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SGEM#344: We Will…We Will Cath You – But should We After An OHCA Without ST Elevations?

The Skeptics' Guide to EM

The paramedics achieve return of spontaneous circulation (ROSC) after CPR, advanced cardiac life support (ALCS), and Intubation. Acute coronary syndrome (ACS) is responsible for the majority (60%) of all OHCAs in patients. She has a history of hypertension and non-insulin dependent diabetes mellitus.

EMR 130
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Electrical injuries

Don't Forget the Bubbles

This is supplied via alternating current (AC), increasing the risk of titanic contraction of skeletal muscle, leading to kids holding on to the electrical power source. AC and DC shocks may result in different injury patterns. Advanced Paediatric Life Support [Internet]. How does electricity cause harm? Wiley; 2016.

ACS 80
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2023 AHA Update on ACLS

EMDocs

Editorial Comment: ECPR may be considered in patients refractory to standard ACS in the right situation. 2023 American Heart Association Focused Update on Adult Advanced Cardiovascular Life Support: An Update to the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care.

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On the Scene: Prehospital Care for Electrical Burns for EMTs

EMT Training Station

As EMTs, we’re always prepared to address these life-threatening complications alongside the burns. Assessing the Severity The severity of an electrical burn depends on several factors: the type of current (AC or DC), voltage, the pathway of the current through the body, the duration of contact, and the victim’s overall health.

EMT 98
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Case Report: a High-Voltage Victim

ACEP Now

Current can be alternating current (AC) or direct current (DC) with AC typically more dangerous as it is more likely to cause tetanic contractions and increase contact time with the electrical source. 2,3,5 Except for laundry or electrical car outlets (240 V AC), all U.S. household outlets are rated at 120 V AC.

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AHA/NCS Statement on Critical Care Management of Post ROSC Patients

EMDocs

Statements: Early risk stratification is not intended as a tool for triage to withdraw life support and is not used for that purpose (90.5%, 19/21). Hematologic Management Takeaway : They recommend a transfusion threshold < 9 g/dL in those with ACS, but several studies (MINT trial) and guidelines suggest 8 g/dL can be used.

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Amiodarone Versus Digoxin for Acute Rate Control of Atrial Fibrillation in the Emergency Department

REBEL EM

Sepsis, hyperthyroidism, dehydration, heart failure, ACS, etc). Lastly, there is a substantial amount of data missing, specifically the underlying cause of the Atrial Fibrillation with RVR (ie. Not having details on how many patients had any of these or whether the groups were balanced skews the interpretation of this study. Am J Emerg Med.