Dr. Smith's ECG Blog

JULY 25, 2024

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% or is he an ACCESS Trial Candidate? == MY Comment , by K EN G RAUER, MD ( 7/5 /2024 ): == Clinical ECG interpretation is a 2-Step process. He was defibrillated into VT. sodium bicarbonate.

Defibrillator 124

Defibrillator Coronary Epinephrine ACS 124

FOAMfrat

DECEMBER 26, 2024

TRIGGER WARNING: TOPICS OF SUICIDE MAY BE HARD FOR SOME PEOPLE TO READ ABOUT. THIS ARTICLE IS COVERING THE MEDICAL ASPECTS OF CHEMICAL SUICIDES. IF YOU OR A LOVED ONE NEEDS HELP, CALL 988 OR SEEK CARE AT A LOCAL EMERGENCY DEPARTMENT. REMEMBER, IF YOU ARE TREATING A SUICIDE ATTEMPT SURVIVOR, DO NOT PASS JUDGMENT.

Epinephrine 116

Epinephrine First Responder OR Emergency Management 116

Core EM

JANUARY 25, 2024

HIET improves contractility without increasing SVR, while vasopressin and epinephrine transiently increase SVR/MAP but worsen cardiac output in anesthetized dogs given propranolol (Holger 2007). Insulin versus vasopressin and epinephrine to treat β-blocker toxicity. 2007;33(11):2019-2024. J Med Toxicol. 2020;16(2):212-221.

Overdose 246

Overdose ALS Epinephrine Critical Care 246

EMDocs

OCTOBER 19, 2024

2][3] Bacterial tracheitis should be suspected over croup if nebulized racemic epinephrine or steroids do not improve the clinical course. [2][3][8] Question: What’s the next step in your evaluation and treatment, and what is the potentially life-threatening diagnosis? 2] Bacterial infection usually preceded by viral infection.

EMS 110

EMS E-9-1-1 Epinephrine OR 110

Dr. Smith's ECG Blog

OCTOBER 20, 2024

The patient was administered thrombolytics and shortly after the lytics were administered, the systolic blood pressure rose to about 80mmHg with ongoing epinephrine infusion. Below (Figure A) I have marked the end of the QRS complexes by drawing a vertical line through the J-point of the standard and precordial leads. As per Dr.

Coronary 128

Coronary ACS Emergency Department Defibrillator 128

Handtevy

MAY 10, 2024

Key Insights from the 2024 Pediatric Medication Safety Report: EMS introduced the Handtevy system to help accurately dose medications for children, reducing calculation errors common in hectic prehospital settings. IM Epinephrine for Anaphylaxis : Correct dosing is common, with improved times to administration.

EMS 52

EMS Emergency Medical Services Epinephrine ALS 52

Dr. Smith's ECG Blog

JULY 21, 2024

Epinephrine infusion was begun. You can see Left Main and Proximal LAD obstruction, but with some flow, which is saving this patient's life. Immediately after contrast injection into the LMCA, the patient had circulatory collapse, with a precipitous drop in blood pressure. Subsequent PCI of the LMCA and LAD was performed.

Defibrillator 131

Defibrillator Coronary ALS STEMI 131

The Skeptics' Guide to EM

NOVEMBER 30, 2024

Date: November 10, 2024 Reference: Couper et al. October 31, 2024 NEJM Access to the SGEM Podcast episode at this LINK. The paramedic is trying to get intravenous (IV) access to give epinephrine per the protocol. Epinephrine has long been a cornerstone in the management of OHCA. Reference: Couper et al.

Epinephrine 251

Epinephrine OR CPR Paramedic 251

FOAMfrat

SEPTEMBER 19, 2024

Background and Epidemiology In the United States, roughly 9,000 snake bites are reported annually, with approximately 3,000 being attributed to venomous species and less than 10 resulting in death. Many bites are associated with (human) consumption of alcohol. Fortunately, overall prognosis for snake envenomation within the U.S. Neither will the ER.

Emergency Department 95

Emergency Department Epinephrine OR Plasma 95

Don't Forget the Bubbles

DECEMBER 5, 2023

A very Merry Christmas from the BW team, and all the Best Wishes for 2024! With millions of journal articles published yearly, it is impossible to keep up. Our team have scoured the literature, so you don’t have to… or it might spark an interest to go and have a look at the full article. Br J Gen Pract. doi: 10.3399/BJGP.2023.0006.

Coronary 111

Coronary Epinephrine CPR Emergency Department 111

EMDocs

JANUARY 4, 2025

1: PARAMEDIC-3 and IVIO RCTs IO vs IV Epinephrine for OHCA Spoon Feed Two large studies randomizing patients with out-of-hospital-cardiac arrest (OHCA) to either an intraosseous (IO) or intravenous (IV) first approach for access had no difference in 30-day survival or neurologically intact survival. . #1: 2024 Oct 31:10.1056/NEJMoa2407780.

Epinephrine 98

Epinephrine Paramedic OR 98

First 10 EM

NOVEMBER 18, 2024

For now, the weather remains fine, golf season […] The post The November 2024 Research Roundup appeared first on First10EM. Back for another month of interesting, arcane, important, or baffling articles.

OR 68

OR Epinephrine 68

EMDocs

JANUARY 14, 2025

Have push dose epinephrine at the bedside as induction can remove sympathetic tone and result in a vagal episode. Dysautonomia : Generally occurs in patients with more severe disease. Can present as a sustained tachyarrhythmia or hypertension or can oscillate between episodes of parasympathetic hyperactivity and sympathetic hyperactivity.

Plasma 98

Plasma Epinephrine ICU ED 98

This Podcast Will Kill You

JANUARY 14, 2025

Our allergy treatment toolkit includes an impressive suite of tools, and in the second episode of our two-part series on allergies, we focus on three in particular: antihistamine medications, allergy shots, and the epinephrine auto-injector (aka the EpiPen). “Epinephrine: a short history.” Then this is the episode for you.

Allergic Reaction 52

Allergic Reaction E-9-1-1 Epinephrine ALS 52

EMDocs

MARCH 18, 2025

Prior to current therapies, mortality rates ranged between 50-100%. More current numbers suggest rate between 6-38% (1-3,10-15). Etiologies: Any factor associated with airway or pulmonary parenchymal damage or increased bleeding increases risk of hemoptysis. Tuberculosis is most common cause worldwide. Imaging: Start with bedside chest x-ray.

E-9-1-1 81

E-9-1-1 FFP Critical Care ALS 81