The Skeptics' Guide to EM

NOVEMBER 13, 2021

Date: November 10th, 2021 Reference: Andersen, et al: Effect of Vasopressin and Methylprednisolone vs Placebo on Return of Spontaneous Circulation in Patients With In-Hospital Cardiac Arrest. JAMA Sept 2021. JAMA Sept 2021. Epinephrine is provided and you quickly place an advanced airway.

Epinephrine 100

Epinephrine Critical Care Emergency Department Life Support 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. 2009;338:b2085. Resuscitation.

Defibrillator 84

Defibrillator CPR Epinephrine Life Support 84

NAEMSP

JANUARY 5, 2023

Background Despite conflicting literature to support some pharmacological therapies in out of hospital cardiac arrest, the American Heart Association (AHA) currently recommends obtaining vascular access intravenously or intraosseously in cardiac arrest. [1] 2021 Oct;167:261-266. Epub 2021 Jul 5. 2021 Feb;159:129-136.

E-9-1-1 52

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

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