The Skeptics' Guide to EM

SEPTEMBER 11, 2021

Date: September 8th, 2021 Reference: Desch et al. Date: September 8th, 2021 Reference: Desch et al. The paramedics achieve return of spontaneous circulation (ROSC) after CPR, advanced cardiac life support (ALCS), and Intubation. The TOMAHAWK Investigators. first appeared on The Skeptics Guide to Emergency Medicine.

EMR 130

EMR Coronary Defibrillator Life Support 130

Paramedics Unlimited

APRIL 19, 2018

What is the difference between ALS and BLS Medical Care? In Basic Life Support (BLS) emergencies, a single EMS provider can not deliver optimum care, such as when trying to hold direct pressure on a bleeding wound, while preparing bandages, to stop bleeding.

BLS 52

BLS ALS Emergency Medical Technician Advanced Life Support 52

Don't Forget the Bubbles

JUNE 30, 2023

She was intubated at the scene and transported to your ED, with cardiopulmonary resuscitation (CPR) performed en route. Despite good quality CPR, there is no ROSC. Despite good quality CPR, there is no ROSC. Despite good quality CPR, there is no ROSC. Mazur P, Kosinski S, Podsiadlo P, et al.: a) Give IV K+?

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CPR Life Support Critical Care ALS 145

REBEL EM

SEPTEMBER 14, 2023

Revascularization of the culprit lesion remains one of the few established treatments though there are numerous other unproven modalities including extracorporeal life support (ECLS). Zeymer HT et al. Extracorporeal Life Support in Infarct-Related Cardiogenic Shock. Did they get bystander CPR?

Life Support 136

Life Support Coronary CPR ICU 136

EMT Training Station

FEBRUARY 11, 2024

This could range from basic life support, typically managed by EMTs, to more advanced life support provided by paramedics and other medical specialists. It focuses on essential lifesaving skills, such as CPR (cardiopulmonary resuscitation), controlling bleeding, and managing shock.

EMT 98

EMT EMT Emergency Medical Technician Emergency Medical Services 98

The Skeptics' Guide to EM

NOVEMBER 13, 2021

Date: November 10th, 2021 Reference: Andersen, et al: Effect of Vasopressin and Methylprednisolone vs Placebo on Return of Spontaneous Circulation in Patients With In-Hospital Cardiac Arrest. Cardiopulmonary resuscitation (CPR) is in progress. JAMA Sept 2021. JAMA Sept 2021. The monitor shows a non-shockable rhythm.

Epinephrine 100

Epinephrine Critical Care Emergency Department Life Support 100

EMDocs

OCTOBER 9, 2023

1 Though hydrocortisone is often included in ‘crash carts,’ the most recent consensus on cardiopulmonary resuscitation (CPR) has a weak recommendation against the use of corticosteroids during CPR. References 1) Liu D, Ahmet A, Ward L, et al. 6) Wyckoff MH, Greif R, Morley PT, et al. Allergy Asthma Clin Immunol.

ED 82

ED Life Support Advanced Life Support CPR 82

EMDocs

JANUARY 16, 2024

10 The score predicts the probability of survival to hospital discharge using a number of factors including CPR duration, serum potassium, core temperature, age, and suspected mechanism of hypothermia. 2,11 There are cases of patients recovering after hours of time without a pulse with good CPR. Carsten L, et al. 2009;338:b2085.

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Defibrillator CPR Epinephrine Life Support 85

EMDocs

NOVEMBER 6, 2023

Treatment of cardiac arrest and life-threatening toxicity due to poisoning often requires specialized treatments that most clinicians do not use frequently such as antidotes and venoarterial extracorporeal membrane oxygenation, in addition to effective basic and advanced life support. COR 2a, LOE C-LD. COR 2a, LOE C-LD.

Naloxone 94

Naloxone OR Overdose BLS 94

ACEP Now

DECEMBER 6, 2024

Advanced cardiac life support protocol was initiated, and the patient was intubated. After resuming CPR and administering an additional 400 mcg IV NTG, the patient achieved return of spontaneous circulation with sinus tachycardia. References Prinzmetal M, Kennamer R, Merliss R, et al. Magid DJ, Aziz K, Cheng A, et al.

Coronary 52

Coronary Life Support ALS Emergency Department 52

NCOAE

AUGUST 12, 2022

Here, we present them in alphabetical order: ABC – Airway, Breathing and Circulation – “This is the Golden Rule of emergency medical professionals” AED – Automated External Defibrillator – The device that delivers electric shock to the heart of patients experiencing sudden cardiac arrest A-EMT – Advanced EMT ALS – Advanced Life Support Anaphylaxis— (..)

EMS 52

EMS EMT EMT Emergency Medical Technician 52

NAEMSP

APRIL 19, 2023

CPR is taken over by responding crews, and he is placed on a cardiac monitor/defibrillator. Current AHA guidelines do not recommend routine use of calcium in cardiac arrest (Panchal, et al., Calcium acts as a vasopressor and inotropic agent (Lindqwister, et al., He is found to be in ventricular fibrillation (VF).

E-9-1-1 52

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

AAEM RSA

AUGUST 27, 2020

1 The primary goal of cardiopulmonary resuscitation (CPR) is to optimize coronary perfusion pressure and maintain systemic perfusion in order to prevent neurologic and other end-organ damage while working to achieve ROSC. Nielsen N, Wetterslev J, Cronberg T et al. By the time of the study by Nielsen et al. Kirkegaard et al.

E-9-1-1 52

E-9-1-1 CPR ICU ALS 52

Dr. Smith's ECG Blog

FEBRUARY 8, 2022

On arrival, CPR was continued and core temperature was measured at 18° C (64.4° The patient was put on Extracorporeal Life Support in the ED 3 hours after initial resuscitation, the core temp was 30° C and the patient was defibrillated with a single attempt. Rituparna et al — as well as Chauhan and Brahma ( Int.

CPR 40

CPR Defibrillator Life Support ED 40

NAEMSP

JANUARY 5, 2023

Meyer MD Clinical Scenario You are dispatched to a 57-year-old male with a witnessed cardiac arrest and bystander CPR being performed. Your partner deploys the cardiac monitor and while CPR is continued you turn your attention to establishing vascular access. 1] Table from Hamam et al. 9] Figure from Clemency et al.

E-9-1-1 52

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

FOAMfrat

OCTOBER 28, 2023

The Oxygenator The Body Just as ventilating someone in cardiac arrest, without a pulse and no CPR, will not allow distal gas exchange, the same can be said with ECMO. Extracorporeal Life Support Organization; Ann Arbor (MI): 2017. Extracorporeal life support: the ELSO red Book; p. MacLaren G., In: 5th edition.

Life Support 52

Life Support Paramedic CPR OR 52

AAEM RSA

JANUARY 21, 2021

In 2010, the American Heart Association (AHA) revised the Advanced Cardiac Life Support (ACLS) guidelines to include the recommendation of using capnography to monitor end-tidal carbon dioxide (ETCO2) during cardiopulmonary resuscitation (CPR), 1 and has continued this recommendation to date. Jin X, Weil MH, Tang W, et al.

Life Support 40

Life Support Advanced Life Support ALS CPR 40

ACEP Now

APRIL 3, 2024

7 TTM2 is generally interpreted as favoring normothermia for post-arrest care, but the question is whether this trial is broadly applicable to many countries with less developed community CPR involvement. In a multisite retrospective cohort study, a study by Nishikimi, et al., Group W, Nolan JP, et al. Soar J, Berg KM, et al.

Advanced Life Support 40

Advanced Life Support ALS Life Support CPR 40

EMDocs

JANUARY 17, 2024

She received cardiopulmonary resuscitation (CPR) and standard advanced cardiovascular life support (ACLS). Kim I, Goulding M, Tian F, Karami S, Pham T, Cheng C, et al. When emergency medical services (EMS) arrived, she was in asystole with an empty, recently full, bottle of benzonatate 100 mg capsules. Vet Hum Toxicol.

E-9-1-1 67

E-9-1-1 Overdose Emergency Medical Services Life Support 67

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. He was started on Extracorporeal Life Support ("VA ECMO") Here is the ECG on ECMO: Very low voltage On Day 3, the EF recovered (that seems quick!) 3–8 Shi et al. Angiogram was negative.

E-9-1-1 52

E-9-1-1 STEMI Coronary ALS 52

EMDocs

JANUARY 11, 2024

Statements: Early risk stratification is not intended as a tool for triage to withdraw life support and is not used for that purpose (90.5%, 19/21). Reference: Hirsch KG, Abella BS, Amorim E, et al; American Heart Association, Neurocritical Care Society.

Critical Care 75

Critical Care E-9-1-1 OR ICU 75

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 fact, 4000 paramedics in total were not only trained in the study protocol but also given a rigorous evaluation of their ability to perform CPR. N Engl J Med.

Defibrillator 52

Defibrillator Paramedic CPR EMS 52