically ventilated patient for an alarm that is being triggered on the ventilator. In red and blinking you see “Airway pressure high.” What’s your next move?
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Category (Day):
Not so straightforward sepsis
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Anchoring on the most common can miss rare diagnoses
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