EMDocs

OCTOBER 29, 2024

m/s)—problematic and elevated > 50 mm Hg (2.5 m/s)—problematic and elevated > 50 mm Hg (2.5 m/s)—problematic and elevated > 50 mm Hg (2.5 m/s)—problematic and elevated > 50 mm Hg (2.5

E-9-1-1 86

E-9-1-1 ICU Epinephrine EMS 86

Don't Forget the Bubbles

DECEMBER 25, 2023

Disease-Oriented Outcomes (DOOs) The PARAMEDIC-2 trial looked at the effectiveness of epinephrine in adult patients who suffered an out-of-hospital cardiac arrest. They found that epinephrine administration was associated with higher survival at 30 days ( 3.2% doi:10.1136/bmjebm-2018-110891 Perkins GD, Ji C, Deakin CD, et al.

Epinephrine 83

Epinephrine ALS OR Paramedic 83

Pediatric EM Morsels

OCTOBER 27, 2023

Most emergency drugs except for amiodarone and succinylcholine are based on ideal body weight [Emergency Medical Services for Children, Luten 2007] Epinephrine, dopamine, fentanyl, ketamine based on what child should weigh. Epub 2018 Oct 18. Reduces dosing errors during resus, up to 33.88%. Recommended by ATLS and PALS. x exp[0.02

E-9-1-1 269

E-9-1-1 Emergency Medical Services Life Support ALS 269

Dr. Smith's ECG Blog

OCTOBER 20, 2024

The patient was administered thrombolytics and shortly after the lytics were administered, the systolic blood pressure rose to about 80mmHg with ongoing epinephrine infusion. Below (Figure A) I have marked the end of the QRS complexes by drawing a vertical line through the J-point of the standard and precordial leads.

Coronary 125

Coronary ACS Emergency Department Defibrillator 125

The Skeptics' Guide to EM

APRIL 20, 2019

The article was called “A lexicon for gender bias in academia and medicine: Mansplaining is the tip of the iceberg” It was published in the December 2018 edition of the BMJ. Theme music is an important part of the SGEM. Mansplaining is defined as explaining something in a condescending or patronizing way, typically to a woman.

Epinephrine 100

Epinephrine ALS Emergency Department EMS 100

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.

Defibrillator 84

Defibrillator CPR Epinephrine Life Support 84

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. Initial interventions include local pressure, ice, and forward head positioning for persistent bleeds. Essentially, it increases blood clot stability.

E-9-1-1 52

E-9-1-1 Epinephrine ED ALS 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? JAMA 2018; 319:1889. Most agents exhibit both vasopressor and inotropic effects (Figure 1).

E-9-1-1 52

E-9-1-1 ALS Coronary Epinephrine 52

REBEL EM

JANUARY 23, 2023

Second-generation H1 antihistamines (cetirizine, loratadine, and fexofenadine) do not cross the blood-brain barrier as easily (Bernstein J 2018). They are less sedating compared to first-generation antihistamines and have fewer associated adverse effects. Moreover, the FDA approved intravenous (IV) cetirizine to treat acute urticaria in 2019.

Allergic Reaction 52

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

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.

E-9-1-1 52

E-9-1-1 ALS ACS OR 52

Dr. Smith's ECG Blog

JULY 24, 2018

They stated that the patient was coded for 20 minutes, including multiple doses of epinephrine, and they also gave glucose, calcium, and bicarb. As stated above, resuscitation included epinephrine, calcium, and bicarb. His history was significant only for IV heroin abuse, but he denied any recent use. After ROSC achieved: Sinus rhythm.

Epinephrine 52

Epinephrine ICU Coronary EMS 52

Dr. Smith's ECG Blog

NOVEMBER 9, 2018

Chronotropic support with Isoproterenol, Epinephrine, or Dopamine to increase ventricular escape rate. John L = My Comment , by K EN G RAUER, MD ( 11/9/2018 ): = Interpretation of pacemaker tracings used to be straightforward and surprisingly simple when all the provider had to worry about were VVI pacemakers. External pacing 5.

Epinephrine 52

Epinephrine OR Emergency Manager Emergency Management 52

Dr. Smith's ECG Blog

APRIL 6, 2018

Chest compressions were continued, and the patient was given 1 round of epinephrine, calcium, bicarb, glucose. He arrived in PEA arrest with a slow and wide cardiac waveform during initial rhythm check, with faint cardiac activity on US but no palpable or visible femoral pulse on US of the femoral artery. Learning Points: 1.

Defibrillator 52

Defibrillator ICU EMS Plasma 52

AAEM RSA

AUGUST 27, 2020

The trial was conducted in 25 ICUs in France between 2014 and 2018. The main exclusion criteria were time from ROSC to screening of more than four hours, unwitnessed arrest with asystole as initial rhythm, suspected or known intracranial hemorrhage or stroke, or an initial core temperature of less than 30ºC. C to a goal of 36.5

E-9-1-1 52

E-9-1-1 CPR ICU ALS 52

ECG & Echo Learning

JANUARY 18, 2023

I C Blood samples Management Recommendation Level of evidence Serum biomarkers of myocardial infarction ( troponin ) should be sampled as early as possible without delaying reperfusion therapy. I C Symptom relief Symptom Management Recommendation Level of evidence Hypoxia Oxygen is indicated if SaO2 < 90% or PaO2 < 60 mmHg.

STEMI 40

STEMI Coronary OR Defibrillator 40

FOAMfrat

SEPTEMBER 19, 2024

Background and Epidemiology In the United States, roughly 9,000 snake bites are reported annually, with approximately 3,000 being attributed to venomous species and less than 10 resulting in death. Many bites are associated with (human) consumption of alcohol. Fortunately, overall prognosis for snake envenomation within the U.S. Neither will the ER.

Emergency Department 90

Emergency Department Epinephrine OR Plasma 90

The Skeptics' Guide to EM

MARCH 5, 2022

The level of high-quality evidence had not changed much when looking at the ACC/AHA guidelines from 2008-2018. They wonder how strong the evidence is for much of what we do in emergency medicine. Background: There are many things in medicine that could be considered myth or dogma. We have covered some of these over the 10 years.

Epinephrine 100

Epinephrine ALS OR 100

Don't Forget the Bubbles

DECEMBER 5, 2023

The study included all children born between January 1, 2010, and December 31, 2018, who received a treatment for gastroesophageal reflux disease or other gastric acid–related disorders, namely PPIs, histamine 2 receptor antagonists, or antacids/alginate. With millions of journal articles published yearly, it is impossible to keep up.

Coronary 111

Coronary Epinephrine CPR Emergency Department 111

EMDocs

JANUARY 20, 2024

Answer: Takotsubo Cardiomyopathy 1-18 Background: Also known as transient apical ballooning syndrome, apical ballooning cardiomyopathy, stress-induced cardiomyopathy, stress cardiomyopathy, Gebrochenes-Herz syndrome, and broken-heart syndrome.

E-9-1-1 74

E-9-1-1 EMS Coronary ACS 74

REBEL EM

DECEMBER 19, 2022

trying harder and longer knowing they are enrolled in this study) Use of two different models of defibrillators may negatively impact the internal validity of this pilot study Certain baseline characteristics were not balanced, such as: prehospital intubation and Epinephrine administration.

Defibrillator 52

Defibrillator Paramedic CPR EMS 52