Not all cardiac arrests are created equal. Whether the presenting rhythm is asystole, ventricular fibrillation, or PEA, these patients require tailored interventions beyond “blanket” protocol and ACLS/PALS algorithms. When refractory to conventional therapy, the pulseless V-Tach/V-Fib patient, in particular, requires critical thinking “outside the box” in order to gain ROSC (Return of Spontaneous Circulation) and preserve neurological outcomes. What are some of the measures we can consider when presented with these refractory patients? We answer that question in this podcast episode.
Dual Sequential Defibrillation Pad Placement
Esmolol Dosing
Lucas Device Placement
https://www.nejm.org/doi/full/10.1056/NEJMoa2207304
https://pubmed.ncbi.nlm.nih.gov/38507848/
