2022, CPR and Defibrillator - Paramedicine Now

Transcutaneous Pacing: Part I

EMS 12-Lead

MARCH 30, 2024

The paramedics begin CPR. CPR is performed with manual compressions as no mechanical CPR device is available. They are unable to feel a pulse and resume CPR. As this case shows, electrical capture isn't always possible at lower currents, especially with pads placed in a standard anterolateral "defibrillation" position.

CPR

CPR Paramedic Ambulance Defibrillator

SGEM#380: OHCAs Happen and You’re Head Over Heels – Head Elevated During CPR?

The Skeptics' Guide to EM

OCTOBER 22, 2022

Date: October 18th, 2022 Reference: Moore et al. Resuscitation 2022 Guest Skeptic: Clay Odell is a Paramedic, Firefighter, and registered nurse (RN). Date: October 18th, 2022 Reference: Moore et al. Resuscitation 2022 Guest Skeptic: Clay Odell is a Paramedic, Firefighter, and registered nurse (RN).

CPR

CPR Defibrillator Epinephrine Firefighter

SGEM#392: Shock Me – Double Sequential or Vector Change for OHCAs with Refractory Ventricular Fibrillation?

The Skeptics' Guide to EM

FEBRUARY 11, 2023

Defibrillation Strategies for Refractory Ventricular Fibrillation. Defibrillation Strategies for Refractory Ventricular Fibrillation. He has been an ACLS instructor for close to 30 years and notably his first publication focused on out-of-hospital defibrillation. Defibrillation Strategies for Refractory Ventricular Fibrillation.

Defibrillator

Defibrillator Medical Transportation OR CPR

A man in his 50s with unwitnessed VF arrest, defibrillated to ROSC, and no STEMI criteria on post ROSC ECG. Should he get emergent angiogram?

Dr. Smith's ECG Blog

JULY 9, 2024

His family started CPR and called EMS, who arrived to find him in ventricular fibrillation. 15 minutes after EMS arrival, after at least 6 defibrillations, the patient achieved sustained ROSC. Meyers and Smith in the October 15, 2022 post of Dr. Smith's ECG Blog ). 15, 2022 post). Further information is not available.

Defibrillator

Defibrillator STEMI CPR EMS

SGEM#394: Say Bye Bye Bicarb for Pediatric In-Hospital Cardiac Arrest

The Skeptics' Guide to EM

FEBRUARY 25, 2023

2022 Date: February 15, 2023 Guest Skeptic: Dr. Carlie Myers is Pediatric Critical Care Attending at Cincinnati Children’s Hospital Medical Center. 2022 Date: February 15, 2023 Guest Skeptic: Dr. Carlie Myers is Pediatric Critical Care Attending at Cincinnati Children’s Hospital Medical Center. Pediatric Crit Care Med.

CPR

CPR ICU Critical Care Defibrillator

REBEL Cast Ep113: Defibrillation Strategies for Refractory Ventricular Fibrillation

REBEL EM

DECEMBER 19, 2022

Background Information: Double external defibrillation (DED) is an intervention often used to treat refractory ventricular fibrillation (RVF). This procedure involves applying another set of pads attached to a second defibrillator to a patient and shocking them in hopes of terminating the rhythm. N Engl J Med.

Defibrillator

Defibrillator Paramedic CPR EMS

Hypothermic Cardiac Arrest: Pearls and Pitfalls

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. The patient is moved over to the stretcher and connected to the monitors and defibrillator. What would your next steps be? His point-of-care labs return with a potassium of 3.4

Defibrillator

Defibrillator CPR Epinephrine Life Support

Heads Up! There is No Association with Improved Outcomes for Head Up CPR: Why We Must Read Past the Abstract

REBEL EM

SEPTEMBER 19, 2022

Background: There are only two interventions that have been proven in the medical literature to improved outcomes in cardiac arrest: high-quality CPR and early defibrillation. Head Up (HUP) CPR may be the next critical improvement. Head Up (HUP) CPR may be the next critical improvement. Resuscitation 2022; 179: 9-17.

CPR

CPR Defibrillator EMS Epinephrine

A 40-something presented after attempted prehospital resuscitation with persistent Ventricular Fibrillation

Dr. Smith's ECG Blog

JULY 14, 2023

He underwent further standard resuscitation EXCEPT that we applied the Inspiratory Threshold Device ( ResQPod ) AND applied Dual Sequential Defibrillation (this simply means we applied 2 sets of pads, had 2 defib machines, and defibrillated with both with only a fraction of one second separating each defibrillation.

E-9-1-1

E-9-1-1 Defibrillator CPR STEMI

Calcium in Out-of-Hospital Cardiac Arrest

NAEMSP

APRIL 19, 2023

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.

E-9-1-1

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

Hypothermia at 18 Celsius in V Fib arrest: CPR, then ECMO rewarming, for 3 hours, then Defib with ROSC. Interpret the ECG.

Dr. Smith's ECG Blog

FEBRUARY 8, 2022

On arrival, CPR was continued and core temperature was measured at 18° C (64.4° The patient was put on Extracorporeal Life Support in the ED 3 hours after initial resuscitation, the core temp was 30° C and the patient was defibrillated with a single attempt. Chest compressions and ventilation were begun.

CPR

CPR Defibrillator Life Support ED

On the Scene: Prehospital Care for Electrical Burns for EMTs

EMT Training Station

FEBRUARY 11, 2024

If the victim is unresponsive, CPR is initiated immediately. We use portable electrocardiogram (ECG) machines to monitor heart rhythms and are equipped to administer life-saving interventions like defibrillation or medication administration to stabilize the heart rhythm.

EMT

EMT EMT Emergency Medical Technician First Aid

A man in his 30s with cardiac arrest and STE on the post-ROSC ECG

Dr. Smith's ECG Blog

OCTOBER 10, 2022

CPR was initiated immediately. It was reportedly a PEA arrest; there was no recorded V Fib and no defibrillation. After approximately 1 hour of total intermittent CPR time, final ROSC achieved.Patient did have extremity movement during central line placement. This patient arrested shortly after hospital arrival.

ACS

ACS CPR CAD Heart Attack

Patient is informed of her husband's death: is it OMI or it stress cardiomyopathy?

Dr. Smith's ECG Blog

MARCH 8, 2025

Several 200 J shocks did not terminate the VF, so a second defibrillator was applied for double sequential defibrillation with 400 J. She was defibrillated perhaps 25 times. Propranolol versus Metoprolol for treatment of electrical storm in patients with implantable cardioverter-defibrillator. SanzRuiz, R., Solis, J., &

E-9-1-1

E-9-1-1 OR Defibrillator Coronary

Paramedicine Now

Transcutaneous Pacing: Part I

SGEM#380: OHCAs Happen and You’re Head Over Heels – Head Elevated During CPR?

Trending Sources

SGEM#392: Shock Me – Double Sequential or Vector Change for OHCAs with Refractory Ventricular Fibrillation?

A man in his 50s with unwitnessed VF arrest, defibrillated to ROSC, and no STEMI criteria on post ROSC ECG. Should he get emergent angiogram?

SGEM#394: Say Bye Bye Bicarb for Pediatric In-Hospital Cardiac Arrest

REBEL Cast Ep113: Defibrillation Strategies for Refractory Ventricular Fibrillation

Hypothermic Cardiac Arrest: Pearls and Pitfalls

Heads Up! There is No Association with Improved Outcomes for Head Up CPR: Why We Must Read Past the Abstract

A 40-something presented after attempted prehospital resuscitation with persistent Ventricular Fibrillation

Calcium in Out-of-Hospital Cardiac Arrest

Hypothermia at 18 Celsius in V Fib arrest: CPR, then ECMO rewarming, for 3 hours, then Defib with ROSC. Interpret the ECG.

On the Scene: Prehospital Care for Electrical Burns for EMTs

A man in his 30s with cardiac arrest and STE on the post-ROSC ECG

Patient is informed of her husband's death: is it OMI or it stress cardiomyopathy?

Stay Connected