Remove 2022 Remove Defibrillator Remove E-9-1-1
article thumbnail

Seizure in a 30 something

Dr. Smith's ECG Blog

ECG #1 Interpretation: ECG #1 shows sinus rhythm at a heart rate of 77 bpm. This episode self terminated before defibrillation was possible. Following more detailed questioning — it turned out the patient had started taking 9 different herbal remedies to ease lethargy and unspecific neurological symptoms. and magnesium 0.88

E-9-1-1 113
article thumbnail

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

Dr. Smith's ECG Blog

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
professionals

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

First10EM Journal Club: October 2022

Broome Docs

2022 Jan;48(1):78-91. 2022 Sep;21(9):781-791. PMID: 30206143 Less is more when it comes to intravenous fluids de-Madaria E, Buxbaum JL, Maisonneuve P, et al. 2022 Sep 15;387(11):989-1000. 2022 Sep 18. 2022 Aug;41(4):101096. Epub 2022 Apr 28. 2022 Aug 3;11:100284. Epub 2021 Dec 14.

E-9-1-1 52
article thumbnail

What Lies Beneath

EMS 12-Lead

Question 1: What is the rhythm? We can, therefore, put down the defibrillation pads, set aside the amiodarone, and look further at the ECG. Beat 1 : Sinus, narrow QRS complex. The assumption is that a premature complex discharged prior to Beat 1, which prolonged its respective refractory period in the same manner as Beat 5.

E-9-1-1 130
article thumbnail

First10EM Journal Club: January 2023

Broome Docs

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. PMID: 33933300 Khan A, Saleem MS, Willner KD, Sullivan L, Yu E, Mahmoud O, Alsaid A, Matsumura ME. 2022 Aug 1;5(8):e2226809.

E-9-1-1 52
article thumbnail

Calcium in Out-of-Hospital Cardiac Arrest

NAEMSP

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 52
article thumbnail

Upon arrival to the emergency department, a senior emergency physician looked at the ECG and said "Nothing too exciting."

Dr. Smith's ECG Blog

mm of ST segment elevation, V2 and V3 have 1 mm of elevation, v4 has 2 mm of elevation and v5 around 1.5 She was defibrillated and resuscitated. Note 1: Levels were significantly lower in takotsubo that presented with T-wave inversion. Reference on Troponins: Xenogiannis I, Vemmou E, Nikolakopoulos I, et al. V1 has 0.5