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IV versus IO: Does your Site of Access Matter in Cardiac Arrest?

NAEMSP

Meyer MD Clinical Scenario You are dispatched to a 57-year-old male with a witnessed cardiac arrest and bystander CPR being performed. Your partner deploys the cardiac monitor and while CPR is continued you turn your attention to establishing vascular access. 2016 Spring;11(2):119-123. Epub 2016 Oct 24. minutes versus 5.4

E-9-1-1 52
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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. His family has been performing bystander, and report that he suddenly collapsed just a few minutes ago. Resuscitation, 181 , 150-157.

E-9-1-1 52
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SGEM#183: Don’t RINSE, Don’t Repeat

The Skeptics' Guide to EM

Circulation 2016. Circulation 2016. By-standard CPR is started and EMS is called. 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. Circulation 2016. She is not in a shockable rhythm.

CPR 100
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The 76th Bubble Wrap

Don't Forget the Bubbles

This paper retrospectively assembled a cohort of patients diagnosed with UC between 1998 and 2016 and aged between 10 and 24. Reviewed by: Vicki Currie Article 5: Does occluding the femoral artery during neonatal CPR increase the likelihood of ROSC? (In Therefore, rapid and sustained remission is critical.

Coronary 111
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What Is the Best Defibrillation Strategy for Refractory Ventricular Fibrillation?

ACEP Now

Multiple attempts at defibrillation, epinephrine, and amiodarone have been unsuccessful. 1 Overall, survival is poor following cardiac arrest, and is affected by factors including age, comorbidities, witnessed arrest, early CPR, early defibrillation, and return of spontaneous circulation (ROSC).

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Trifecta: Amniotic Fluid Embolism

FOAMfrat

In the standard care of anaphylactoid reactions, we administer Epinephrine, Diphenhydramine, steroids, and bronchodilators. Sure, we still do CPR, defibrillate as needed, and give Epinephrine based upon our local guidance. Could this work for the AFE patient? The American Academy of Obstetrics and Gynecology isn’t sure.