ICU Bootcamp

Three interesting papers about out of the hospital cardiac arrest. Rejan’s paper shows that over 13% of patients will survive after resuscitation for longer than 25 minutes. The paper published by Reynolds suggests efforts longer than 47 minutes may be futile. Jabre’s research suggests that three objective criteria can be used to predict hospital survival from cardiac arrest with almost 100% sensitivity and specificity.

The Association Between Duration of Resuscitation and Favorable Outcome After Out-of-Hospital Cardiac Arrest: Implications for Prolonging or Terminating Resuscitation

Prolonged cardiopulmonary resuscitation and outcomes after out-of-hospital cardiac arrest

Early Identification of Patients With Out-of-Hospital Cardiac Arrest With No Chance of Survival and Consideration for Organ Donation

Reading these four articles yields the required four hours of credit:

NEJM – Cryptogenic Stroke
2016 Rationale for inclusions/excusions for tPA
AHA 2015 Guidelines for Management for Spontaneous ICH

WakeMed Code Stroke Algorithm (August-11-2016)

2015-ahaasa-focused-update-of-the-2013-guidelines-for-the-early-management-of-ischemic-stroke-regarding-endovascular-treatment

Media rollout for WakeMed’s Sepsis Initiative.

http://tinyurl.com/WakeMedSepsis

sepsis-pocketcard

sepsis-poster-2

HINTS 60 min

Endostroke 30 min

Isolated brainstem sx 30min

Rapid stroke 60 min

Thrombectomy 60 min