Handtevy

JUNE 20, 2025

It’s official: the 2025 ILCOR Pediatric Life Support guidelines have removed the recommendation to administer cardiac arrest dose epinephrine for symptomatic bradycardia in children. Back in 2020, Holmberg et al. Despite these clear findings, the recommendation persisted—until O’Halloran et al. Resuscitation. Circulation.

Epinephrine

REBEL EM

APRIL 22, 2024

Paper: Nielsen FM et al. Lower vs higher oxygenation target and days alive without life support in COVID-19. Adverse events in the ICU within 90 days (new shock, cerebral ischemia, myocardial infarction, or intestinal ischemia). This data supports current practice of targeting a lower O2 sat.

ICU

EMDocs

APRIL 10, 2024

Supportive care includes: protecting the airway if necessary, supplemental oxygen if needed, and vasopressor support if the patient is hypotensive. For patients who in cardiac arrest standard Advanced Cardiac Life Support (ACLS) should be initiated. doi:10.1136/bcr-2019-233119 Neal JM, Barrington MJ, Fettiplace MR, et al.

E-9-1-1

REBEL EM

FEBRUARY 2, 2023

2 Amiodarone is commonly known for its anti-arrhythmic properties and a commonly used agent in the Intensive Care Unit (ICU). Paper: Mason JM, et al. These results were corroborated with other another study by Gritensko et al. References Mason JM, et al. 2018, PMID: 30571262 Gritsenko, Diana, et al. Am J Emerg Med.

Emergency Department

EMDocs

JANUARY 11, 2024

Statements: Early risk stratification is not intended as a tool for triage to withdraw life support and is not used for that purpose (90.5%, 19/21). Digestive Management Takeaway: Start enteral feeds when the patient gets to the ICU. Statements: Initiate EN as soon as possible after ICU admission (100%, 20/20).

Critical Care

ACEP Now

APRIL 3, 2024

Several recent studies yield insights into this hypothesis: In a single site retrospective cohort study, Callaway et al demonstrated that TTM efficacy may be impacted by arrest severity.10 In a multisite retrospective cohort study, a study by Nishikimi, et al., Group W, Nolan JP, et al. Nielsen N, Wetterslev J, et al.

Advanced Life Support

Critical Care Scenarios

NOVEMBER 15, 2020

Yes, temporize with supportive care while you go through the process, but do the work—find a legitimate representative or documentation of the patient’s wishes to determine what they’d want before you commit them to lengthy, aggressive life support. ICU time and ED time are different. JAMA Intern Med.

ICU