REBEL EM

JULY 18, 2022

When simple maneuvers fail, we proceed to topical agents such as lidocaine with epinephrine, oxymetazoline, anterior nasal packing, and electrical or chemical cauterization. 2013 Sep;31(9):1389-92. Epub 2013 Jul 30. Initial interventions include local pressure, ice, and forward head positioning for persistent bleeds.

E-9-1-1 52

E-9-1-1 Epinephrine ED ALS 52

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. minutes versus 5.4 minutes). [5] Prehosp Emerg Care.

E-9-1-1 52

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

EMDocs

JANUARY 16, 2024

The patient received 1 mg of epinephrine IV x2 with conversion of his rhythm to ventricular fibrillation (VF) for which he was defibrillated twice in the field. He requires low-dose epinephrine to maintain his mean arterial pressure (MAP) in the 60s mmHg and is transported to the cardiothoracic (CT) ICU. 2013 Jan 24;368(4):394].

Defibrillator 85

Defibrillator CPR Epinephrine Life Support 85

FOAMfrat

OCTOBER 20, 2023

Epinephrine should be considered as the vasopressor of choice in patients with decreased myocardial function. 2013 Nov;84(11):1500-4. Epub 2013 Aug 1. Heffner AC, Swords DS, Neale MN, Jones AE. Incidence and factors associated with cardiac arrest complicating emergency airway management. Resuscitation. 2013.07.022.

E-9-1-1 52

E-9-1-1 ALS ACS OR 52

ACEP Now

OCTOBER 29, 2024

He was defibrillated twice and received two doses of epinephrine, with return of spontaneous circulation. HRS/EHRA/APHRS expert consensus statement on the diagnosis and management of patients with inherited primary arrhythmia syndromes: document endorsed by HRS, EHRA, and APHRS in May 2013 and by ACCF, AHA, PACES, and AEPC in June 2013.

E-9-1-1 52

E-9-1-1 Defibrillator ALS Epinephrine 52

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

9 The only criterion for exclusion from this study was hypotension, defined as either the need for intravenous inotropic or pressor agents (dobutamine, dopamine, epinephrine, milrinone, norepinephrine, or phenylephrine) or a mean systemic arterial pressure below 60 mm Hg. N Engl J Med 2003; 348:1756-1763, 5/1/2013. Khot, MD; et al.

Coronary 52

Coronary ACS ALS STEMI 52

The Skeptics' Guide to EM

JUNE 24, 2017

They continue CPR, get intravenous access, give a round of epinephrine and then wonder if they should start rapid cooling en-route to the hospital with some cold saline. Then came the Targeted Temperature Management (TTM) Trial ( Nielsen et al NEJM 2013 ). By-standard CPR is started and EMS is called. She is not in a shockable rhythm.

CPR 100

CPR Epinephrine ALS Paramedic 100

Don't Forget the Bubbles

DECEMBER 5, 2023

A 2013 study found that half of young Australians are dissatisfied with school-based sex education. Epinephrine was initially given to both groups after 5 minutes of chest compressions, this delay was based on a previous simulation study looking at length of time to site an UVC. Why does it matter? Sex ed” sucks.

Coronary 109

Coronary Epinephrine CPR Emergency Department 109