Podcast 741: Calcium for Cardiac Arrest

<p><strong>Contributor: Aaron Lessen, MD</strong></p> <p><strong>Educational Pearls:</strong></p> <ul> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Study of nearly 400 patients evaluating giving calcium during cardiac arrest with the endpoint as return of spontaneous circulation (ROSC)</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Compared giving 1 amp calcium chloride with each round of epinephrine for the first two rounds of epinephrine versus saline placebo</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">ROSC occurred in 19% of patients in the calcium groups versus 27% in saline placebo group</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">No magic drugs in cardiac arrest, good CPR and early defibrillation are still the most important factors for ROSC in cardiac arrest </span></li> </ul> <p><strong>References</strong></p> <p><span style="font-weight: 400;">Vallentin MF, Granfeldt A, Meilandt C, et al. Effect of Intravenous or Intraosseous Calcium vs Saline on Return of Spontaneous Circulation in Adults With Out-of-Hospital Cardiac Arrest: A Randomized Clinical Trial. JAMA. 2021;326(22):2268-2276. doi:10.1001/jama.2021.20929</span></p> <p><em><span style="font-weight: 400;">Summarized by John Spartz, MS4 | Edited by Erik Verzemnieks, MD</span></em></p> <p> </p> <p><span style="font-weight: 400;">The Emergency Medical Minute is excited to announce that we are now offering</span> <em><span style="font-weight: 400;">AMA PRA Category 1 credits™</span></em> <span style="font-weight: 400;">via online course modules. To access these and for more information, visit our website at</span> <a href= "https://emergencymedicalminute.org/cme-courses/"><span style= "font-weight: 400;">https://emergencymedicalminute.org/cme-courses/</span></a> <span style="font-weight: 400;">and create an account. </span></p> <p><a href= "https://www.paypal.com/donate?token=6bIZ91UwjZAL