Cardiac Arrest: Breaking the mold

I don't know where the Dopamine thing came from either. I'll see if I track down it's origin. Shouldn't be hard.
 
I don't know where the Dopamine thing came from either. I'll see if I track down it's origin. Shouldn't be hard.

Well, lets be clear. It isn't a completely off the wall idea. Especially because it is preceded by epinephrine. It's just an "inelegant" and not so precise way (IMHO) of approaching the problem. But it is a potent catecholamine which is what is called for in that situation. Lots of ways to skin a cat I guess, and at the end of the day, if someone dies from whatever caused his PEA, a dopamine v. epi drip in this protocol probably wouldn't have made that big of a difference.

I would be interested in the rationale, tho...
 
Thinking of the "H's and T's" I would agree that it probably doesn't matter in majority of the situations however with significant acidosis, tamponade, and massive PE I think Epi has an advantage.
 
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