The Skeptics' Guide to EM

FEBRUARY 11, 2023

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.

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Defibrillator Medical Transportation OR CPR 142

Core EM

JANUARY 25, 2024

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.

Epinephrine 246

Epinephrine ED Emergency Department OR 246

NAEMSP

JANUARY 5, 2023

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

E-9-1-1 Advanced Life Support Epinephrine Life Support 52

REBEL EM

DECEMBER 19, 2022

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.

Defibrillator 52

Defibrillator Paramedic CPR EMS 52

EMS 12-Lead

MAY 15, 2024

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.

Epinephrine 331

Epinephrine Paramedic CPR EMT 331

EMS 12-Lead

MARCH 30, 2024

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

CPR Paramedic Ambulance Epinephrine 312

EMDocs

DECEMBER 18, 2023

F) in the ambulance. 34 If a MAP of 65 mmHg is still not achieved, epinephrine should be added as a third agent (Figure 1). For patients with septic shock and cardiac dysfunction that are persistently hypotensive, it is appropriate to use norepinephrine and dobutamine or epinephrine alone. Rhee C, Dantes R, Epstein L, et al.

E-9-1-1 90

E-9-1-1 ALS Emergency Department Plasma 90