Core EM

JANUARY 25, 2024

1 2 3 4 This article will focus on three lower extremity (LE) nerve blocks commonly used for acute lower extremity pain in the ED. link] [3] Morrison RS, Magaziner J, Gilbert M, et al. J Emerg Trauma Shock. 2012;5(1):28-32. doi:10.4103/0974-2700.93107 [2] Nagdev A. Ultrasound-Guided Nerve Blocks. Published June 2020.

Epinephrine 246

Epinephrine ED OR Emergency Department 246

Dr. Smith's ECG Blog

JULY 21, 2024

Epinephrine infusion was begun. In such cases — radiofrequency ablation of ectopic beats triggering malignant ventricular arrhythmias was needed for control of arrhythmic storm because the antiarrhythmic medications tried were ineffective ( Marrouche et al — JACC 5;43(9): 1715-20, 2004 ).

Defibrillator 112

Defibrillator Coronary ALS STEMI 112

FOAMfrat

OCTOBER 20, 2023

And according to a paper from Russotto et al. Of note, in the paper by Russotto et al., However, a previous blog I wrote covers this in relative detail, and the purpose of this article is to cover optimization as it applies to hemodynamics.

E-9-1-1 52

E-9-1-1 ALS ACS OR 52

REBEL EM

JULY 18, 2022

When simple maneuvers fail, we proceed to topical agents such as lidocaine with epinephrine, oxymetazoline, anterior nasal packing, and electrical or chemical cauterization. Paper: Zahed R, Moharamzadeh P, Alizadeharasi S et al. Initial interventions include local pressure, ice, and forward head positioning for persistent bleeds.

E-9-1-1 52

E-9-1-1 Epinephrine ED ALS 52

NAEMSP

APRIL 19, 2023

Article by Erin Lincoln, MD Case Scenario: You are dispatched to a 68-year-old male in cardiac arrest. After several cycles of defibrillation, epinephrine, and amiodarone, the patient remains in cardiac arrest. After several cycles of defibrillation, epinephrine, and amiodarone, the patient remains in cardiac arrest.

E-9-1-1 52

E-9-1-1 Advanced Life Support Overdose CPR 52

REBEL EM

SEPTEMBER 19, 2022

Some look promising (ie eCPR and application of US) while others have been considerably less effective or inconsistent (ie epinephrine and targeted temperature management). Article: Moore JC et al. References: Moore JC et al. However, human data is sorely lacking. Resuscitation 2022; 179: 9-17.

CPR 52

CPR Defibrillator EMS Epinephrine 52

REBEL EM

SEPTEMBER 26, 2022

Article: Kumar M et al. It’s unclear whether interventions such as cauterization, clip placement, epinephrine injection, etc., References De Pietri L, Bianchini M, Montalti R, et al. PMID: 31229583 Kumar M, Ahmad J, Maiwall R, et al. PMID: 31148204 Rout G, Shalimar, Gunjan D, et al. Hepatology. Hepatology.

FFP 52

FFP E-9-1-1 ICU ALS 52

Dr. Smith's ECG Blog

FEBRUARY 8, 2015

The data in the paper by Rangel et al. Lange RA, Cigarroa RG, Flores ED, et al. McCord J, Jneid H, Hollander JE, et al. Esmolol in the management of epinephrine- and cocaine-induced cardiovascular toxicity. is intuitive, and not surprising. style='mso-element:field-begin'> ADDIN EN.CITE Rangel 1853 1853 17 Rangel, C.

E-9-1-1 52

E-9-1-1 Coronary Epinephrine Overdose 52

REBEL EM

JANUARY 23, 2023

Article: Abella BS et al. Zuberbier, Torsten, et al. Moreover, the FDA approved intravenous (IV) cetirizine to treat acute urticaria in 2019. Clinical Question: Is IV cetirizine noninferior to IV diphenhydramine for the treatment of acute urticaria? Ann Emerg Med 2020. J Allergy Clin Immunol. 2004 Feb;113(2):347-52. Ledford, D.

Allergic Reaction 52

Allergic Reaction ED E-9-1-1 Emergency Department 52

Dr. Smith's ECG Blog

NOVEMBER 12, 2020

He underwent CPR, and regained a pulse after epinephrine, with an organized narrow complex rhythm at 140, but still with severe shock. 3–8 Shi et al. 4 Unfortunately, this article provides no electrocardiographic, echo, or angiographic data, so it is not certain that these high levels were in the absence of acute MI.

E-9-1-1 52

E-9-1-1 STEMI Coronary ALS 52

FOAMfrat

SEPTEMBER 19, 2024

These side effects do not contraindicate antivenom administration and can be treated with antihistamines and epinephrine. Hypotension and anaphylaxis should be treated with epinephrine following your local guidelines. 1–17, www.nature.com/articles/s42003-024-06019-6 , [link]. Communications Biology , vol. Accessed 10 July 2024.

Emergency Department 90

Emergency Department Epinephrine OR Plasma 90

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

Dobutamine may be preferred in patients without severe hypotension who have high vascular resistance. -- De Backer D et al. 10 The 2014 ACC/AHA guidelines for the Management of Patients with Valvular Heart Disease , referencing this article, gives this recommendation: "CLASS IIb 1. Taglieri N, Marzocchi A, Saia F, et al.

Coronary 52

Coronary ACS ALS STEMI 52

ACEP Now

NOVEMBER 7, 2023

Multiple attempts at defibrillation, epinephrine, and amiodarone have been unsuccessful. 8-12 A recent scoping review published in The American Journal of Emergency Medicine reviewed articles between 2016 and 2019, and found 18 observational studies, which failed to demonstrate sufficient evidence for widespread implementation of DSED.

Defibrillator 52

Defibrillator E-9-1-1 ALS Epinephrine 52

Don't Forget the Bubbles

DECEMBER 5, 2023

With millions of journal articles published yearly, it is impossible to keep up. Our team have scoured the literature, so you don’t have to… or it might spark an interest to go and have a look at the full article. Article 1: What is adherence like in young people with ulcerative colitis? Crocker, B.C.S.,

Coronary 111

Coronary Epinephrine CPR Emergency Department 111

EMDocs

DECEMBER 18, 2023

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. References Evans L, Rhodes A, Alhazzani W, et al.

E-9-1-1 65

E-9-1-1 ALS Emergency Department Plasma 65