Thursday, July 23, 2015

Sobre RCP, desfibrilación y Adrenalina

R.E.B.E.L. EM - July 23, 2015 - By Rob Bryant
"Advanced Cardiac Life Support (ACLS) provides a well structured framework for those who resuscitate infrequently. There is room to move beyond the algorithm to potentially provide better care for our patients for those who resuscitate frequently. I will describe some tweaks to the way CPR, defibrillation, and medications are delivered in the arrests I manage.

Take Home Points
  • Brief your team before patient arrival: CPR quality (ETCO2), limit all pauses, and smarter Defibrillation
  • Consider an epi drip instead of code dose epi pushes: 0.5 mcg/kg/min IV/IO
  • Sweat the small stuff after you get ROSC. 10 min is a small investment for improved patient outcomes
I am far from an expert resuscitationist, but these simple interventions have allowed for a calmer, quieter room during cardiac arrest resuscitations, and a realization that I am providing the best care possible for my patients."