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SGEM#238: The Epi Don’t Work for OHCA

The Skeptics' Guide to EM

A cardiac defibrillator is hooked up and the patient is in ventricular fibrillation. 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. He is unsuccessfully shocked. JAMA 2009, Hagihara et al.

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Calcium in Out-of-Hospital Cardiac Arrest

NAEMSP

CPR is taken over by responding crews, and he is placed on a cardiac monitor/defibrillator. After several cycles of defibrillation, epinephrine, and amiodarone, the patient remains in cardiac arrest. The study included 109 hyperkalemic cardiac arrest patients from 2006 through 2012. Resuscitation Plus, 12 , 1-9. Panchal, A.,

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