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Transcutaneous Pacing: Part 2

EMS 12-Lead

We will be using redacted information from different cases where paramedics attempted TCP in the field. In this call, paramedics arrived on scene to find a patient apneic and pulseless with CPR in progress by first responders (AED had an unknown unshockable rhythm). The paramedics initially set the current at 60mA.

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Transcutaneous Pacing: Part I

EMS 12-Lead

We will be using redacted information from different cases where paramedics attempted TCP in the field. The paramedics begin CPR. CPR is performed with manual compressions as no mechanical CPR device is available. They are unable to feel a pulse and resume CPR. Intubation is attempted, but unsuccessful.

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SGEM#453: I Can’t Go For That – No, No Narcan for Out-of-Hospital Cardiac Arrests

The Skeptics' Guide to EM

Date: September 18, 2024 Reference: Dillon et al. Before attending medical school, he was a New York City Paramedic. Case: You are working as a paramedic, and you respond to a cardiac arrest. On arrival, you find a 35-year-old male, pulseless and apneic with cardio-pulmonary resuscitation (CPR) in progress by a bystander.

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SGEM#426: All the Small Things – Small Bag Ventilation Masks in Out of Hospital Cardiac Arrest

The Skeptics' Guide to EM

Reference: Snyder BD, Van Dyke MR, Walker RG, et al. Reference: Snyder BD, Van Dyke MR, Walker RG, et al. Prior to earning his MD, he worked as a paramedic in the New York City 911 system. Association of small adult ventilation bags with return of spontaneous circulation in out of hospital cardiac arrest. Resuscitation 2023.

CPR 274
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SGEM#380: OHCAs Happen and You’re Head Over Heels – Head Elevated During CPR?

The Skeptics' Guide to EM

Date: October 18th, 2022 Reference: Moore et al. Resuscitation 2022 Guest Skeptic: Clay Odell is a Paramedic, Firefighter, and registered nurse (RN). Date: October 18th, 2022 Reference: Moore et al. Resuscitation 2022 Guest Skeptic: Clay Odell is a Paramedic, Firefighter, and registered nurse (RN).

CPR 130
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Episode 72: CPR-induced consciousness with Jack Howard

Critical Care Scenarios

We discuss the phenomenon of CPR-induced consciousness (i.e. patients demonstrating awakeness during resuscitation) with Jack Howard, Intensive Care Paramedic at Ambulance Victoria in the northern suburbs of Melbourne, Australia, and first author on a recent literature review and Delphi-derived expert guideline on CPRIC management.

CPR 122
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SGEM#438: Bone, Bone, Bone, Tell Me What Ya Gonna Do – for IO Access Location?

The Skeptics' Guide to EM

Reference: Tanner et al, A retrospective comparison of upper and lower extremity intraosseous access during out-of-hospital cardiac arrest resuscitation. Date: April 25, 2024 Guest Skeptic: Missy Carter is a PA working in an ICU in the Tacoma area and an adjunct faculty member with the Tacoma Community College paramedic program.

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