Pan CT following cardiac arrest has become my routine practice for the past 6 years. Why? 1. Their heart stopped --> we need to figure out why. CT can identify unexpected or difficult to diagnose causes. e.g. PE, pancreatitis, abdominal catastrophe 2. They were just assaulted for X min with CPR . I've seen flail chest, hemothorax + liver/spleen lacerations. They have thoracoabdominal trauma. 3. CT head identifies catastrophic brain injuries (not early gray-white loss or edema which doesn't mean much if done right post ROSC) but rather massive bleeds or sometimes even strokes. I operationalize it as a CT head non-contrast, CT chest with PE protocol, and then CT abdomen with whatever phase they can get after everything else. Of course, I do not delay transfer to cath lab or OR if there is a specific indication (e.g. STEMI vs. bleeding) but will get a CT after the cause has been reversed in those cases.

(1/x) For venous congestion, it turns out that the same Doppler pattern can have different prognostic and therapeutic significance depending on the underlying cause. These have been coined congestive 'endotypes'. Here's how I think about them👇

Hospitalist and Resuscitationist 2025 (#HR25) conference blended cutting edge physiology, new evidence, and a ton of expert wisdom. It was incredible. Here were 10 of my top learnings 👇