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Antecedentes: Solo hay dos intervenciones que han demostrado en la literatura médica mejorar los resultados en el paro cardíaco: RCP de alta calidad y desfibrilación temprana. A lo largo de...
Marco Torres |
Background: Hypoxemia and hypoperfusion are important factors in outcomes after ROSC. While hypoxemia (SpO2 <90%) is clearly deleterious, it is unclear if hyperoxia is beneficial. Recent studies on patients requiring...
Marco Torres |
Antecedentes: El ensayo Calcium for Out-of-Hospital Cardiac Arrest (COCA) fue un ensayo aleatorizado, controlado con placebo y doble ciego de calcio en comparación con placebo en OHCA. COCA no encontró...
Marco Torres |
Background Information: Multiple illness severity scores have been developed for use after out-of-hospital cardiac arrest (OHCA) and in-hospital cardiac arrest (IHCA). Unfortunately, these rely on information that is not immediately...
Marco Torres |
Background Information: Refractory out of hospital cardiac arrest (OHCA) is defined as prolonged cardiac arrest and cardiac arrest without return of spontaneous circulation (ROSC). In addition to an already morbid...
Marco Torres |
Background: The utility of pharmacological interventions for patients with OHCA are rather limited with no robust evidence that they improve outcomes. Calcium, one of the pharmacological options has both inotropic...
Marco Torres |
Background: The clinical importance of immediate coronary angiography after out of hospital cardiac arrest (OHCA) without STEMI continues to be debated. A systematic review and meta-analysis published in 2016 suggested...
Marco Torres |
Antecedentes: La RCP con la cabeza hacia arriba (HUP) es un concepto emergente. La teoría detrás del HUP es que permite que la sangre venosa drene del cerebro al corazón,...
Marco Torres |
Background Information: Out-of-hospital cardiac arrest (OHCA) remains a diagnostic challenge to providers and a significant burden on healthcare systems globally. Despite the advancement of invasive medical therapies such as percutaneous coronary...
Marco Torres |
Background: In the US out-of-hospital cardiac arrest (OHCA) has an estimated survival rate of <10% overall, but slightly better survival rates with shockable rhythms of approximately 30% [2]. A small...
Marco Torres |
Background: Epinephrine remains a staple in cardiopulmonary resuscitation (CPR) in out-of-hospital cardiac arrest (OHCA). However, the optimal dose, timing, and route of administration are still unknown. Standard dosing of epinephrine...
Marco Torres |
Traditionally, endotracheal intubation has been the gold standard for airway management in cardiac arrest. However, more recent data suggests that maybe less is more (i.e. supraglottic airways and/or bag valve...
Marco Torres |
Antecedentes: La epinefrina (adrenalina) se ha utilizado como soporte vital avanzado en el paro cardíaco desde principios de la década de 1960. A pesar de la recomendación rutinaria para su...
Marco Torres |
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