Broome Docs

OCTOBER 31, 2022

2022 Jan;48(1):78-91. 2022 Sep;21(9):781-791. 2022 Sep 15;387(11):989-1000. 2022 Sep 18. 2022 Aug;41(4):101096. Epub 2022 Apr 28. PMID: 35490863 Hands on defibrillation: Even if it’s safe, would it actually help? Ex vivo evaluation of personal protective equipment in hands-on defibrillation.

E-9-1-1 52

E-9-1-1 Defibrillator ICU Critical Care 52

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 130

CPR ICU Critical Care Defibrillator 130

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. ASAIO Journal: February 2022 – Volume 68 – Issue 2 – p 153-162.

Defibrillator 109

Defibrillator CPR Epinephrine Life Support 109

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 98

E-9-1-1 Defibrillator CPR STEMI 98

Dr. Smith's ECG Blog

JULY 21, 2024

He required multiple defibrillations within a period of a few hours. This time, the arrhythmia did not spontaneously terminate — but rather degenerated to VFib, requiring defibrillation. Some episodes of PMVT would terminate spontaneously — but on many occasions, the PMVT degenerated to VFib, requiring defibrillation.

Defibrillator 131

Defibrillator Coronary ALS STEMI 131

Dr. Smith's ECG Blog

OCTOBER 23, 2023

She was successfully revived after several rounds of ACLS including defibrillation and amiodarone. 2022 Jul;27(4):e12939. Epub 2022 Feb 11. I last reviewed the phenomenon of electrical alternans in My Comment at the bottom of the page in the November 28, 2022 post of Dr. Smith's ECG Blog. Ann Noninvasive Electrocardiol.

ICU 131

ICU OR Defibrillator EMS 131

FOAMcast

JANUARY 24, 2023

In May 2022, I came across a fellow passenger and stranger in cardiac arrest at the Charlotte airport. This story is a reminder of the importance of continuous chest compressions, early defibrillation, and that what we do in emergency and prehospital medicine matters.

Defibrillator 52

Defibrillator Emergency Department OR 52

Dr. Smith's ECG Blog

SEPTEMBER 29, 2024

Today's case reminds us of the intuitive logic that if a patient has a shockable arrest ( ie, VFib ) — and following successful defibrillation shows evidence of acute OMI ( even if STEMI criteria are not necessarily fulfilled ) — that such patients have much to gain from immediate cath with PCI. ( The April 8, 2022 post by Drs.

STEMI 110

STEMI Coronary Defibrillator OR 110

Broome Docs

JANUARY 30, 2023

Defibrillation Strategies for Refractory Ventricular Fibrillation. 2022 Nov 6. 2022 Nov;61:87-89. Epub 2022 Aug 28. 2022 Nov;29(11):1403-1404. Epub 2022 Aug 17. 2022 Aug 1;5(8):e2226809. 2022 Sep 1;5(9):e2235575. 2022 Nov 29. 2022 Jul;57:76-80. Epub 2022 Apr 26. 2022.26809.

E-9-1-1 52

E-9-1-1 Defibrillator Emergency Department ALS 52

EMS 12-Lead

AUGUST 22, 2022

We can, therefore, put down the defibrillation pads, set aside the amiodarone, and look further at the ECG. Paradoxically, though, the third green arrow identifies a QRS that is more narrow than the RBBB complexes surrounding it. Question 2: What explains the conduction abnormalities? Indian Pacing and Electrophysiology Journal, 6(3), 182-83.

E-9-1-1 130

E-9-1-1 Coronary ALS ICU 130

Dr. Smith's ECG Blog

JUNE 14, 2024

But artifact is "alive and well" — and learning to recognize it will amaze many of your colleagues ( and may serve to avoid an unnecessary defibrillation or two ). The October 21, 2022 post — for " artifactual VT". Like most clinicians — I learned about artifact "the hard way" = by seeing clinical cases that initially fooled me.

Defibrillator 81

Defibrillator ALS Coronary OR 81

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. Vallentin, Povlsen, Granfeldt, Terkelsen, & Andersen, 2022). He is found to be in ventricular fibrillation (VF).

E-9-1-1 52

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

Dr. Smith's ECG Blog

OCTOBER 21, 2022

Searching for regular QRS complexes marching through potential artifact can help distinguish artifactual vs. actual ECG rhythms. == MY Comment, by K EN G RAUER, MD ( 10/19 /2022 ): == Today’s case by Dr. Meyers ( submitted by Dr. Arjun JV ) — is important for recognizing what it is not. This is not VFib or polymorphic VT!

Defibrillator 52

Defibrillator ED OR 52

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. Resuscitation 2022; 179: 9-17. Resuscitation 2022; 179: 9-17. It is imperative that we continue to look at ways to improve cardiac arrest resuscitation.

CPR 52

CPR Defibrillator EMS Epinephrine 52

Dr. Smith's ECG Blog

SEPTEMBER 2, 2024

This episode self terminated before defibrillation was possible. This run of TdP is initiated by a PVC — but it then self-terminates. ECG #3 Interpretation of ECG #3: This rhythm begins as Torsades de Pointes — that then becomes V-Fib. Discussion : The patient in today’s case presented with "seizures".

E-9-1-1 113

E-9-1-1 ALS Defibrillator OR 113

EMT Training Station

FEBRUARY 11, 2024

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 98

EMT EMT Emergency Medical Technician First Aid 98

Dr. Smith's ECG Blog

FEBRUARY 8, 2022

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. On arrival, CPR was continued and core temperature was measured at 18° C (64.4° A 12-lead ECG was recorded: There is sinus rhythm with RBBB and right axis deviation.

CPR 40

CPR Defibrillator Life Support ED 40

Dr. Smith's ECG Blog

OCTOBER 10, 2022

It was reportedly a PEA arrest; there was no recorded V Fib and no defibrillation. If you use quantitative end-tidal CO2 monitoring, there is never any need to waste time making sure that the endotracheal tube is correctly placed. == MY Comment, by K EN G RAUER, MD ( 10/10/2022 ): == Today’s case is a “Save”!

ACS 52

ACS CPR CAD Heart Attack 52

Dr. Smith's ECG Blog

JANUARY 15, 2024

Rhythm C: This telemetry strip from an older adult was initially thought to need defibrillation. The October 21, 2022 post — for " artifactual VT". Rhythm B: This patient was seen in the ED — and thought to be in AFlutter with 4:1 AV conduction. The March 17, 2023 post — for PTA. The January 17, 2023 post — for PTA.

Critical Care 64

Critical Care Defibrillator OR ALS 64

Dr. Smith's ECG Blog

JANUARY 23, 2023

When the ICD was finally interrogated, the syncopal events and shocks correlated with two VF events that were defibrillated successfully. The vessel was likely patent or nearly patent at the time of this ECG.

ACS 52

ACS Coronary Defibrillator STEMI 52

Dr. Smith's ECG Blog

MARCH 15, 2023

We examined the effect of ibutilide, a class III antiarrhythmic agent, on the energy requirement for atrial defibrillation and assessed the value of this agent in facilitating cardioversion in patients with atrial fibrillation that is resistant to conventional transthoracic cardioversion. 25, 2022 ).

ALS 52

ALS OR Defibrillator ED 52

Dr. Smith's ECG Blog

NOVEMBER 30, 2022

She was defibrillated and resuscitated. J Electrocardiol [Internet] 2022;Available from: [link] Cardiology opinion: Takotsubo Cardiomyopathy (EF 30-35%) V Fib Cardiac arrest Prolonged QTC NSTEMI (Smith comment: is it NSTEMI or is it Takotsubo? -- these are entirely different) Moderate single-vessel CAD.

Emergency Department 52

Emergency Department E-9-1-1 Coronary STEMI 52

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 75

E-9-1-1 OR Defibrillator Coronary 75

Core EM

MARCH 5, 2025

One randomized control trial by showed that in patients with ventricular arrhythmias, an implantable cardioverter-defibrillator plus amiodarone may reduce sudden cardiac death and CHF exacerbations/hospitalizations when compared with amiodarone alone. Accessing anti-trypanosomal drugs in the U.S. Retrieved from [link] Gali, W. Sarabanda, A.

Defibrillator 130

Defibrillator Blood Donation OR Emergency Department 130

Dr. Smith's ECG Blog

MARCH 25, 2025

In this case, you should get a second defibrillator and perform double sequential external defibrillation (DSED). Simply attach a second defibrillator as shown in the diagram below and deliver max shocks from both devices simultaneously. In the second case, the patient never converted meaning the shock did not do its job at all.

Defibrillator 63

Defibrillator ACS Coronary ALS 63

Dr. Smith's ECG Blog

DECEMBER 27, 2024

The submitter started the patient on amiodarone and arranged implantation of a defibrillator. == MY Comment , by K EN G RAUER, MD ( 12/27 /2024 ): == Superb discussion by Dr. Frick in today's case, that highlights a series of important points regarding the ECG recognition of stable VT ( V entricular T achycardia ).

Coronary 121

Coronary Defibrillator ACS ED 121

Dr. Smith's ECG Blog

FEBRUARY 6, 2025

Most patients can be managed without and implantable cardioverter defibrillator (ICD) In patients with PVCs/VT and a presentation not typical for an idiopathic origin cardiac magnetic resonance (CMR) should be considered, even if the Echo is normal. 2022, September 2) [2] Ward, R. Van Zyl, M., & & DeSimone, C. 3] Lavalle, C.

Plasma 72

Plasma ACS OR Coronary 72

ACEP Now

OCTOBER 29, 2024

He was defibrillated twice and received two doses of epinephrine, with return of spontaneous circulation. He underwent placement of a dual chamber, implantable, cardioverter-defibrillator (ICD) placement on hospital day 5. 2022; 8(3):386-405. There was no family history of syncope or sudden death. Figure 1: The EMS rhythm strip.

E-9-1-1 52

E-9-1-1 Defibrillator ALS Epinephrine 52