ACS Definition Epinephrine 
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% Then assume there is ACS. EMS arrived and found him in Ventricular Fibrillation (VF). He was defibrillated into VT. He then underwent dual sequential defibrillation into asystole.
Dr. Smith's ECG Blog
MARCH 1, 2023
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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ACEP Now
NOVEMBER 14, 2023
The definition of massive hemoptysis is variable across publications with expectorated blood volumes ranging from 100 to 1,000 mL per 24 hours, as these volumes are difficult to estimate for any given patient. References Deshwal H, Sinha A, Mehta AC. He is the founder and host of Emergency Medicine Cases podcast and website.
FOAMfrat
OCTOBER 20, 2023
Likely due to different definitions for hypotension and adverse/major critical events, but the numbers remain higher than we would ever like — Kinda scary when you think about it. Epinephrine should be considered as the vasopressor of choice in patients with decreased myocardial function. Heffner AC, Swords DS, Neale MN, Jones AE.
Dr. Smith's ECG Blog
NOVEMBER 19, 2016
Although this is considered a "STEMI equivalent" and the ACC/AHA guidelines even approve of thrombolytics for ACS with this ECG, the usual criteria used to alert the cath lab team of an inbound Code STEMI are not met by this ECG. 6,7 Surgical repair of AS, by either TAVR or SAVR, is the definitive treatment for this condition.
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