Effect of IV or IO Calcium in cardiac arrest

Cardiac arrest PGY1 PGY2 PGY3 PGY4

There are bunch of rumors that come to play regarding what other medications we can use in cardiac arrest patient, Calcium, Sodium Bicarb, tPA,… A study published in JAMA tried to answer part of this question: “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” . The study did not show any significant improvement on ROSC.

Resuscitation journal also published another study on effect of calcium in OHCA, which it did not support calcium administration in OHCA