The Educational Newsletter From  CriticalCareNow!

Dopamine Sucks...Prove Me Wrong 

I hate Dopamine and dedicated an entire video to why I hate it. Here's some take home points:

• -it is not as effective as other options like norepinephrine and has more complications such as increased arrhythmias.
• "renal dose dopamine" is a myth and has been debunked.
• The only situation where I'd consider using dopamine is for patients with symptomatic bradycardia Enjoy and if you like it, subscribe to my YouTube channel for more! 

Check out the video here.

Zero to Bypass

In this lecture from ResusX:ReVolved, Dr. Joe Bellezzo, an ER physician from San Diego, shares their groundbreaking journey of integrating ECMO into their Emergency Department for Refractory Ventricular Fibrillation cases. Beginning with his inaugural case involving a patient named Ralph, the episode explores the transformation of ECMO from a tool designed for surgeons to a life-saving ER procedure. Dr. Bellezzo emphasizes the significance of deliberate movements in critical situations, drawing parallels to motorcycling's "whiskey throttle" concept. The episode also highlights their shift towards a culture of resuscitation excellence, driven by remarkable survival stories, and introduces the concept of "Code Choreography" to optimize resuscitation procedures. Tune in to witness how innovation and dedication have reshaped emergency medical practices, propelling the possibilities of meaningful survival.

Check out his amazing video now! If you want to check out the entire conference, click here.

Meds to Avoid Intra-Arrest

In this podcast episode, Dr. Colin McCloskey, an EM Intensivist at University Hospitals, delves into the topic of medications to avoid during intra-arrest situations. This was taken from the ResusX:ROSC conference last July. He highlights that there are only three interventions that truly improve cardiac arrest outcomes: early defibrillation, high-quality CPR, and eCPR. The podcast discusses the limitations of certain medications commonly used during cardiac arrests. Despite its potential as a vasopressor, calcium doesn't improve outcomes when administered empirically, even for hyperkalemia-related arrests. Sodium bicarbonate, intended to counter metabolic acidosis, proves ineffective in improving the return of spontaneous circulation (ROSC) or neuro-intact survival. Similarly, the use of lytics, even in cases of unstable coronary artery disease, doesn't significantly impact ROSC or neuro outcomes. The episode emphasizes the importance of focusing on the three interventions that have been shown to make a difference: high-quality CPR, timely defibrillation, and eCPR if available.

Here are 5 key takeaways:

1. Only three interventions have demonstrated improved cardiac arrest outcomes: early defibrillation, high-quality CPR, and eCPR.
2. Calcium's potential as a vasopressor doesn't translate into improved outcomes when used empirically during cardiac arrests, even for hyperkalemia cases.
3. Sodium bicarbonate fails to enhance ROSC or neuro-intact survival, and it's only effective for specific cases like sodium channel pathology.
4. The use of lytics, even with unstable coronary artery disease, doesn't yield significant improvements in ROSC or neuro outcomes during cardiac arrest.
5. The podcast underscores the significance of prioritizing high-quality CPR, defibrillation for shockable rhythms, and potentially eCPR for maximizing neuro-intact survival during intra-arrest situations.

This podcast is for members only so if you want to listen to the full episode, sign up for membership down below.

Start Investing In Your Education for Only $1!

Today we're giving you the opportunity to try the All-Access Pass for only $1. Yes, this is insane, but we wanted to give you the opportunity to try out the All-Access Pass with little to lose. The All-Access Pass is the ultimate membership level for CriticalCareNow. Each month you will receive 5 new, cutting-edge lectures designed to help you take better care of your critically ill and crashing patients. Enjoy the popular ResusNation Podcast, where the gurus of resuscitation come to teach you more. You'll also watch live grand rounds lectures each month and also access our grand rounds library of previous talks. You'll also receive access to our exclusive RX community where you can post cases, ask questions, and network with faculty and other like-minded individuals. You'll also receive CEU credits and CME is coming soon, and you'll receive a certificate at the end of the year. Finally, you'll join our monthly hangout sessions where we talk about anything that YOU want to talk about. The All-Access Pass is only for individuals who are serious about resuscitation!

Sign up today and you'll only pay $1 for the first 30 days. After 30 days, you'll automatically be billed $4.99 for your membership. There are no yearly fees, no contracts, and no obligations. You can easily cancel at any time, no questions asked. We believe this is this best deal in medical education and we hardly ever run this $1 promotion. The All-Access Membership has over 1,000 members, so don't be left out...now is your time to act!