GEMC:Cardiopulmonary Arrest, Resuscitation and Critical Care

General

This the main page for the Global Emergency Medicine Curriculum Project's Cardiopulmonary Arrest, Resuscitation and Critical Care section. For point of care treatment information see the respective category page and non-GEMC notes.

Cardiopulmonary Arrest, Resuscitation & Post-Resuscitation Care

Journal Articles

• Hypothermia after Cardiac Arrest Study Group. Mild therapeutic hypothermia to improve the neurologic outcome after cardiac arrest. N Engl J Med. 2002 Feb 21;346(8):549-56. http://www.nejm.org/doi/pdf/10.1056/NEJMoa012689.
• Bernard SA, Gray TW, Buist MD, Jones BM, Silvester W, Gutteridge G, Smith K. Treatment of comatose survivors of out-of-hospital cardiac arrest with induced hypothermia. N Engl J Med. 2002 Feb 21;346(8):557-63. http://www.nejm.org/doi/pdf/10.1056/NEJMoa003289.
• Walters JH, Morley PT, Nolan JP. The role of hypothermia in post-cardiac arrest patients with return of spontaneous circulation: a systematic review. Resuscitation. 2011 May;82(5):508-16. http://emcrit.org/wp-content/hypoarts/role-of-hypothermia.pdf
• Taccone FS, Donadello K, Beumier M, Scolletta S. When, where and how to initiate hypothermia after adult cardiac arrest. Minerva Anestesiol. 2011 Sep;77(9):927-33. http://www.minervamedica.it/en/journals/minerva-anestesiologica/article.php?cod=R02Y2011N09A0927

Blogs & Web Sites

• LITFL - Therapeutic Hypothermia After Cardiac Arrest http://lifeinthefastlane.com/education/ccc/therapeutic-hypothermia-after-cardiac-arrest/
• Emergency Medicine Literature of Note: CPR, Epinephrine ... Vasopressin and Steroids?
• ED ECMO Site

Protocols & Guidelines

• Hypothermia Protocols from around the World - http://www.med.upenn.edu/resuscitation/hypothermia/protocols.shtml
• International Cardiac Arrest Registry (INTCAR) - http://www.intcar.org/
• Center for Resuscitation Science (University of Pennsylvania) - http://www.med.upenn.edu/resuscitation/hypothermia/protocols.shtml
• European Resuscitation Council - https://www.erc.edu/index.php/mainpage/en/
• Safar Center for Resuscitation Research (University of Pittsburgh) - http://www.safar.pitt.edu/
• Cardiopulmonary Resuscitation Group, Institute for Experimental Medical Research (Ullevaal University Hospital, Norway) - http://iemf.no/
• Food and Drug Administration (FDA) consideration of hypothermia - http://www.fda.gov/ohrms/dockets/ac/04/transcripts/2004-4073t1.htm
• AHA 2010 Guidelines - http://circ.ahajournals.org/content/122/18_suppl_3/S640.full

Podcasts

• Michael Winters Post Arrest Care – It’s More than Just Hypothermia http://wp.me/pR3VZ-2ne
• Benjamin Abella Post-Resuscitation Cooling http://wp.me/pR3VZ-1zX
• Benjamin Abella Opportunities to Improve CPR Performance http://wp.me/pR3VZ-1cd
• Benjamin Abella Hypothermia after Cardiac Arrest - Recent Evidence, New Understandings http://wp.me/pR3VZ-1c2
• Lance Becker Resuscitation Research Updates http://wp.me/pR3VZ-1ul
• Scott Weingart (EMCRIT) Top Ten Hypothermia Tips http://media.blubrry.com/emcrit/p/traffic.libsyn.com/emcrit/EMCrit-Lecture-20100615-top-ten-hypothermia.mp3
• Eric Bruno Is Post-Resuscitation Cooling the Standard of Care? http://freeemergencytalks.net/wp-content/uploads/2010/04/Post-Resuscitation-Cooling_128.mp3
• Scott Weingart (EMCRIT) The Post-Cardiac Arrest Syndrome http://emcrit.org/wp-content/uploads/Ponte-Vedra-post-resus-6-26-09.mp3
• Stephan Mayer Therapeutic Hypothermia http://traffic.libsyn.com/emcrit/ED_Crit_Care-Mayer_1-14-09.mp3
• Corey Slovis Best of the Best in Resuscitation http://wp.me/pR3VZ-2qB
• Jimmy Goh Hypotensive Resuscitation - What Should I Aim For? http://wp.me/pR3VZ-2lT
• Onier Villareal Controversies in Fluid Resuscitation in Victims of Trauma English & Vietnamese http://wp.me/pR3VZ-2kV
• Tim Harris Endpoints of Resuscitation http://wp.me/pR3VZ-29t
• Nausheen Doctor Asian Resuscitation Outcomes for Out-of-Hospital Cardiac Arrests http://wp.me/pR3VZ-1N7
• Joe Lex A Shocking History of Electroresuscitation http://wp.me/pR3VZ-1FV

Videos

• In Hospital Post Resuscitation Care: Hypothermia Therapy - http://www.youtube.com/watch?v=7X5LGV2E1cs (30:42)
• Post-Resuscitative Care (very nice cartoon - recommended) - http://www.youtube.com/watch?v=fWOsNRMu5R0 (11:35)

Critical Care in the Emergency Department

Blogs & Web Sites

• Pregnant and Sick

Podcasts

• Lewis Nelson - EMcrit -Cardiac Arrest after Smoke Inhalation
• ER cast - How to run a code
• EMCrit Vasopressor and cognitive stop points by Scott Weingart

Videos

• Ten minute screencast describing an expanded ABCs mnemonic
• Cliff Reid - When Should Resuscitation Stop

Other Resources

• Critical Care Gases: Journal Articles - Open Access
  • McCartney R, Saha S, Rees J, Lawt T, Mosaheb R. Inhaled nitric oxide: a review of the action, current literature, and an analysis of its use in the NHS today 1A02 2C04. J Intens Care Soc. 2013:14(3);231-234. http://journal.ics.ac.uk/pdf/1403231.pdf
  • Wigmore T, Stachowski E. A review of the use of heliox in the critically ill. Crit Care Resusc. 2006 Mar;8(1):64-72. http://www.cicm.org.au/journal/2006/march/Helium.pdf
  • Curley G, Laffey JG, Kavanagh BP. Bench-to-bedside review: carbon dioxide. Crit Care. 2010;14(2):220. http://ccforum.com/content/pdf/cc8926.pdf?mkt=231326
  • Wagner F, Asfar P, Calzia E, Radermacher P, Szabó C. Bench-to-bedside review: Hydrogen sulfide--the third gaseous transmitter: applications for critical care. Crit Care. 2009;13(3):213. http://www.ncbi.nlm.nih.gov/pmc/articles/pmid/19519960/
  • Bitterman H. Bench-to-bedside review: oxygen as a drug. Crit Care. 2009;13(1):205. http://www.ncbi.nlm.nih.gov/pmc/articles/pmid/19291278/
  • Decalmer S, O'Driscoll BR. Oxygen: friend or foe in peri-operative care? Anaesthesia. 2013 Jan;68(1):8-12. http://onlinelibrary.wiley.com/doi/10.1111/anae.12088/pdf
  • Bauer I, Pannen BH. Bench-to-bedside review: Carbon monoxide--from mitochondrial poisoning to therapeutic use. Crit Care. 2009;13(4):220. http://ccforum.com/content/pdf/cc7887.pdf

• Hypertension: Journal Articles - Open Access
  • Thomas L. Managing hypertensive emergencies in the ED. Can Fam Physician. 2011 Oct;57(10):1137-97. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3192077/pdf/0571137.pdf
  • Salgado DR, Silva E, Vincent JL. Control of hypertension in the critically ill: a pathophysiological approach. Ann Intensive Care. 2013 Jun 27;3(1):17. doi: 10.1186/2110-5820-3-17. http://www.annalsofintensivecare.com/content/pdf/2110-5820-3-17.pdf
  • Rangel-Castilla L, Gopinath S, Robertson CS. Management of intracranial hypertension. Neurol Clin. 2008 May;26(2):521-41. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2452989/pdf/nihms56358.pdf
  • McGoon MD, Kane GC. Pulmonary hypertension: diagnosis and management. Mayo Clin Proc. 2009 Feb;84(2):191-207. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2664591/pdf/mayoclinproc_84_2_014.pdf
  • Giusca S, Jinga M, Jurcut C, Jurcut R, Serban M, Ginghina C. Portopulmonary hypertension: from diagnosis to treatment. Eur J Intern Med. 2011 Oct;22(5):441-7. http://download.journals.elsevierhealth.com/pdfs/journals/0953-6205/PIIS0953620511000501.pdf
  • Tripathi D. Drugs Used in Therapy of Portal Hypertension. Clinical Liver Disease. 2012 Nov; 1(5) 136–38. http://onlinelibrary.wiley.com/doi/10.1002/cld.97/pdf
  • Luckianow GM, Ellis M, Governale D, Kaplan LJ. Abdominal Compartment Syndrome: Risk Factors, Diagnosis, and Current Therapy. Crit Care Res Pract. 2012; 2012. http://downloads.hindawi.com/journals/ccrp/2012/908169.pdf

See Also

• GEMC: Global Emergency Medicine Curriculum (Main)