Without evidence of benefit, an intervention should not be presumed to be beneficial or safe.

- Rogue Medic

The Importance of Having ROSC

Forget whether giving 1 mg doses of epinephrine every few minutes is dangerous.

Remember that the evidence against High-Dose Epinephrine is not proof of harm.

We worry that every study of SDE (Standard-Dose Epinephrine) shows that there are worse outcomes with epinephrine.

There have been a bunch of these studies, and more are probably coming, but they are not perfect.

Until there is perfect irrefutable proof that every possible dose of epinephrine is harmful to cardiac arrest patients, we will just respond with – That’s not proof!

High-Dose Epinephrine produces much more ROSC (Return Of Spontaneous Circulation) than SDE.

Everybody knows that ROSC is what matters.

Without ROSC, there can be no survival.

There is no proof that High-Dose Epinephrine cause brain damage.

There is no proof that High-Dose Epinephrine causes worse outcomes.

There is no proof of cause and effect between High-Dose Epinephrine and worse outcomes.

High-Dose Epinephrine causes more ROSC than any other resuscitation treatment.

If we are committed to doing all we can to increase ROSC, we need to bring High-Dose Epinephrine back.

There is PROOF of improved ROSC with High-Dose Epinephrine.

The ROSC evidence shows that High-Dose Epinephrine is much better than SDE.

There is no proof of harm with High-Dose Epinephrine.

Bring High-Dose Epinephrine back so that we can have more ROSC.

As long as we demand perfect proof, we can get High-Dose Epinephrine back.

We must remind people that survival doesn’t matter, because there is no survival without ROSC.

When someone says that the research shows worse outcomes with High-Dose Epinephrine, say That’s not proof!

 

Without ROSC, the patient is dead!

 

Survival doesn’t matter!

 

Only ROSC matters!

 

We must bring back High-Dose Epinephrine.

Our ROSCs require High-Dose Epinephrine.

Think of the ROSCs!

Won’t someone please think of the ROSCs?

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Comments

  1. Great post for April 1st Day!

  2. Wow. Joke or not the powers that be will now be demanding you become leadership due to you having clearly seen the light however briefly. Good luck with that.