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The Broselow-Luten System

Pediatric EM Morsels

Broselow-Luten System: Supportive Data Physician estimates of weight can underdose children by 49% or overdose by up to 116%. Rosenburg 2010] B-L system is designed for 12yo and younger, patients up to 80 lbs, height 46-143 cm [Meguerdichian 2012] Estimates the 50%ile weight for height (Length vs Ideal Body Weight). x exp[0.02

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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. Discussion: Dead On Scene: The 96.2%

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ToxCard: Benzonatate

EMDocs

She received cardiopulmonary resuscitation (CPR) and standard advanced cardiovascular life support (ACLS). 5) From 2012 to 2019, pediatric benzonatate prescribing soared by 62%. (9) 5) From 2012 to 2019, pediatric benzonatate prescribing soared by 62%. (9)

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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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