Dr. Tarif Choudhury, pediatric cardiac intensivist at Columbia University College of Physicians and Surgeons, discusses topics such as optimizing CPR, monitoring patients during CPR, controversies of using epinephrine, bike-carb, and ultrasound in cardiac arrest.
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volunteer_activism ADVICE
CPR Monitoring Targets
Look for a diastolic blood pressure above 30 mmHg during CPR.
Also, target an end-tidal CO2 greater than 20 mmHg, if available.
insights INSIGHT
Value of Gases During CPR
Gases can give insights into metabolic derangements during CPR's metabolic phase.
This information can help guide further interventions and inform decisions about code duration.
volunteer_activism ADVICE
Vasopressors in CPR
Use epinephrine to increase systemic vascular tone and improve coronary perfusion pressure.
Consider vasopressin in specific lesions like pulmonary hypertension.
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Dr. Tarif Choudhury is a pediatric cardiac intensivist at Columbia University College of Physicians and Surgeons. After finishing his residency in pediatrics at Cohen Children’s Medical Center, he completed his cardiology fellowship at Lurie Children’s Hospital in Chicago followed by a pediatric critical care fellowship at Morgan Stanley Children’s Hospital at Columbia University School of Medicine. His areas of interest are the impact of clinical simulation to improve team performance, clinical outcomes of PCICU patients and clinical outcomes of patients on mechanical circulatory support in the PCICU.
Dr. Gav Apfel is a CICU hospitalist at Columbia University College of Physicians and Surgeons. He completed his residency training at Columbia University College of Physicians and Surgeons and will be joining the Columbia University’s critical care fellowship program next year. He is interested in pursuing a career in cardiac intensive care.
Objectives By the end of this podcast series, listeners should be able to:
Strategize how to approach an arrest as the code leader
Recognize the key elements of high-quality CPR and how to optimize perfusion during an arrest
Recall airway management, oxygenation, and ventilation during CPR
Recall different approaches to physiological monitoring during an arrest to guide therapy
Recognize appropriate resuscitation drug administration and timing during CPR
Recall management with manual defibrillation for arrests with a shockable rhythm
Develop approach to determining code duration and when to discontinue CPR
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Thank you for listening to this episode of PedsCrit. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. Check out http://www.pedscrit.comfor detailed show notes. And visit @critpeds on twitter and @pedscrit on instagram for real time show updates.
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