REBOA is a acronym for Resuscitative Endovascular Baloon Occlusion of the Aorta. This procedure involves placing a a catheter with a balloon into the aorta (think similar to a cardiac cath) and occluding the aorta, which reduces blood loss. This also augments afterload and reduces the workload of the heart

TXA. What if there was a drug that would stop bleeding early? What if that drug had been shown to be effective? What would it take for you to use the drug? Over 90 percent of hospitals have some kind of massive transfusion protocol, but only about two thirds of

A special episode of the MedschoolMedic podcast! MSM Clinical Guy Dan Schwester joins us from Berlin to discuss the SMACC conference, and the SMACCforce pre-conference. LOTS of good stuff from Berlin. SMACC Twitter: #SMACC  #SMACCforce Clinical Guy Dan

Do more paramedics lead to better outcomes? Generally speaking, we think that more is better. But that may not be the case. Hagiwara, et al performed a prospective, observational study on patients experiencing put of hospital cardiac arrest. The study included 67 emergency hospitals, of which 36 were academic centers.

MSM Podcast Episode 7- Dual Sequential Defibrillation We’ve mentioned plenty of time on this podcast that we have no real idea what we’re doing for cardiac arrest patients. The guidelines we work are not always consistent with the science. There’s a lot of interventions we perform simply because “that’s what

How do we improve neurologic recovery after cardiac arrest? Part of the problem that we have as resuscitationists (and that’s what we are) is that after we achieve ROSC with a patient, they end up brain dead shortly after our encounter. So what can we do to fix it? These

The more we use ketamine, the more we seem to learn about it. Recently, it was discussed that the action of the drug is more than just a NMDA Blockade. The NMDA blockade was originally thought to be the only effect that ketamine had. But this discovery may mean that

Today’s shorty discusses which paralytic is preferable to use for RSI? The debate has been going on in emergency medicine and anesthesia for quite some time, and the conclusion tends to boil down to provider preference. Today’s article is “Update: Does Rocuronium Create Better Intubating Conditions Than succinylcholine for Rapid Sequence

MSM Podcast Ep. 5- Cardiac Arrest: We have no idea what we’re doing We think we know. We keep trying new techniques and using new tools and toys, and perhaps that’s our downfall. We know that mechanical CPR is, at best, a questionably effective tool. We use drugs that don’t

Push-dose medications have become anew hot-button topic in EMS over the past couple of years. But are they really that new? Push dose nitroglycerin has been in the medical literature for quite a while, specifically in 1994 there was a study that discussed the use of push-dose nitro for patient with