The Skeptics' Guide to EM

JANUARY 13, 2024

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.

CPR 223

CPR Defibrillator First Responder Epinephrine 223

EMDocs

OCTOBER 25, 2024

2024 Aug;81(8):e94-e106. Epub 2024 May 28. 3: Does Defibrillator Pad Placement Matter for OHCA? Source Initial Defibrillator Pad Position and Outcomes for Shockable Out-of-Hospital Cardiac Arrest. 2024 Sep 3;7(9):e2431673. Hypertension. doi: 10.1161/HYP.0000000000000238. 0000000000000238. PMID: 38804130. #2:

Defibrillator 68

Defibrillator Emergency Department ALS OR 68

Dr. Smith's ECG Blog

JUNE 27, 2024

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%!!

Defibrillator 91

Defibrillator STEMI Coronary ALS 91

The Skeptics' Guide to EM

APRIL 27, 2024

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.

ICU 189

ICU Defibrillator CPR Paramedic 189

Dr. Smith's ECG Blog

JUNE 14, 2024

. == 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.

Defibrillator 77

Defibrillator ALS Coronary OR 77

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 113

Defibrillator Coronary ALS STEMI 113

Dr. Smith's ECG Blog

SEPTEMBER 2, 2024

This episode self terminated before defibrillation was possible. See Costagliola et al — Ann Clin Transl Neurol 8(7): 1557-1568, 2021 — for more on the complex "Brain-Heart Interaction" in Epilepsy ). This run of TdP is initiated by a PVC — but it then self-terminates. Discussion : The patient in today’s case presented with "seizures".

E-9-1-1 104

E-9-1-1 ALS Defibrillator OR 104