The Skeptics' Guide to EM

MARCH 5, 2022

AEM 2021 Guest Skeptic: Professor Daniel Fatovich is an emergency physician and clinical researcher based at Royal Perth Hospital, Western Australia. AEM 2021 Guest Skeptic: Professor Daniel Fatovich is an emergency physician and clinical researcher based at Royal Perth Hospital, Western Australia.

Epinephrine 100

Epinephrine ALS OR 100

ALiEM

NOVEMBER 29, 2023

Xylazine is an alpha-2 agonist similar to clonidine that inhibits the release of norepinephrine and epinephrine resulting in decreased vascular tone and heart rate [4]. Published 2021 Sep 17. Xylazine use is also associated with severe necrotic skin ulcerations and superimposed infection [3, 4]. How does xylazine toxicity present?

Naloxone 169

Naloxone Overdose ALS Epinephrine 169

REBEL EM

APRIL 29, 2024

In cardiac arrest, a delay in IV access subsequently results in a delay in epinephrine administration. 2021 PMID: 34273470 12 Petitpas F et al. Resusc Plus. 2023 PMID: 37502742 11 Schwalbach KT et al. Impact of intraosseous versus intravenous resuscitation during in-hospital cardiac arrest: A retrospective study. Resuscitation.

ALS 102

ALS Epinephrine Critical Care Emergency Department 102

Core EM

JANUARY 25, 2024

Treasure Island (FL): StatPearls Publishing; July 31, 2021. [7] Gulec, Nazey. Accessed September 29, 2022, [link] [6] Pepe J, Ausman C, Madhani NB. Ultrasound-guided Fascia Iliaca Compartment Block. In: StatPearls. Popliteal Sciatic Nerve Block. American Academy of Emergency Physicians, Published 31 Jan.

Epinephrine 246

Epinephrine ED OR Emergency Department 246

NAEMSP

JANUARY 5, 2023

1] The Adult Cardiac Arrest ACLS algorithm currently includes epinephrine and either amiodarone or lidocaine as recommended pharmacologic therapies. Resuscitation 2021 [1] In a separate study, Clemency et al performed a retrospective chart review which showed comparable rates of ROSC in patients who received IO vs IV (19.9% minutes).

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. 2009;338:b2085. Resuscitation.

Defibrillator 84

Defibrillator CPR Epinephrine Life Support 84

Dr. Smith's ECG Blog

APRIL 2, 2024

link] __ Case continued There was hypotension, initially controlled with an epinephrine infusion. Angiogram in 2021 was normal. (THE PM CARDIO OMI AI APP) If you want this bot to help you make the early diagnosis of OMI and save your patient and his/her myocardium, you can sign up to get an early beta version of the bot here.

Defibrillator 131

Defibrillator Coronary Epinephrine CPR 131

ECG & Echo Learning

OCTOBER 2, 2022

Epinephrine Shock (any) Cardiac arrest Bronchospasm Anaphylaxis Bradycardia (second-line alternative) Infusion : 0.01 J Intensive Care Med 2021; 36:101. Effects of dopamine, norepinephrine, and epinephrine on the splanchnic circulation in septic shock: which is best? Crit Care Med 2021; 49:e1063. mg/kg) IM: (1:1000): 0.1

E-9-1-1 52

E-9-1-1 ALS Coronary Epinephrine 52

FOAMfrat

OCTOBER 1, 2023

We want to start an Epinephrine drip. 2021, www.rxlist.com/gtt/definition.htm. NursingCenter, www.nursingcenter.com/ncblog/august-2021/dimensional-analysis. We want to administer TXA 1g diluted in 100mLs over 10 mins. Our drop factor tubing is 10gtts/mL. What will our rate in gtts/min be? Our concentration is 1mg/100mLs.

OR 52

OR Epinephrine 52

Dr. Smith's ECG Blog

JULY 21, 2024

Epinephrine infusion was begun. You can see Left Main and Proximal LAD obstruction, but with some flow, which is saving this patient's life. Immediately after contrast injection into the LMCA, the patient had circulatory collapse, with a precipitous drop in blood pressure. Subsequent PCI of the LMCA and LAD was performed.

Defibrillator 116

Defibrillator Coronary ALS STEMI 116

The Skeptics' Guide to EM

JANUARY 9, 2021

Date: January 5th, 2021 Reference: Grunau et al. Date: January 5th, 2021 Reference: Grunau et al. This has included things like therapeutic hypothermia ( SGEM#54 , SGEM#82 , SGEM#183 and SGEM#275 ), supraglottic devices ( SGEM#247 ), crowd sourcing CPR ( SGEM#143 and SGEM#306 ), and epinephrine ( SGEM#238 ).

EMS 130

EMS Emergency Medical Services CPR Critical Care 130

NAEMSP

APRIL 19, 2023

After several cycles of defibrillation, epinephrine, and amiodarone, the patient remains in cardiac arrest. Additionally, low ionized calcium levels have been correlated with increasing mortality in sepsis and other critical illnesses in adults and children (Bora, Ramazan, Oznur, Emre, & Basar, 2021), (Sanchez, et al., Ramazan, K.,

E-9-1-1 52

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

Broome Docs

APRIL 6, 2023

2022 Dec 16:emermed-2021-211946. doi: 10.1136/emermed-2021-211946. Epinephrine metered-dose inhaler for pediatric croup. Clinical risk factors for testicular torsion and a warning against falsely reassuring ultrasound scans: a 10-year single-centre experience. Emerg Med J. Epub ahead of print. Acad Emerg Med. doi: 10.1111/acem.14616.

Epinephrine 52

Epinephrine ED Emergency Department ALS 52

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. The systematic review and meta-analysis by Janapala et al (2) was performed in April of 2021 and concluded that TXA is beneficial in the cessation of epistaxis.

E-9-1-1 52

E-9-1-1 Epinephrine ED ALS 52

REBEL EM

NOVEMBER 6, 2023

to 1mg/kg/hr) Information regarding the vasopressors used in the study is as follows: Norepinephrine equivalents = norepinephrine mcg/kg/min + (phenylephrine mcg/kg/min/10) + epinephrine mcg/kg/min + (vasopressin units/min x2.5)

Epinephrine 64

Epinephrine ICU ALS OR 64

FOAMfrat

OCTOBER 20, 2023

However, for myself, my go-to recommendation/source is from the Society of Airway Management’s Consensus Recommendations article in February 2021, published by the International Anesthesia Research Society. Epinephrine should be considered as the vasopressor of choice in patients with decreased myocardial function. Epub 2021 Mar 5.

E-9-1-1 52

E-9-1-1 ALS ACS OR 52

EMDocs

DECEMBER 18, 2023

The most recent surviving sepsis campaign (SSC) guidelines were released in 2021, which provided 93 recommendations for evidence-based sepsis management. 1 Since 2021, attempts to identify a single screening tool with optimal sensitivity and specificity to predict which patients will develop sepsis or septic shock have been ongoing.

E-9-1-1 65

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