The Case:

A 55-year-old female with a past medical history of hypertension, end-stage renal disease (ESRD) on hemodialysis, insomnia, depression, and opioid use disorder presents with rapidly worsening dyspnea that began several hours prior to arrival. She endorses an associated cough productive of clear sputum and admits to inhalation opioid use the day prior. She most recently received hemodialysis two days earlier and has not missed any sessions recently.

Michael Dorritie, DO

This week’s cheese post will review recent literature that examines the role of antiarrhythmic medications in shockable cardiac arrest. Although algorithmic, these data may suggest some nuance in your approach to the management of shockable rhythms can improve your chances of obtaining ROSC.

Vladimir Bernstein, MD