I can’t talk about saving lives without talking about Resuscitation. This is an entire topic in and of itself and I could write all day about it – but I won’t do that here. I will simply say that if I want to save lives, I must be an expert at Resuscitation. I believe that as an

An inspiring address by incoming Chair @EUSmkh! Very excited for her leadership & the year to come! #ACEP23

In a big win for EM residents, @ACEPNow Council adopted 2 EMRA policies today: supporting the choice of 3- and 4-year residency durations and protecting residents’ access to procedural training in the ED. @EmergencyDocs heard your concerns loud and clear.

**EMRA Advocacy Win** Thanks to the initiative of @emresidents, @ACEPNow just adopted policy supporting EM resident physicians’ right of first refusal over non-physicians for procedures in the ED. #EMRAAdvocacy #EMbound #Physicianledcare

Sono Hot Seat🔥with Dr. Meghan Herbst @EUSmkh! Our Chair Elect shares insights & strategies for building a winning SonoGames team, after having led @UConnEmergMed to victory twice in the past 10 years! @SAlerhand @sonositu @MGottliebMD @NagdevArun @ACEPNow https://t.co/wce9skOoYY

Delayed post-vacation announcement but excited to share nonetheless — this national Diversity Mentoring Initiative started as an idea 5 years ago with our @EMresidents D&I team… seeing the words in print was surreal! @ACEPNow https://t.co/IjdMbHcQLW

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🌟 Check out the latest edition of EM Resident magazine! Full version - https://t.co/Q2S7iGTyPg #emresidents

Bicarbonate decreases likelihood of survival and good neurological outcomes; this is shown in pediatric cardiac arrests as well. There should be no role except in few instances such as arrest secondary to hyperK and TCA toxicity. @CoreySlovis @CriticalCareNow #ResusXROSC

Dr. @CoreySlovis on Epinephrine in Cardiac Arrest during #ResusXROSC: The use of epinephrine should be more judicious as it may lead to worsened neurological outcomes despite increased rates of survival @CriticalCareNow

Eight RCTs examining 814 patients demonstrate a trend toward increased rates of ROSC but not toward good neurological outcomes. @tsquaredmd @CriticalCareNow #ResusXROSC

In cardiac arrest, corticosteroids may help improve neurological outcomes by mitigating shock-related sequelae/complications such as inflammation and edema. #ResusXROSC @tsquaredmd @CriticalCareNow

In summary, stick to the only three interventions with proven benefits: 1. Early defibrillation 2. High quality CPR 3. eCPR @CgMack31 @CriticalCareNow #ResusXROSC

Now on #ResusXROSC: Dr. @CgMack31 on medications to avoid during cardiac arrest part II - improvement in patient-centered outcomes have not been shown with vasopressin and corticosteroids or corticosteroids alone in cardiac arrest. @CriticalCareNow

@emcrit @CriticalCareNow Pearl for EtCO2 during cardiac arrest: LOOK at the waveform and make decisions based on the peak measurement. It is also prudent to recognize other capnography patterns such as thoracic distention and pseudo-normalization. #ResusXROSC @CriticalCareNow @emcrit

For arterial lines, auto-level to optimize the size of the waveform and place caliper at the diastolic level (35-40 mmHg, right before systolic upstroke) to allow for efficient direct visualization during ACLS. @emcrit @CriticalCareNow #ResusXROSC

Now on #ResusXROSC: @emcrit Mastering the Monitors during cardiac arrest! @CriticalCareNow

Recent studies show that femoral pulsed-wave Doppler velocity of 20 cm/s correlates with an SBP > 60 mmHg. @tsquaredmd @CriticalCareNow #ResusXROSC

Dr. @tsquaredmd: The accuracy of manual pulse check (24-84%) is too wide of a range to be acceptable in such a critical component of resuscitation. Doppler ultrasound provides a more objective & efficient method. #ResusXROSC @CriticalCareNow

The bottom line: 1. CPR 2. SGA 3. If not, BVM or ETI with ETI typically chosen because of higher rates of complications associated with BVM (e.g., higher rates of failed airway, difficult airway, and aspiration of gastric contents) #ResusXROSC @CriticalCareNow