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?

E-9-1-1 52

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

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? Most agents exhibit both vasopressor and inotropic effects (Figure 1). Minimal chronotropic effect.

E-9-1-1 52

E-9-1-1 ALS Coronary Epinephrine 52

NAEMSP

APRIL 19, 2023

After several cycles of defibrillation, epinephrine, and amiodarone, the patient remains in cardiac arrest. 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.” mEq/L (OR: 51.11; 95% CI: 3.12−1639.16;

E-9-1-1 52

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

REBEL EM

SEPTEMBER 26, 2022

What They Did Single-center randomized controlled study design performed by the Department of Hepatology & Liver transplantation in New Delhi Study participants, investigator clinicians, data collectors, and data analysts were blinded Investigators recruited participants from February 27, 2016 – March 3, 2018.

FFP 52

FFP E-9-1-1 ICU ALS 52

REBEL EM

JANUARY 23, 2023

antibiotics, NSAIDs) Acute urticaria with angioedema or anaphylaxis provided that urticaria was still present after initial treatment and alleviation of anaphylaxis symptoms. Exclusion: Presented with acute anaphylaxis, and their acute anaphylactic symptoms had not yet been treated. The mean time spent at a treatment center in hours was 1.7

Allergic Reaction 52

Allergic Reaction ED E-9-1-1 Emergency Department 52

The Skeptics' Guide to EM

JUNE 24, 2017

Circulation 2016. Circulation 2016. 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. Guest Skeptic: Jay Loosley is a Registered Nurse, and an Advanced Care Paramedic in London.

CPR 100

CPR Epinephrine ALS Paramedic 100

EMDocs

JANUARY 4, 2024

Bupropion lowers the seizure threshold and even at therapeutic doses patients can have seizures. 6 Severe toxicity: Seizures: It is unclear if seizures are caused by bupropion or the active metabolite, hydroxybupropion. 6 In one study, almost all patients who went on to develop seizures had tachycardia prior to the seizure. EMIT II immunoassay).

Overdose 66

Overdose E-9-1-1 ALS Emergency Department 66

Don't Forget the Bubbles

DECEMBER 5, 2023

This paper retrospectively assembled a cohort of patients diagnosed with UC between 1998 and 2016 and aged between 10 and 24. With millions of journal articles published yearly, it is impossible to keep up. A very Merry Christmas from the BW team, and all the Best Wishes for 2024! Therefore, rapid and sustained remission is critical.

Coronary 111

Coronary Epinephrine CPR Emergency Department 111

EMDocs

DECEMBER 18, 2023

The 2021 SSC no longer recommends the use of the quick sequential organ failure assessment (qSOFA) as a single screening tool for sepsis or septic shock compared to systemic inflammatory response syndrome (SIRS), national early warning score (NEWS), or modified early warning score (MEWS). vs. 0.91), positive predictive value (0.27

E-9-1-1 65

E-9-1-1 ALS Emergency Department Plasma 65

ACEP Now

NOVEMBER 7, 2023

Multiple attempts at defibrillation, epinephrine, and amiodarone have been unsuccessful. 8-12 A recent scoping review published in The American Journal of Emergency Medicine reviewed articles between 2016 and 2019, and found 18 observational studies, which failed to demonstrate sufficient evidence for widespread implementation of DSED.

Defibrillator 52

Defibrillator E-9-1-1 ALS Epinephrine 52

FOAMfrat

NOVEMBER 25, 2024

Epidemiology Amniotic fluid embolism (AFE) is an incredibly rare yet catastrophic pathology during which fetal debris and/or amniotic fluid enters the maternal central circulation in the third trimester of pregnancy or, most commonly, during the labor process. Regardless, she complains of sudden and severe shortness of breath.

Epinephrine 106

Epinephrine CPR Operating Room Plasma 106

FOAMfrat

DECEMBER 4, 2024

Let’s take a trip way back to 2016. You’re me, and you’re in paramedic school, in the thick of the cardiology section. You’re learning about hypotension and the various ways we can fix it. Hypovolemic hypotension gets 20 cc/kg of normal saline, hemorrhage or not. Sepsis gets 20 cc/kg of normal saline, acidosis or not. So how do we treat it?

Coronary 65

Coronary STEMI Epinephrine Critical Care 65