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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

WORLD EMERGENCY MEDICINE SOCIETIES & RELATED

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Saturday, May 8, 2021

Corticosteroids in Cardiac Arrest

SGEM#329 - By admin - May 8, 2021
Reference: Shah and Mitra. Use of Corticosteroids in Cardiac Arrest – A Systematic Review and Meta-Analysis. Crit Care Med Feb 2021
“CLINICAL QUESTION: DOES THE USE OF CORTICOSTEROIDS IMPACT NEUROLOGIC OUTCOMES AND MORTALITY IN PATIENTS WITH A CARDIAC ARREST?
KEY RESULT: STATISTICAL DIFFERENCE IN GOOD NEUROLOGIC OUTCOME AND SURVIVAL TO HOSPITAL DISCHARGE WITH STEROIDS BUT NOT SURVIVAL AT 1 YEAR OR LONGER.
SGEM BOTTOM LINE: WE HAVE NO EVIDENCE TO SUPPORT THE USE OF CORTICOSTEROID IN OHCA AND ONLY VERY WEAK EVIDENCE FOR CORTICOSTEROIDS IN IHCA AS PART OF A VSE PROTOCOL.”