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.

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NAEMSP

JANUARY 5, 2023

1] The Adult Cardiac Arrest ACLS algorithm currently includes epinephrine and either amiodarone or lidocaine as recommended pharmacologic therapies. The AHA further specifies that IV access is the preferred route; however, IO access is acceptable if unable to obtain IV access. [2] Or in other words, is IO access inferior to IV access?

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FOAMfrat

OCTOBER 20, 2023

Of note, in the paper by Russotto et al., the patients had to have an oxygen saturation greater than 80%, a blood pressure of 90 SYS/MAP 65 or higher, and not have required intubation due to cardiac arrest prior to the intubation procedure for inclusion. How Do I Predict Physiologically Difficult Airways? Recommendations : 1. are at high risk.

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Dr. Smith's ECG Blog

NOVEMBER 19, 2016

Author continued : STE in aVR is often due to left main coronary artery obstruction (OR 4.72), and is associated with in-hospital cardiovascular mortality (OR 5.58). 2 The astute paramedic recognized this possibility and announced a CODE STEMI. 2 The astute paramedic recognized this possibility and announced a CODE STEMI.

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Coronary ACS ALS STEMI 52

ACEP Now

OCTOBER 29, 2024

He was defibrillated twice and received two doses of epinephrine, with return of spontaneous circulation. A 10-year-old male with a past medical history significant for autism spectrum disorder and 15q3 deletion, experienced a cardiac arrest at home. There was no family history of syncope or sudden death. Figure 1: The EMS rhythm strip.

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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. With millions of journal articles published yearly, it is impossible to keep up. Our team have scoured the literature, so you don’t have to… or it might spark an interest to go and have a look at the full article. Br J Gen Pract.

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Coronary Epinephrine CPR Emergency Department 111