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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). Patient had an unwitnessed cardiac arrest without bystander CPR performed. Epinephrine administered intravenously. They administered 10 mcg of push-dose epinephrine.
The patient is re-assessed once secured in the ambulance. The paramedics begin CPR. CPR is performed with manual compressions as no mechanical CPR device is available. Two paramedics are in the rear of the ambulance managing resuscitation (another crew had arrived and provided support with a driver). Current 85mA.
He confirms pulselessness, initiates CPR, gets a colleague to call 911, and intubates the patient on the floor. He arrives at the hospital 18 minutes into his arrest and his monitor shows persistent ventricular fibrillation. One issue that has not been covered on the SGEM is pad placement and double sequential external defibrillation.
Four Critical Care Controversies: * Round#1: Mechanical CPR – SGEM#136 * Round#2: Epinephrine in Out-of-Hospital Cardiac Arrest (OHCA) – SGEM#238 * Round#3: Stroke Ambulances with CT Scanners * Round#4: Bougie for First Pass Intubation – SGEM#271 Conclusion/Winner – Use EBM and the winner is the patient We appreciate Dr.
Cardiac Care Show – Episode #1: Mechanical CPR Hello, and welcome to the Cardiac Care Show. In today’s episode I’d like to talk about mechanical CPR, which is a frequent topic of conversation in the Resuscitation group on Facebook and the #FOAMed community on Twitter. So, mechanical CPR is a no-brainer, right?
EMTs are not just “ambulance drivers,” although that’s certainly a critical part of their occupation. For EMTs and patients, an ambulance is more than transportation to the hospital. How to stop bleeding, perform CPR, and assist breathing. Many EMTs work on a 911 emergency response ambulance. Where Else do EMTs Work?
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. On arrival to the scene, you find the patient pulseless and apneic.
trying harder and longer knowing they are enrolled in this study) Use of two different models of defibrillators may negatively impact the internal validity of this pilot study Certain baseline characteristics were not balanced, such as: prehospital intubation and Epinephrine administration.
He reportedly told his family "I think I'm having a heart attack", then they immediately drove him to the ED, and he was able to ambulate into the triage area before he collapsed and became unresponsive. CPR was initiated immediately. On epinephrine and norepinephrine drips."
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