ACEP Now

JULY 7, 2023

emergency departments (EDs), with statistics reporting more than 356,000 out-of-hospital cardiac arrests per year. 2 Standard management for VT and VF involves the use of electrical defibrillation, high-quality chest compressions, and epinephrine. Adult cardiac arrest in the emergency department – A Swedish cohort study.

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Broome Docs

APRIL 6, 2023

Emerg Med J. 2022 Dec 16:emermed-2021-211946. Am J Emerg Med. Epub 2022 Nov 21. 2022 Jul 2;400(10345):39-47. A prospective cluster-randomized trial to implement the Canadian CT Head Rule in emergency departments. 2022 Oct;51(10):595-604. 2022 Dec 20;328(23):2296. Acad Emerg Med.

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NAEMSP

APRIL 19, 2023

After several cycles of defibrillation, epinephrine, and amiodarone, the patient remains in cardiac arrest. Vallentin, Povlsen, Granfeldt, Terkelsen, & Andersen, 2022). CPR is taken over by responding crews, and he is placed on a cardiac monitor/defibrillator. He is found to be in ventricular fibrillation (VF).

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REBEL EM

DECEMBER 19, 2022

2022 Nov 6 PMID: 36342151 Clinical Question: How does double defibrillation and vector change defibrillation compare to standard therapy in OHCA patients with refractory ventricular fibrillation? 2022 Nov 6 PMID: 36342151 Cheskes S, et al. Defibrillation Strategies for Refractory Ventricular Fibrillation. N Engl J Med. N Engl J Med.

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FOAMfrat

DECEMBER 26, 2024

IF YOU OR A LOVED ONE NEEDS HELP, CALL 988 OR SEEK CARE AT A LOCAL EMERGENCY DEPARTMENT. Children who develop stridor may be treated with racemic epinephrine (0.25- 0.75ml of 2.25% racemic epinephrine to 2.5 Retrieved from Fire Engineering: [link] Minnesota Division of Homeland Security and Emergency Management (HSEM).

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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]. Journal of Addiction Medicine 16(5):p 595-598, 9/10 2022. Published 2022 Aug 19. Published 2022 Apr 20. How does xylazine toxicity present?

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EMDocs

DECEMBER 18, 2023

Multiple studies published in 2022 have indicated that, despite disagreement surrounding prognostic accuracy, no such screening tool so far exists. 34 If a MAP of 65 mmHg is still not achieved, epinephrine should be added as a third agent (Figure 1). Proadrenomedullin in Sepsis and Septic Shock: A Role in the Emergency Department.

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EMDocs

JANUARY 16, 2024

Louis) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case You are working in the trauma/critical care pod of your emergency department (ED). You receive a page for a cardiac arrest and take report from emergency medical services (EMS). Am J Emerg Med. Published 2022 Jan 3. 2022;19(1):501.

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EMDocs

JANUARY 4, 2024

Other Norepinephrine or epinephrine are preferred vasopressors when needed. Case Follow-up: The patient required a dose of lorazepam in the emergency department. Accessed 12/18/2022. Accessed 12/18/2022. American Journal of Emergency Medicine. 2022; 55:232.e3-232.e4 Clin Toxicol (Phila). Eds (2017).

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Overdose E-9-1-1 ALS Emergency Department 91

Don't Forget the Bubbles

DECEMBER 5, 2023

Emergency Medicine Journal 2023;40:564-568. doi.org/10.1136/emermed-2022-212667 What’s it all about? Data was collected at 2 emergency departments in America and included assessment by both clinicians and patients for a total of 31 patients. Nizami T, Beaudoin F, Suner S, et al. Why does it matter?

Coronary 111

Coronary Epinephrine CPR Emergency Department 111

FOAMfrat

SEPTEMBER 19, 2024

These side effects do not contraindicate antivenom administration and can be treated with antihistamines and epinephrine. Hypotension and anaphylaxis should be treated with epinephrine following your local guidelines. Rattlesnake Envenomation Treatment & Management: Prehospital Care, Emergency Department Care, Consultations.”

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EMDocs

JANUARY 20, 2024

Takotsubo syndrome is often exceedingly difficult to distinguish from acute myocardial infarction in the emergency department, as there is significant overlap in many clinical and diagnostic features. Takotsubo Syndrome: Pathophysiology, Emerging Concepts, and Clinical Implications [published correction appears in Circulation.

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EMDocs

JANUARY 22, 2025

Is there an ideal observation period in the emergency department after reversal with naloxone? Profound increase in epinephrine concentration in plasma and cardiovascular stimulation after mu-opioid receptor blockade in opioid-addicted patients during barbiturate-induced anesthesia for acute detoxification. Acad Emerg Med.

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ACEP Now

OCTOBER 29, 2024

He was defibrillated twice and received two doses of epinephrine, with return of spontaneous circulation. Initial echocardiogram (ECG) on arrival (see figure 2) to our emergency department revealed normal sinus rhythm, mild interventricular conduction delay (RSR’), and possible right ventricular hypertrophy. 2022; 8(3):386-405.

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