Remove 2024 Remove ALS Remove Defibrillator
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SGEM#426: All the Small Things – Small Bag Ventilation Masks in Out of Hospital Cardiac Arrest

The Skeptics' Guide to EM

Reference: Snyder BD, Van Dyke MR, Walker RG, et al. Reference: Snyder BD, Van Dyke MR, Walker RG, et al. Date: January 11, 2024 Guest Skeptic: Dr. Chris Root is an EMS fellow in the Department of Emergency Medicine at the University of New Mexico Health Sciences Center in Albuquerque, NM. Resuscitation 2023. Resuscitation 2023.

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SGEM#438: Bone, Bone, Bone, Tell Me What Ya Gonna Do – for IO Access Location?

The Skeptics' Guide to EM

Reference: Tanner et al, A retrospective comparison of upper and lower extremity intraosseous access during out-of-hospital cardiac arrest resuscitation. February 2024. Reference: Tanner et al, A retrospective comparison of upper and lower extremity intraosseous access during out-of-hospital cardiac arrest resuscitation.

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Guidelines would (erroneously) say that this patient who was defibrillated and resuscitated does not need emergent angiography

Dr. Smith's ECG Blog

A patient had a cardiac arrest with ventricular fibrillation and was successfully defibrillated. Lemkes JS, Janssens GN, van der Hoeven NW, et al. We at Hennepin recently published this study Sharma et al. Figure-1: I've labeled the initial ECG in today's case ( recorded after successful defibrillation ). 5% vs. 58%!!

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Palpitations while awaiting CABG

Dr. Smith's ECG Blog

. == MY Comment , by K EN G RAUER, MD ( 5/30 /2024 ): == I was not taught about artifact in medical school. 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 May 18, 2024 post — re the effect of baseline artifact.

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What are treatment options for this rhythm, when all else fails?

Dr. Smith's ECG Blog

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.

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How a pause can cause cardiac arrest

Dr. Smith's ECG Blog

After resuscitation and defibrillation , there were no more episodes of TdP. Below is the patient’s 12 lead ECG following defibrillation. Most Torsades is the result of a pause-dependent effect that predisposes to development of the malignant arrhythmia ( Dohadwala et al — Heart Rhythm Case Rep 3(2):115-119, 2017 ).

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EMS vs. EMT: Clarifying Roles in Emergency Healthcare

EMT Training Station

This equipment ranges from basic first aid supplies to sophisticated devices like defibrillators, oxygen therapy units, and advanced airway management tools. Advanced Medical Capabilities EMS teams are equipped with advanced medical equipment, enabling them to handle a wide variety of emergencies. It's so great to meet you!

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