REBEL EM

NOVEMBER 6, 2023

Paper: Hiruy A, et al. to 1mg/kg/hr) Information regarding the vasopressors used in the study is as follows: Norepinephrine equivalents = norepinephrine mcg/kg/min + (phenylephrine mcg/kg/min/10) + epinephrine mcg/kg/min + (vasopressin units/min x2.5) REFERENCES: Hiruy A, et al. PMID: 37586951 Mehaffey JH, et al.

ICU 71

ICU Epinephrine ALS OR 71

Dr. Smith's ECG Blog

OCTOBER 28, 2013

Fine ventricular fibrillation She received 2 mg epinephrine, 150 mg amiodarone and underwent chest compressions with the LUCAS device. The patient was taken for an angiogram and had an 80% LAD lesion, but it could not be definitely determined whether this was an acute thrombotic lesion or a chronic stable lesion. see below).

Defibrillator 52

Defibrillator ACS CPR STEMI 52

Broome Docs

APRIL 6, 2023

As always the links to the papers are in the write up below and you definitely should read them rather than believe a couple of nerds amusing themselves upon the internet. Epinephrine metered-dose inhaler for pediatric croup. Early Restrictive or Liberal Fluid Management for Sepsis-Induced Hypotension. Acad Emerg Med. Epub 2022 Dec 7.

Epinephrine 52

Epinephrine ED Emergency Department ALS 52

REBEL EM

JANUARY 23, 2023

Article: Abella BS et al. Zuberbier, Torsten, et al. Definition, Classification, and Routine Diagnosis of Urticaria: A Consensus report11this Consensus Report Is the Result of a Panel Discussion during the International Clinically Oriented ESDR Symposium ‘Urticaria 2000’.” Ann Emerg Med 2020. J Allergy Clin Immunol. Ledford, D.

Allergic Reaction 52

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

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. 6,7 Surgical repair of AS, by either TAVR or SAVR, is the definitive treatment for this condition. Taglieri N, Marzocchi A, Saia F, et al. Kosuge M, Ebina T, Hibi K, et al. Richard, C; et al.

Coronary 40

Coronary ACS ALS STEMI 40

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. It’s difficult to definitively say which of the two is statistically better, however there is a trend pointing toward DED. REFERENCES: Cheskes S, et al. N Engl J Med.

Defibrillator 52

Defibrillator Paramedic CPR EMS 52

The Skeptics' Guide to EM

MARCH 2, 2019

Date: February 26th, 2019 Reference: Benger et al. Date: February 26th, 2019 Reference: Benger et al. They had a difficult time getting a definitive airway pre-hospital. Reference: Benger et al, Effect of a Strategy of a Supraglottic Airway Device
vs. Effect of a Strategy of a Supraglottic Airway Device
vs.

CPR 130

CPR Firefighter Paramedic Defibrillator 130

The Skeptics' Guide to EM

MARCH 5, 2022

Date: February 24th, 2022 Reference: Parish et al. Date: February 24th, 2022 Reference: Parish et al. Tricoci et al. The definitions used for each level of evidence are as follows: An update was published by Fanaroff et al in JAMA 2019. We have covered some of these over the 10 years.

Epinephrine 100

Epinephrine ALS OR 100

Dr. Smith's ECG Blog

JULY 21, 2024

Epinephrine infusion was begun. There is no definite evidence of acute ischemia. (ie, This is an important finding related to the etiology and treatment of these malignant arrhythmias — since by definition, PMVT with a prolonged QTc is classified as Torsades de Pointes ( and entails different treatment recommendations ).

Defibrillator 131

Defibrillator Coronary ALS STEMI 131

ACEP Now

NOVEMBER 14, 2023

The definition of massive hemoptysis is variable across publications with expectorated blood volumes ranging from 100 to 1,000 mL per 24 hours, as these volumes are difficult to estimate for any given patient. Atchinson PRA, Hatton CJ, Roginski MA, et al. Ittrich H, Bockhorn M, Klose H, et al. Li H, Ding X, Zhai S, et al.

E-9-1-1 52

E-9-1-1 ALS Emergency Department OR 52

FOAMfrat

OCTOBER 20, 2023

And according to a paper from Russotto et al. Of note, in the paper by Russotto et al., Likely due to different definitions for hypotension and adverse/major critical events, but the numbers remain higher than we would ever like — Kinda scary when you think about it. Sackles et al. What the hell are you to do?!

E-9-1-1 52

E-9-1-1 ALS ACS OR 52

REBEL EM

SEPTEMBER 26, 2022

Article: Kumar M et al. Patients exclusively managed in the ICU which decreases applicability for patients in other locations Very small sample size of 96 patients No definition was provided for exclusion criteria of significant cardiopulmonary disease. References De Pietri L, Bianchini M, Montalti R, et al. Hepatology.

FFP 52

FFP E-9-1-1 ICU ALS 52

Dr. Smith's ECG Blog

OCTOBER 20, 2013

With ventilations and epinephrine, she regained a pulse. Kurkciyan et al. Kurkciyan et al., A middle-age woman with h/o hypertension was found down by her husband. Medics found her apneic and pulseless, began CPR, and she was found to be in asystole. She was hypotensive in the ED and her bedside echo showed a normal RV and LV.

STEMI 52

STEMI Coronary ACS Emergency Department 52

The Skeptics' Guide to EM

NOVEMBER 30, 2024

Date: November 10, 2024 Reference: Couper et al. The paramedic is trying to get intravenous (IV) access to give epinephrine per the protocol. Epinephrine has long been a cornerstone in the management of OHCA. One critical consideration in prehospital epinephrine administration is the method of vascular access.

Epinephrine 249

Epinephrine OR CPR Paramedic 249

FOAMfrat

SEPTEMBER 19, 2024

is positive thanks to the widespread availability of antivenom, relatively short transport times to definitive care, and the U.S.'s These side effects do not contraindicate antivenom administration and can be treated with antihistamines and epinephrine. Rapid transport to definitive care is crucial. Accessed 17 July 2024.

Emergency Department 95

Emergency Department Epinephrine OR Plasma 95

Core EM

APRIL 23, 2025

Definition: Refractory Ventricular Arrhythmias Persistent ventricular fibrillation (VF) or pulseless ventricular tachycardia (VT) despite 3 shocks, appropriate CPR, vasopressors, and anti-arrhythmics. Administer epinephrine every 35 minutes. Pads repositioned from AL to AP to change the shock vector. N Engl J Med. N Engl J Med.

Defibrillator 130

Defibrillator CPR ALS Epinephrine 130

EMDocs

MARCH 18, 2025

Episode 116: Massive Hemoptysis Definition: Hemoptysis is expectoration of blood from the respiratory tract; ranges from mild with small streaks of blood to cardiopulmonary compromise (1-5). Massive hemoptysis: no clear definition, ranges from 50 mL in a single expectoration to 100 mL in 24 hours to over 1 L in 48 hours. J Thorac Dis.

E-9-1-1 82

E-9-1-1 FFP Critical Care ALS 82