The Blog

Thanks for dropping by! We have curated an incredible collection of the best articles from the leading Emergency Medicine, Tactical Medicine, Prehospitial Medicine, Austere & Remote Medicine authors, as well as Survival Medicine gurus and many others!

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Tactical Medicine News

Heads Up! There is No Association with Improved Outcomes for Head Up CPR: Why We Must Read Past the Abstract

by Marco Torres
Sep 19, 2022
Background: There are only two interventions that have been proven in the medical literature to improved outcomes in cardiac arrest: high-quality C...
Tactical Medicine News

The BOX Trial: BP & O2 Targets in Comatose Survivors of Cardiac Arrest

Background: Hypoxemia and hypoperfusion are important factors in outcomes after ROSC.  While hypoxemia (SpO2 <90%) is clearly deleterious, it is...
Tactical Medicine News

COCA Trial Follow-Up: Calcium vs Placebo on Long-Term Outcomes of OHCA

Background: The Calcium for Out-of-Hospital Cardiac Arrest (COCA) trial was a randomized, placebo-controlled, double-blind trial of calcium compare...
Tactical Medicine News

External Validation of Pittsburgh Cardiac Arrest Category (PCAC) Illness Severity Score

Background Information: Multiple illness severity scores have been developed for use after out-of-hospital cardiac arrest (OHCA) and in-hospital ca...
Tactical Medicine News

Effect of Intra-Arrest Transport and eCPR on Neurologic Outcomes in Refractory OHCA

Background Information: Refractory out of hospital cardiac arrest (OHCA) is defined as prolonged cardiac arrest and cardiac arrest without return o...
Tactical Medicine News

REBEL Cast Ep106: The COCA Trial – Calcium in Cardiac Arrest

Background: The utility of pharmacological interventions for patients with OHCA are rather limited with no robust evidence that they improve outcom...
Tactical Medicine News

REBEL Cast Ep101: The TOMAHAWK Trial – Angiography after OHCA without STEMI

Background: The clinical importance of immediate coronary angiography after out of hospital cardiac arrest (OHCA) without STEMI continues to be deb...
Tactical Medicine News

In the Pipeline: Head Up CPR in OHCA?

Background: Head up (HUP) CPR is an emerging concept.  The theory behind HUP is it allows for venous blood to drain from the brain to the heart the...
Tactical Medicine News

MIRACLE2 Risk Score for Early Prediction of Neurologic Outcome in Out-of-Hospital Cardiac Arrest

Background Information: Out-of-hospital cardiac arrest (OHCA) remains a diagnostic challenge to providers and a significant burden on healthcare sy...
Tactical Medicine News

The 1st Community ECMO Program in the US

Background: In the US out-of-hospital cardiac arrest (OHCA) has an estimated survival rate of <10% overall, but slightly better survival rates w...
Tactical Medicine News

IV or IO Epi in OHCA?

Background: Epinephrine remains a staple in cardiopulmonary resuscitation (CPR) in out-of-hospital cardiac arrest (OHCA).  However, the optimal dos...
Tactical Medicine News

Rebellion in EM 2019: Optimal Airway Management in OHCA via Chris Hicks, MD

Traditionally, endotracheal intubation has been the gold standard for airway management in cardiac arrest. However, more recent data suggests that ...
Tactical Medicine News

Rebellion in EM 2019: Pro/Con Debate – Epinephrine in Out of Hospital Cardiac Arrest (OHCA)

Background: Epinephrine (adrenaline) has been used in advanced life support in cardiac arrest since the early 1960s. Despite the routine recommenda...
Tactical Medicine News

Dosing and Timing of Epinephrine in OHCA

Background: Epinephrine (adrenaline) remains a central part of management of OHCA in ACLS guidelines. Recent studies (i.e. PARAMEDIC-2) have raised...
Tactical Medicine News

JJ 14 Epinephrine in Cardiac Arrest

Does epinephrine improve the chances of return of spontaneous circulation at the expense of the brain? In other words, while we know that epinephri...
Tactical Medicine News

REBEL Cast Ep 44: IO vs IV in Out-of-Hospital Cardiac Arrest (OHCA)

Background: Placement of vascular access for administration of resuscitation drugs and fluids is a common procedure in the management of out of hos...
Tactical Medicine News

Episode 34 – The Death of Mechanical CPR (mCPR)?

Background: The two most important things that we can do in cardiac arrest to improve survival and neurologically intact outcomes is high quality C...
Tactical Medicine News

Cardiac Arrest, Return of Spontaneous Circulation (ROSC) With No ST-Segment Elevation on ECG. Now What?

Background: The American Heart Association/American College of Cardiology (AHA/ACC) give a Class I recommendation for activation of the cardiac cat...
Tactical Medicine News

ALPS: Amiodarone, Lidocaine or Placebo Study in OHCA

Background: Many Out-of-Hospital Cardiac Arrest (OHCA) are attributable to ventricular fibrillation (VF) or pulseless ventricular tachycardia (VT)....
Tactical Medicine News

REBEL Cast Episode 20: All Cardiology Episode

Welcome to the December 2015 REBELCast, where Swami, Matt, and I are going to tackle a couple of topics in the world of Cardiology and Critical Car...
Tactical Medicine News

REBEL Cast Episode 18: Our Top 5 AHA 2015 Guideline Updates for CPR and ECC

In case you have not heard or not read it on the twittersphere, the American Heart Association just released their 2015 Guidelines Update for Cardi...
Tactical Medicine News

REBEL Cast Episode 14: Early Cardiac Catheterization in OHCA Survivors with Non-STEMI

Background: We know that cardiac arrest is a devastating disease and that it occurs in approximately 400,000 Americans each year. In the few patien...
Tactical Medicine News

Beyond ACLS: From CPR to Cath – The New ACC/AHA Cardiac Arrest Algorithm

So you are minding your own business when a 60 year old patient comes in after witnessed Out-Of-Hospital Cardiac Arrest (OHCA).  She had a witnesse...
Tactical Medicine News

REBEL Cast Episode 8: The Skeptical Edition – Active Compression CPR with Augmentation of Negative Intrathoracic Pressure

Welcome back to a special edition, or should I say “skeptical edition” of REBELCast. We have started to do something new by inviting guests onto th...
Tactical Medicine News

Beyond ACLS: Epinephrine in Out-of-Hospital Cardiac Arrest Poll

Recently, I wrote a post on the use of epinephrine in out-of-hospital cardiac arrest (OHCA) and this triggered some interesting discussion on twitt...
Tactical Medicine News

Beyond ACLS: Is It Time to Abandon Epinephrine in Out-Of-Hospital Cardiac Arrest?

Epinephrine is widely used and recommended by Advanced Cardiovascular Life Support (ACLS) in out-of-hospital cardiac arrest (OHCA), but its effecti...
Tactical Medicine News

Three Predictors of Success in Cardiac Arrest

The goal of resuscitation in cardiac arrest is to respond in a timely, effective manner that leads to good patient outcomes.  Resuscitation is not ...
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