Episode 62.0 – VFib and Pulseless VTach
This week we discuss the ED management of cardiac arrest with VFib and pulseless VTach.
Show Notes
Take Home Points
- In cardiac arrest, the most important interventions are to deliver electricity quickly when it’s indicated and to administer good high-quality compressions with minimal interruptions to maximize your compression fraction.
- Medications like epinephrine and amiodarone have never been shown to improve good neurologic outcomes in the ACLS recommended doses. Don’t focus on them.
- Consider pre-charging your defibrillator to minimize pauses in CPR and maximize your chance for ROSC
- Finally, remember that as Emergency Physicians, we are specialists in the resuscitation of cardiac arrests. ACLS is just a starting point. Push your understanding of taking care of these patients so you can deliver the best care possible
Additional Reading
