Remove ALS Remove Ambulance Remove Epinephrine
article thumbnail

Transcutaneous Pacing: Part 2

EMS 12-Lead

Epinephrine administered intravenously. After 13 minutes of ALS resuscitation, pulses were palpated indicating a return of spontaneous circulation. The crew transferred the patient to the ambulance and noticed weak radial pulses (BP unobtainable). They administered 10 mcg of push-dose epinephrine.

article thumbnail

Transcutaneous Pacing: Part I

EMS 12-Lead

The patient is re-assessed once secured in the ambulance. Two paramedics are in the rear of the ambulance managing resuscitation (another crew had arrived and provided support with a driver). After administering 1mg of epinephrine ROSC is noted with a bradycardic rhythm ( Figure 2 ).

CPR 312
professionals

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

SGEM#392: Shock Me – Double Sequential or Vector Change for OHCAs with Refractory Ventricular Fibrillation?

The Skeptics' Guide to EM

Date: February 7, 2023 Reference: Cheskes et al. Date: February 7, 2023 Reference: Cheskes et al. He is found to be in ventricular fibrillation and receives two defibrillation attempts with an automatic external defibrillator (AED) at the clinic, and subsequently three more with a primary care ambulance crew enroute to the hospital.

article thumbnail

Ultrasound Guided Lower Extremity Nerve Blocks

Core EM

This is a motor sparing block – so it will allow your patients to ambulate. link] [3] Morrison RS, Magaziner J, Gilbert M, et al. PENG Nerve Block: This block will target the pericapsular nerve group (PENG), which innervates the pelvis. These are branches of the femoral and obturator nerve. J Emerg Trauma Shock. 2012;5(1):28-32.

article thumbnail

IV versus IO: Does your Site of Access Matter in Cardiac Arrest?

NAEMSP

1] The Adult Cardiac Arrest ACLS algorithm currently includes epinephrine and either amiodarone or lidocaine as recommended pharmacologic therapies. al answered this question with a prospective observational study which showed a significantly shorter time interval to obtain tibial IO access (4.6 1] Table from Hamam et al.

E-9-1-1 52
article thumbnail

Cardiac Care Show – Episode 1: Mechanical CPR

ECG Medical Training

In addition, CPR in the back of a moving ambulance is potentially dangerous and it makes it difficult to maintain CPR quality. When this was first studied by Yost et al. Start an IV and give epinephrine? Perkins GD, Lall R, Quinn T, et al. Rubertsson S, Lindgren E, Smekal D, et al. Well, not so fast. Resuscitation.

CPR 52
article thumbnail

REBEL Cast Ep113: Defibrillation Strategies for Refractory Ventricular Fibrillation

REBEL EM

REBEL Cast Ep113 – Defibrillation Strategies for Refractory Ventricular Fibrillation Click here for Direct Download of the Podcast Paper: Cheskes S, et al. In most cases, prehospital cardiac arrests often necessitate a second ambulance crew simply to assist with compressions, patient transfer or medication administration anyway.