Remove 2023 Remove ACS Remove Epinephrine
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2023 AHA Update on ACLS

EMDocs

Author: Brit Long, MD (@long_brit) // Reviewed by Alex Koyfman, MD (@EMHighAK) The American Heart Association 2023 Guideline Updates for 2023 were just published. Vasopressor medications during cardiac arrest We recommend that epinephrine be administered for patients in cardiac arrest. 2023 Dec 18. COR 1, LOE B-R.

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Resuscitated from ventricular fibrillation. Should the cath lab be activated?

Dr. Smith's ECG Blog

After 1 mg of epinephrine they achieved ROSC. Total prehospital meds were epinephrine 1 mg x 3, amiodarone 300 mg and 100 mL of 8.4% Then assume there is ACS. As we have often emphasized on Dr. Smith's ECG Blog ( See My Comment in the March 1, 2023 post) — DSI does not indicate acute coronary occlusion!

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See what happens when a left main thrombus evolves from subtotal occlusion to total occlusion.

Dr. Smith's ECG Blog

The ST segment changes are compatible with severe subendocardial ischemia which can be caused by type I MI from ACS or potentially from type II MI (non-obstructive coronary artery disease with supply/demand mismatch). sepsis, anemia, hypoxemia, severe hypotension etc., Thrombolytics can be life saving in this situation.

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Anaphylaxis, chest pain, and ST elevation in aVR

Dr. Smith's ECG Blog

In the ED he received methylprednisolone, diphenhydramine, and epinephrine for possible anaphylaxis. Shortly after receiving epinephrine, the patient developed new leg cramps and chest pain. This pattern occurs regardless of whether the cause is ACS (decreased supply) or any other cause of decreased supply or increased demand.

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A Seven-Step Approach to Massive Hemoptysis

ACEP Now

References Deshwal H, Sinha A, Mehta AC. Accessed October 11, 2023. Administer nebulized tranexamic acid Inhaled nebulized TXA has been shown in one small, randomized control trial (RCT) and one retrospective study to hasten resolution of non-massive hemoptysis. 13,14 The typical regimen is 500 mg three times daily. Lopez JK, Lee HY.

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Optimizing Hemodynamics Prior to RSI

FOAMfrat

Epinephrine should be considered as the vasopressor of choice in patients with decreased myocardial function. 2023) The Walls Manual of Emergency Airway Management. Heffner AC, Swords DS, Neale MN, Jones AE. Heffner AC, Swords DS, Nussbaum ML, Kline JA, Jones AE. Brown, C.A. and Walls, R.M. Edited by J.C. Sackles et al.

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EM@3AM: Takotsubo Cardiomyopathy

EMDocs

Updated 2023 Jan 9]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Answer: Takotsubo Cardiomyopathy 1-18 Background: Also known as transient apical ballooning syndrome, apical ballooning cardiomyopathy, stress-induced cardiomyopathy, stress cardiomyopathy, Gebrochenes-Herz syndrome, and broken-heart syndrome.

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