SGEM#329: Will Corticosteroids Help if…I Will Survive a Cardiac Arrest?

Essais extraits du podcast de Dr. Ken Milne

• 2021Use of Corticosteroids in Cardiac Arrest—A Systematic Review and Meta-AnalysisEmergency & ResuscitationIn 6,199 patients with cardiac arrest, corticosteroids within a vasopressin–steroid–epinephrine regimen improved good neurologic outcome compared with placebo.
• 2013VSEEmergency & ResuscitationIn 268 adults with in-hospital cardiac arrest, vasopressin and steroids added to epinephrine improved neurologically intact survival to discharge versus epinephrine alone.
• 2018PARAMEDIC2Emergency & ResuscitationIn 8014 adults with out-of-hospital cardiac arrest, epinephrine improved 30-day survival but not neurologically favourable survival compared with placebo.
• 1984Prehospital Use of Dexamethasone in Pulseless Idioventricular RhythmEmergency & ResuscitationIn86 prehospital cardiac arrests with pulseless idioventricular rhythm,dexamethasonedid not improvesurvival to hospital admissionversussaline.