What is S.C.A.D.? 

Have you ever heard the term SCAD and wonder what's that, or how it presents? Dr. Tarlan Hedayati (@thedayati) covers spontaneous coronary artery dissection and how it differs from acute coronary artery disease. This is a great talk from ResusX:ReVolved.

Check out the video here.

VEXUS

In this podcast episode, Dr. Abhilash Koratala from the Medical College of Wisconsin provides a comprehensive overview of VEXUS (Venous Excess Ultrasound), a valuable tool for assessing a patient's hemodynamics and fluid status at the bedside. Dr. Koratala explains the three key components of evaluating the hemodynamic circuit, which include Forward Flow, Fluid Responsiveness, and Backward Pressures of the heart. He emphasizes the importance of assessing Systemic Venous Congestion and its impact on organ perfusion, particularly the kidneys. VEXUS combines various ultrasound parameters, including Inferior Vena Cava, Hepatic Vein, Portal Vein, and Intrarenal Vein, to quantify venous congestion and predict the risk of organ injury. The podcast also includes practical insights and case examples of how VEXUS can guide treatment decisions and monitor patient response to therapy.

Check out his amazing video now! Explore ResusX for more content from Abhilash and our other exceptional faculty!

Post-Arrest Interventions

In this podcast segment, Dr. Mike Winters discusses the importance of Post-Arrest Interventions following the successful return of spontaneous circulation (ROSC) in patients who have experienced sudden cardiac arrest. He emphasizes that the critical period after ROSC has the greatest impact on a patient's neurologic survival. The two main post-arrest goals are optimizing neurologic resuscitation and preventing secondary injury. To achieve these goals, Dr. Winters highlights several targeted interventions, including optimizing ventilation to maintain normal carbon dioxide levels, detecting seizures in comatose patients through EEG monitoring, determining the appropriateness of emergent coronary angiography for patients with ST-segment elevation, and considering delayed coronary angiography for patients with NSTEMI. He also discusses the need for careful assessment and re-evaluation of EKG findings in the early post-arrest period.

Key Takeaways:

1. The crucial period following ROSC has the greatest impact on a patient's neurologic survival.
2. Post-arrest care goals are to optimize neurologic resuscitation and prevent secondary injury.
3. Targeting normal carbon dioxide levels (PaCO2 of 35-45) is essential for ventilation optimization.
4. Consider EEG monitoring to detect non-convulsive seizure activity in comatose patients after cardiac arrest.
5. Assess and reevaluate EKG findings to determine the necessity of emergent or delayed coronary angiography for STEMI and NSTEMI patients, respectively.

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