Remove 2012 Remove ALS Remove Defibrillator
article thumbnail

SGEM#238: The Epi Don’t Work for OHCA

The Skeptics' Guide to EM

Date: December 6th , 2018 Reference: Perkins et al. Date: December 6th , 2018 Reference: Perkins et al. A cardiac defibrillator is hooked up and the patient is in ventricular fibrillation. JAMA 2009, Hagihara et al. JAMA 2012 and Cournoyer et al. He is unsuccessfully shocked.

article thumbnail

Seizure in a 30 something

Dr. Smith's ECG Blog

This episode self terminated before defibrillation was possible. See Costagliola et al — Ann Clin Transl Neurol 8(7): 1557-1568, 2021 — for more on the complex "Brain-Heart Interaction" in Epilepsy ). This run of TdP is initiated by a PVC — but it then self-terminates. Discussion : The patient in today’s case presented with "seizures".

E-9-1-1 106
professionals

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

EM@3AM: Brugada Syndrome

EMDocs

Patients with Brugada syndrome should have a prompt cardiology consultation for consideration of implantable defibrillator placement due to the high risk of sudden cardiac death. Rosh Review Website Link References Antzelevitch C, Brugada P, Borggrefe M, et al. Priori SG, Napolitano C, Gasparini M, et al. 2012 May;9(5):752-9.

E-9-1-1 84
article thumbnail

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. Current AHA guidelines do not recommend routine use of calcium in cardiac arrest (Panchal, et al.,

E-9-1-1 52
article thumbnail

Cardiac Rhythms/ECG Module

Don't Forget the Bubbles

Stredder et al, Archives of Disease in Childhood 2016 we see that 58% were not asked about triggers, 30% were not asked about duration and, importantly for risk stratification, 59% were not asked for a family history of cardiac disease. Where there are a number of unexplained deaths, start to be more critical about what this could mean.

ALS 98
article thumbnail

Cardiac Care Show – Episode 1: Mechanical CPR

ECG Medical Training

Let’s also not forget that these patients still require ventilation and they still require defibrillation! When this was first studied by Yost et al. in 2012, researchers discovered that the median application time was 32.5 Perkins GD, Lall R, Quinn T, et al. Rubertsson S, Lindgren E, Smekal D, et al.

CPR 52
article thumbnail

A Middle-Aged male with Chest Pain and an Unusual ECG

Dr. Smith's ECG Blog

Excerpted from Vutthikraivit et al: Acta Cardiol Sin 34:267-277, 2018 ). == Distinction is made between 2 types of Brugada ECG patterns: A B rugada - 1 ECG pattern — shows ≥2 mm coved ST elevation with sharp downslope plus T wave inversion in ≥2 anterior leads. Cardioversion/defibrillation. Electrocardiol 45:433-442, 2012 ).

STEMI 52