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SGEM#238: The Epi Don’t Work for OHCA

The Skeptics' Guide to EM

This was a before and after study to see if advanced cardiac life support (ACLS) techniques, including IV epinephrine, would improve survival to discharge. 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.

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Prehospital Traumatic Cardiac Arrest: A Systematic Review and Meta-analysis

REBEL EM

The search contained terms for (1) prehospital cardiac arrest or prehospital advanced life support, 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.

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IV versus IO: Does your Site of Access Matter in Cardiac Arrest?

NAEMSP

Panchal AR, Bartos JA, Cabañas JG, Donnino MW, Drennan IR, Hirsch KG, Kudenchuk PJ, Kurz MC, Lavonas EJ, Morley PT, O’Neil BJ, Peberdy MA, Rittenberger JC, Rodriguez AJ, Sawyer KN, Berg KM; Adult Basic and Advanced Life Support Writing Group. 2012 Jan;83(1):107-12. Circulation. 2020 Oct 20;142(16_suppl_2):S366-S468.

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Calcium in Out-of-Hospital Cardiac Arrest

NAEMSP

The study included 109 hyperkalemic cardiac arrest patients from 2006 through 2012. Part 3: Adult Basic and Advanced Life Support: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Calcium use during cardiac arrest: A systematic review. Panchal, A., Cabanas, J.,

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Resident Journal Review: Available Evidence Regarding Targeted Temperature Management (TTM)

AAEM RSA

For both groups, mean time to basic life support was determined to be one-minute, advanced life support 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.]

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SGEM#265: Total EcLiPSE of the Seizure – What a ConSEPT

The Skeptics' Guide to EM

. * CPS – Emergency management of the paediatric patient with generalized convulsive status epilepticus * APLS – Advanced Life Support Group. Advanced paediatric life support: a practical approach to emergencies, 6th edn. London: National Institute for Health and Care Excellence, 2012. *

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From the President’s Desk: HEMS in Cork

Irish College of Paramedics

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 Life Support (BLS), immediate care, Advanced Life Support (ALS) and the many associated specialist paramedicine grades. References Eckstein, M.,