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OXYGEN. ENOUGH, ALREADY.

Oxygen therapy has been the standard therapy for all sorts of conditions. If you’re feeling sick in any way, you’re very likely to get some oxygen supplement as soon as you get inside an ambulance or a hospital. And high flow oxygen to achieve high oxygen concentration in inspired air has been a central part of the standard treatment for suspected MI – the infamous MONAtr…

Epinephrine and Cardiac Arrest

Epinephrine During Cardiac Arrest Associated With Worse Outcomes in Resuscitated Patients?

pre-hospital use of epinephrine was consistently associated with a lower chance of survival, an association that showed a dose effect and persisted despite post-resuscitation interventions

Background

Although epinephrine is essential for successful return of spontaneous circulation (ROSC), the influence…

antiarrhythmic classification

Class I Fast sodium (Na) channel blockers

Ia – Quinidine, procainamide, disopyramide (depress phase 0, prolonging repolarization)

Ib – Lidocaine, phenytoin, mexiletine (depress phase 0 selectively in abnormal/ischemic tissue, shorten repolarization)

Ic – Flecainide, propafenone, moricizine (markedly depress phase 0, minimal effect on repolarization)

Class II Betablo…

ECMO IN TRAUMA

ECMO in multitrauma patients sounds like asking for complexity and lots of oozing blood – but it seems to have potential for actually stabilising the patient’s systems and get better outcome. ECMO restores normal physiology and unloads the venous system.

ECMO restores normal physiology and unloads the venous system

ECMO in trauma

Mostly, ECMO’s role in trauma has been as VV…