TEE in Cardiac Arrest Mid-esophageal 4 chamber - counterpart to TTE apical 4 chamber - reversible causes of arrest - LV/RV function Mid-esophageal long axis - counterpart to TTE parasternal long - assess quality of CPR - LV function @ryangibbonsEMUS @CriticalCareNow #ResusX2022

Reasons to use POCUS in cardiac arrest - look for reversible causes of cardiac arrest - femoral & carotid pulse checks can be unreliable - pseudo PEA - U/S guided procedures @DanPatino7 @CriticalCareNow #ResusX2022

Next up for the #ResusX2022 breakout sessions Dr. Ryan Gibbons @ryangibbonsEMUS discussing TEE in Arrest @CriticalCareNow

What about Esmolol? Beta1 selective and short-acting, thought to counteract circulating catecholamines @tsquaredmd @CriticalCareNow #Resusx2022

Epinephrine in refractory vfib? -> overactive catecholamine release -> Increased myocardial O2 demand, ischemia, and depression of VF threshold @tsquaredmd @CriticalCareNow #Resusx2022

Refractory V-fib: continued fibrillation after 3 defibrillation attempts plus 1 antiarrhythmic agent @tsquaredmd @CriticalCareNow #Resusx2022

What about PCI? ECGs right after ROSC may result in false positive STEMI activation. Always worth repeating the ECG while talking to interventional cards if there is uncertainty @critcareguys @CriticalCareNow #Resusx2022

It can be very difficult to recognize nonconvulsive seizure activity post arrest. EEG should be done in patients who remain comatose after ROSC @critcareguys @CriticalCareNow #Resusx2022

How do we accomplish this? Maintaining adequate oxygenation/ventilation, optimizing MAP, TTM, detection of seizures, and PCI if indicated @critcareguys @CriticalCareNow #Resusx2022

Post cardiac arrest there are two main goals: 1) Optimize neurologic resuscitation 2) Prevent secondary injury @critcareguys @CriticalCareNow #ResusX2022

It doesn’t stop with ROSC. Next up is Dr. Mike Winters on Post-Arrest Interventions that Matter @critcareguys @CritCareNow #Resusx2022

Facilitating a culture of excellence during a code is paramount. Everyone has a role and a clear plan is formed quickly. @drbellezzo @CriticalCareNow #ResusX2022

Zero to Bypass in 6 minutes with @drbellezzo When rushing to cannulate for ECMO remember Festina Lente AKA Slow is smooth, smooth is fast @CriticalCareNow #ResusX2022

Zero to Bypass in 6 minutes with @drbellezzo When rushing to cannulate for ECMO remember Festina Lente AKA Slow is smooth, smooth is fast @CriticalCareNow