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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). Epinephrine administered intravenously.

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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. Reference: Dillon et al. Naloxone and Patient Outcomes in Out-of-Hospital Cardiac Arrests in California. JAMA Network Open.

Naloxone 262
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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. Two paramedics are in the rear of the ambulance managing resuscitation (another crew had arrived and provided support with a driver). Notice how the paramedic relied on manual pulse palpation.

CPR 312
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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#238: The Epi Don’t Work for OHCA

The Skeptics' Guide to EM

Date: December 6th , 2018 Reference: Perkins et al. A Randomized Trial of Epinephrine in Out-of-Hospital Cardiac Arrest. Guest Skeptics: Jay Loosley is the Superintendent of Education at Middlesex-London Paramedic Service. Jenn Doyle is a paramedic educator at Middlesex-London Paramedic Service.

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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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SGEM#353: At the COCA, COCA for OCHA

The Skeptics' Guide to EM

” Reference: Vallentin et al. The paramedics performed high-quality CPR and follow their ACLS protocol. Intraosseous access is quickly obtained, and a dose of epinephrine is provided. Reference: Vallentin et al. They have a history of hypertension, elevated cholesterol, and smoked cigarettes for 50+ years.