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¿Qué es mejor usar #amiodarona o #lidocaína en la reanimación cardiopulmonar (#RCP)?
Te cuento en este #hilo y ¡siempre con evidencia!

#urgencias #emergencias #urgenciasyemergencias #AHA #ERC #RCP #CPR #antiarrítmicos #ritmosdesfibrilables #FOAMed #FOANed #FOAMem
La #lidocaína siempre ha estado recomendada como tratamiento alternativo a la #amiodarona en la #PCR con ritmos desfibrilables pero no estaba incluida en los algoritmos por tener un nivel de evidencia menor que la amiodarona.
La evidencia disponible de ambos fármacos según #AHA antes del 2018 era:

⏩Amiodarona: clase 2b, nivel de #evidencia B-A (clase de recomendación baja, con beneficio mayor o igual al riesgo. Y nivel de evidencia otorgado por uno o varios estudios clínicos aleatorizados).
Read 13 tweets
So, remember C3,4,5 keeps you alive?!

Yes, today’s Tweetorial from @icmteaching, @ICUltrasonica and myself is all about the diaphragm!

It’s a pretty vital muscle, and a muscle often forgotten. It’s no wonder why, when it’s weak, your patients won’t liberate from the ventilator! Image
So, does #POCUS have a role in assessing it. Of course it does!🤷‍♂️😂

We use 3 probe positions:

1) Mid axillary/RUQ point - marker 12 O’clock
2) Mid clavicular/Subcostal - marker 12 O’clock
3) Mid clavicular/subcostal - marker 3 O’clock
Here’s MidAx/RUQ position:

The lung curtain does get in the way here, so run M-mode low down to catch the diaphragm.

We use the vital organ (liver or spleen) as our scan window and discriminator between chest cavity and abdominal cavity👍
Read 14 tweets

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