Are you using epinephrine in cardiac arrest?

[@farhanqadeer82]

Fantastic talk !!! This has and will for sure change my perspective. I don't have the data to prove but always consider bicarb in patient with ESRD - mostly acidotic and hyperkalemic. Thanks a lot for this wonderful talk.

[@CriticalCareNow]

Thanks for that!

[@ZantherStone]

In the paramedic2 trial, wasn’t average time to first epi 22 minutes? Seems to make sense that it’d be poor neuro outcome but more ROSC. Imagine if you did a study and decided to defib super late. Yeah you’d have more rosc than if you never defibbed but poor neuro. So not sure how helpful that data is…?

[@CriticalCareNow]

Thanks for your comment

[@ethanhartman8663]

Agreed. Often times we throw in these things as a "kitchen sink" approach. We attribute deaths and poor neurologic outcomes to the severity of illness but it makes me wonder how much of these common practices are actually leading to these poor outcomes. I will strive to be more judicious.

[@CriticalCareNow]

We’ll said!

[@checktheskies5040]

Which injection can trigger heart failure/Cardio myopathy during surgery/C section? It happened right after Injection. The lung function was 20% also which we didn't know about until X-Ray showed huge black shadows which was fluid on them. Is there any links,studies or information that anyone can point me towards please? ❤

[@TheChelas69]

Multiple dose epi implies prolongued CPR with current protocols, poor Rankin is expected. I fltirt more with the idea of single ponderal epi (single higher dose) based on results of cardiac transplantation.