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There have been a number of papers published since OPALS that support the findings of not using ACLS drugs like epinephrine for OHCA ( Olavseengen et al. JAMA 2012 and Cournoyer et al. JAMA 2009, Hagihara et al. We reviewed the Cournoyer et al cohort study as part of the #SGEMHOP series with Academic Emergency Medicine ( AEM ).
Crewing Models: There are varying models of pre-hospital care ranging from paramedic provision of care through the mix of First Aid (Tanigawa and Tanaka 2006) Basic LifeSupport (BLS), immediate care, AdvancedLifeSupport (ALS) and the many associated specialist paramedicine grades. References Eckstein, M.,
The study included 109 hyperkalemic cardiac arrest patients from 2006 through 2012. Part 3: Adult Basic and AdvancedLifeSupport: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Calcium use during cardiac arrest: A systematic review. Panchal, A., Cabanas, J.,
The search contained terms for (1) prehospital cardiac arrest or prehospital advancedlifesupport, and (2) injuries and trauma. Grasner 2011; Zwingmann 2012) Their data pools overlap considerably with previous studies; it would have been concerning if the data differed significantly. 2012 Jul 6;16(4):R117.
For both groups, mean time to basic lifesupport was determined to be one-minute, advancedlifesupport started at 10 minutes, and time to ROSC at 25 minutes. Arch Intern Med 2001;161:2007-2012 13. Circulation2010;122:Suppl 3:S768-S786[Erratum, Circulation 2011;123(6):e237, 124(15):e403.]
. * CPS – Emergency management of the paediatric patient with generalized convulsive status epilepticus * APLS – AdvancedLifeSupport Group. Advanced paediatric lifesupport: a practical approach to emergencies, 6th edn. London: National Institute for Health and Care Excellence, 2012. *
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