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In AdvancedLifesupport (ALS) emergencies, a “single” paramedic or ER doctor can not deliver necessary care. Paramedics can also provide full cardiac monitoring and interpretation, including cardiac defibrillation, as well as advanced airway management, including endotracheal intubation and cricotomy.
CPR is taken over by responding crews, and he is placed on a cardiac monitor/defibrillator. After several cycles of defibrillation, epinephrine, and amiodarone, the patient remains in cardiac arrest. This continues to be supported by new literature. He is found to be in ventricular fibrillation (VF). References: 1. Ramazan, K.,
I recerted CPR, ACLS (Advanced Cardiac LifeSupport) and PALS (Pediatric AdvancedLifeSupport) 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.
On the other hand, you could be called in to attend to the victim of a car accident or a shooting or a heart attack, drowning, mountaineering accident, or drug overdose. Advanced EMT: Advanced EMTs have higher level assessment skills and are permitted to administer about 20 different medications depending on their state license.
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