Core EM

OCTOBER 2, 2024

Author: Natalie Bertrand, MD Editor: Naillid Felipe, MD Background: Definition: adverse reaction to blood product administration Incidence: more common in children than adults, except for delayed hemolytic transfusion reactions Allergic (non-anaphylaxis) – Platelets 1-3%; RBCs 0.1-0.3% mg IF requiring IM Epi >3x, switch to IV Epi, 0.05-0.1

Allergic Reaction 100

Allergic Reaction Plasma ED Epinephrine 100

NAEMSP

JANUARY 5, 2023

1] The Adult Cardiac Arrest ACLS algorithm currently includes epinephrine and either amiodarone or lidocaine as recommended pharmacologic therapies. Time to epinephrine in out-of-hospital cardiac arrest: A retrospective analysis of intraosseous versus intravenous access. 2012 Jan;83(1):107-12. minutes versus 5.4 minutes). [5]

E-9-1-1 52

E-9-1-1 Advanced Life Support Epinephrine Life Support 52

NAEMSP

APRIL 19, 2023

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. CPR is taken over by responding crews, and he is placed on a cardiac monitor/defibrillator. He is found to be in ventricular fibrillation (VF).

E-9-1-1 52

E-9-1-1 Advanced Life Support Overdose CPR 52

EMDocs

MAY 26, 2023

Avoid Trying to Reason With Them When agitated, a child’s prefrontal cortex is suppressed by the cortisol and epinephrine induced fight-or-flight reaction. 2012 Jan;109(3):27-32. 2012 Feb;13(1):35-40. Begin by stating your role and use both your own name and the patient’s name (personalize the interaction). Dtsch Arztebl Int.

Emergency Medical Services 98

Emergency Medical Services Emergency Department OR ED 98

ECG & Echo Learning

OCTOBER 2, 2022

Epinephrine Shock (any) Cardiac arrest Bronchospasm Anaphylaxis Bradycardia (second-line alternative) Infusion : 0.01 Effects of dopamine, norepinephrine, and epinephrine on the splanchnic circulation in septic shock: which is best? Intensive Care Med 2012; 38:9. Increases coronary blood flow. mg/kg) IM: (1:1000): 0.1

E-9-1-1 52

E-9-1-1 ALS Coronary Epinephrine 52

FOAMfrat

OCTOBER 20, 2023

Epinephrine should be considered as the vasopressor of choice in patients with decreased myocardial function. Heffner et al, 2012, reports a study that "demonstrated pre-RSI systolic pressures less than 140 as independently associated with post-intubation hypotension, but SI was not included in this analysis" [14]. Epub 2012 Jul 2.

E-9-1-1 52

E-9-1-1 ALS ACS OR 52

ECG Medical Training

DECEMBER 4, 2016

in 2012, researchers discovered that the median application time was 32.5 Start an IV and give epinephrine? It’s something we do have to train, but it’s not as easy as it looks, it’s different for live patients, and the evidence suggests that we can’t rely on our perception as to how long it takes.

CPR 52

CPR E-9-1-1 Defibrillator Ambulance 52

AAEM RSA

AUGUST 27, 2020

Arch Intern Med 2001;161:2007-2012 13. Time to TTM was statistically significantly shorter in the IC group (2.2 Circulation2010;122:Suppl 3:S768-S786[Erratum, Circulation 2011;123(6):e237, 124(15):e403.] Zeiner A, Holzer M, Sterz F, et al. Hyperthermia after cardiac arrest is associated with an unfavorable neurologic outcome.

E-9-1-1 52

E-9-1-1 CPR ICU ALS 52

EMDocs

JANUARY 20, 2024

2012 Aug;164(2):215-21. Answer: Takotsubo Cardiomyopathy 1-18 Background: Also known as transient apical ballooning syndrome, apical ballooning cardiomyopathy, stress-induced cardiomyopathy, stress cardiomyopathy, Gebrochenes-Herz syndrome, and broken-heart syndrome. Am Heart J. 2008 Mar;155(3):408-17. Brinjikji W, El-Sayed AM, Salka S.

E-9-1-1 103

E-9-1-1 EMS Coronary ACS 103

Dr. Smith's ECG Blog

FEBRUARY 20, 2025

Resuscitated with chest compressions, epinephrine. including epinephrine, and there was ROSC. This is what the providers in the ED understood on patient arrival: Patient called 911 for syncope, then had witnessed PEA arrest after medics arrived. Not a shockable rhythm. They laid her on the floor and called 911.

STEMI 88

STEMI Paramedic E-9-1-1 Epinephrine 88