Originally Posted by Tiger26
Amal Mattu recommended it on one of the EMRAPs (Mar 2010?) in the peri-intubation period as a strategy for lowering the risk of PEA secondary to acidosis of the few min between drugs, tube, vent set up, . . .
Bicarb in general is not useful and can be in fact harmful in most metabolic acidosis settings.
There are only two situations where I think bicarb is useful:
1. TCA overdose