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SGEM#306: Fire Brigade and the Staying Alive App for OHCAs in Paris

The Skeptics' Guide to EM

You abandon your coffee order and quickly head next-door, where you are able to start cardiopulmonary resuscitation (CPR) and direct a bystander to find the store’s automated external defibrillator (AED) while waiting for emergency medical services (EMS) to arrive. Unfortunately, most patients don’t receive these crucial interventions.

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SGEM#189: Bring Me To Life in OHCA

The Skeptics' Guide to EM

Bystander high-quality CPR can buy you some time until defibrillation. We know that rapid application of electricity to defibrillate shockable arrhythmias save lives. It is the fourth step in the chain that is slightly more controversial; early advanced care. You need to recognize an arrest and activate your EMS system.

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SGEM#238: The Epi Don’t Work for OHCA

The Skeptics' Guide to EM

A cardiac defibrillator is hooked up and the patient is in ventricular fibrillation. Case: A 51-year-old man experiences a cardiac arrest on the street. You are the first provider on scene with Emergency Medical Services (EMS) and start high-quality Cardiopulmonary Resuscitation (CPR). He is unsuccessfully shocked.

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A 20-something woman with cardiac arrest.

Dr. Smith's ECG Blog

Cardiac arrest was called and advanced life support was undertaken for this patient. She spontaneously converted (Defibrillation was not performed). Most such rhythms in the setting of ischemia are VF and will not convert without defibrillation. After about 90 seconds of chest compressions she awoke.

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Most EMS Terminology Comes Down to Initials, Abbreviations and Acronyms

NCOAE

Here, we present them in alphabetical order: ABC – Airway, Breathing and Circulation – “This is the Golden Rule of emergency medical professionals” AED – Automated External Defibrillator – The device that delivers electric shock to the heart of patients experiencing sudden cardiac arrest A-EMT – Advanced EMT ALS – Advanced Life Support Anaphylaxis— (..)

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On the Scene: Prehospital Care for Electrical Burns for EMTs

EMT Training Station

Drawing from my extensive experience as an emergency medical technician, I’ll share some of the advanced techniques and tools we use to manage these complex injuries effectively. In cases of severe electrical burns, victims may require advanced life support, which includes securing the airway and providing assisted ventilation.

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Recerts and New Protocols

Peter Canning

I recerted CPR, ACLS (Advanced Cardiac Life Support) and PALS (Pediatric Advanced Life Support) late in December. For all the fancy changes over the year, the bottom line has always been to provide good CPR compressions and timely defibrillation. Pediatric defibrillation doses should be 2j/kg, 4j/kg.

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