Scott Weingart Cutting Edge Intra-Arrest Care

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This document provides guidance on advanced cardiac life support (ACLS) techniques for resuscitationists. It outlines steps for securing airways through intubation, optimizing breathing by connecting to ventilators, and improving circulation with high-quality chest compressions. It also recommends prioritizing coronary reperfusion for STEMI patients in cardiac arrest and using vasoactive drugs like epinephrine. The document stresses the importance of minimizing peri-shock pauses, dosing epinephrine by blood pressure, and considering techniques like extracorporeal cardiopulmonary resuscitation. It emphasizes addressing human factors like keeping interventions quiet and knowing when premorbid state or time of arrest impacts survival chances.

Saúde e medicina Negócios Tecnologia

Post

Cookbook

Nihilism

ACLS

Push
hard &
fast

Truly
Advanced
Cardiac Life Support
for
Resuscitationists

Max Harry Weil
Disease-a-Month 1997

Airway

Convert
to Tube
ASAP

Custom Bent Bonfils Fiberoptic Stylet

Breathing

Grossman
On Combat

Hook them to the
Ventilator

Set Peak Pressure Limit to
> 100 cm H20

Set the
rate low

Circulation

Quality
Compressions

Eliminate
Peri-Shock
Pause
ROC Primed
Resus 2014;85:336

Look-Through
Rhythm Analysis

Crit Care Med 2013;41:1782
LINC - JAMA. 2014;311(1):53-61
Sandra Ware on resus.me

STEMIs go to Lab;
Even if Coding
Circulation 2012;126(13):1605

Drugs

Epi
The PACA Trial: Jacobs et al
Resuscitation.2011;82(9):1138

VSE
JAMA.2013;310(3):270
Arch Intern Med 2009;169(1):15

$Esmolol Emergency Department Use of Esmolol in RefractoryVentricular Fibrillation --Driver,Plummer,Smith$

Nitroprusside?
Prolonged Adult Cardiac Arrest With Enhanced
Cardiopulmonary Resuscitation and Sodium
Nitroprusside
Yannopoulos’Group

Monitoring

Femoral Arterial Line

Epi Dosing by
DBP
Resuscitation 2013;84:696 | Crit Care Med 2013;41:2698
JAMA 1990;263(8):1107 | Resus 2014;85:350

RUSH

Human
Factors

Quiet

emcrit.org/smacc

ECPR

Image from ep monthly

Time to CPR and
Premorbid State
Matters

Time of the
Code doesn’t
matter!

Too Good to Die!

Cookbook
X

Cardiac Arrest
Resuscitation
by
Resuscitationists

Scott Weingart Cutting Edge Intra-Arrest Care

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Scott Weingart Cutting Edge Intra-Arrest Care

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9. Push hard & fast

10. Truly Advanced Cardiac Life Support for Resuscitationists

11. t

12. Max Harry Weil Disease-a-Month 1997

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16. Convert to Tube ASAP

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18. Custom Bent Bonfils Fiberoptic Stylet

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21. Grossman On Combat

22. Hook them to the Ventilator

23. Set Peak Pressure Limit to > 100 cm H20

24. Set the rate low

25. Circulation

26. Quality Compressions

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28. Eliminate Peri-Shock Pause ROC Primed Resus 2014;85:336

29. Look-Through Rhythm Analysis

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33. Crit Care Med 2013;41:1782 LINC - JAMA. 2014;311(1):53-61 Sandra Ware on resus.me

34. STEMIs go to Lab; Even if Coding Circulation 2012;126(13):1605

36. Epi The PACA Trial: Jacobs et al Resuscitation.2011;82(9):1138

37. VSE JAMA.2013;310(3):270 Arch Intern Med 2009;169(1):15

38. Esmolol Emergency Department Use of Esmolol in RefractoryVentricular Fibrillation --Driver,Plummer,Smith

39. Nitroprusside? Prolonged Adult Cardiac Arrest With Enhanced Cardiopulmonary Resuscitation and Sodium Nitroprusside Yannopoulos’Group

41. Femoral Arterial Line

42. Epi Dosing by DBP Resuscitation 2013;84:696 | Crit Care Med 2013;41:2698 JAMA 1990;263(8):1107 | Resus 2014;85:350

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49. Human Factors

51. emcrit.org/smacc

53. Image from ep monthly

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55. Time to CPR and Premorbid State Matters

56. Time of the Code doesn’t matter!

57. Too Good to Die!

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60. Cardiac Arrest Resuscitation by Resuscitationists