The Skeptics' Guide to EM

DECEMBER 7, 2018

A Randomized Trial of Epinephrine in Out-of-Hospital Cardiac Arrest. A Randomized Trial of Epinephrine in Out-of-Hospital Cardiac Arrest. An oral airway is placed, peripheral intravenous (IV) line started successfully and the paramedic asks her partner if you want to administer IV epinephrine? JAMA 2009, Hagihara et al.

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Peter Canning

JANUARY 14, 2024

I recerted CPR, ACLS (Advanced Cardiac Life Support) and PALS (Pediatric Advanced Life Support) late in December. The pediatric epinephrine and norepinephrine infusion rates have been lowered to 0.1-0.5 AEMTs may administer epinephrine IV in cardiac arrest.* The certs are good for two years.

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The Skeptics' Guide to EM

SEPTEMBER 23, 2017

The classic paper on ACLS drugs is called OPALS (Ontario Pre-hospital Advanced Life Support) study and was done by Dr. Ian Stiell and team. There have been a number of papers published since OPALS that support the findings of not using ACLS drugs like epinephrine for OHCA: * Olavseengen et al. vs. 66.8%, p=0.73).

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NAEMSP

JANUARY 5, 2023

Background Despite conflicting literature to support some pharmacological therapies in out of hospital cardiac arrest, the American Heart Association (AHA) currently recommends obtaining vascular access intravenously or intraosseously in cardiac arrest. [1] Or in other words, is IO access inferior to IV access? minutes versus 5.4 minutes). [5]

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Handtevy

APRIL 10, 2019

Data from the AHA and the Pediatric Advanced Life Support (PALS) guidelines consistently report neurologic intact survival from pediatric cardiac arrest to be 3% for infants and 10% for children. By Peter Antevy, MD.

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AAEM RSA

AUGUST 27, 2020

For both groups, mean time to basic life support was determined to be one-minute, advanced life support started at 10 minutes, and time to ROSC at 25 minutes. Enrollees were then assigned to either TTM of 33ºC or 36ºC for 36 hours. Time to TTM was statistically significantly shorter in the IC group (2.2

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NAEMSP

APRIL 19, 2023

After several cycles of defibrillation, epinephrine, and amiodarone, the patient remains in cardiac arrest. While this study can still only prove correlation, the weighting of variables reduces bias and further supports the association of the calcium alone and the decline in outcomes (Cashen, et al., mEq/L (OR: 51.11; 95% CI: 3.12−1639.16;

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