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Episode 62. The COCA Trial Review and Calcium in Cardiac Arrest

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 Nov 30. doi: 10.1001/jama.2021.20929. PMID: 34847226

  • P: Adult patients with out of hospital cardiac arrest who received at least one dose of epinephrine. 
  • I: 5 mmol of Calcium Chloride given after the first and second dose of epinephrine 
  • C: Placebo
  • O:  Sustained ROSC = 19% in Calcium Group  vs 27% in placebo group

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