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SGEM#238: The Epi Don’t Work for OHCA

The Skeptics' Guide to EM

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 ).

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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. Discussion: Dead On Scene: The 96.2%

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

NAEMSP

Background Despite conflicting literature to support some pharmacological therapies in out of hospital cardiac arrest, the American Heart Association (AHA) currently recommends obtaining vascular access intravenously or intraosseously in cardiac arrest. [1] Or in other words, is IO access inferior to IV access? 3] Table from Tan et al.

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Calcium in Out-of-Hospital Cardiac Arrest

NAEMSP

The study included 109 hyperkalemic cardiac arrest patients from 2006 through 2012. The medic on scene calls on-line medical control to ask for advice, and specifically asks if calcium can be given, as she has “seen it work before” to get pulses back as a “last ditch effort.” 2021), and AHA guidelines also maintain this use (Panchal, et al.,

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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. Enrollees were then assigned to either TTM of 33ÂşC or 36ÂşC for 36 hours. Time to TTM was statistically significantly shorter in the IC group (2.2

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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. Advanced paediatric life support: a practical approach to emergencies, 6th edn.

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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. 2000, Stiell et al.