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Recerts and New Protocols

Peter Canning

In 2025, if I am still practicing which I hope to be, I will try to stay on the ball and make certain to sign up for my companies classes before my certs expire. For all the fancy changes over the year, the bottom line has always been to provide good CPR compressions and timely defibrillation. mg via syringe.* micrograms/kg/min.

CPR 52
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TBS Top papers 2025 (part 1)

St. Emlyn's

Highlights include arterial blood pressure monitoring, intra-arrest DBP in cardiac arrest, SAPBs for rib fractures, the DanGer shock trial, and double sequential defibrillation timing. The post TBS Top papers 2025 (part 1) appeared first on St.Emlyn's.

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Anterior OMI with RBBB has VF x 3: how to prevent further episodes of VF?

Dr. Smith's ECG Blog

We rapidly defibrillated her, and with return of normal sinus rhythm. Several minutes later the patient developed V-fib again > 200J defibrillation with return to NSR. Rapid sequence intubation was performed for airway protection in setting of recurrent V-fib and defibrillations. Chest X-ray also showed pulmonary edema.

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Can you localize the culprit lesion on angiogram without taking ECG findings into account?

Dr. Smith's ECG Blog

In this case, you should get a second defibrillator and perform double sequential external defibrillation (DSED). Simply attach a second defibrillator as shown in the diagram below and deliver max shocks from both devices simultaneously. In the second case, the patient never converted meaning the shock did not do its job at all.

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Tachycardia in cardiology clinic, what is the rhythm?

Dr. Smith's ECG Blog

The submitter started the patient on amiodarone and arranged implantation of a defibrillator. == MY Comment , by K EN G RAUER, MD ( 12/27 /2024 ): == Superb discussion by Dr. Frick in today's case, that highlights a series of important points regarding the ECG recognition of stable VT ( V entricular T achycardia ).

Coronary 120
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Sometimes a patient is fortunate to have a cardiac arrest

Dr. Smith's ECG Blog

Defibrillation was performed, and ROSC was achieved. Long term outcome is not available. == MY Comment, by K EN G RAUER, MD ( 2/1/2025 ): == We need to learn from cases like today's. Unfortunately, the ECG was interpreted as no significant change from prior , "no STEMI"!! Today's initial ECG is not an easy tracing to interpret.

STEMI 85
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Acute coma, then Sudden PEA arrest in front of paramedics, with STEMI?

Dr. Smith's ECG Blog

Two more Cases of Takotsubo Stress Cardiomyopathy == MY Comment , by K EN G RAUER, MD ( 2/20 /2025 ): == Today's case provides an insightful example of how the History even more than the ECG made the diagnosis. Agitation, Confusion, and Unusual Wide Complex Tachycardia. What is it, why did it occur, and how to treat?

STEMI 88