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Transcutaneous Pacing: Part 2

EMS 12-Lead

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.

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Transcutaneous Pacing: Part I

EMS 12-Lead

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.

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SGEM#392: Shock Me – Double Sequential or Vector Change for OHCAs with Refractory Ventricular Fibrillation?

The Skeptics' Guide to EM

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.

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Cardiac Care Show – Episode 1: Mechanical CPR

ECG Medical Training

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?

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SGEM Xtra: The REBEL vs. The SKEPTIC at SMACC 2019

The Skeptics' Guide to EM

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.

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Exactly What Is It That an EMT Does?

NCOAE

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?

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IV versus IO: Does your Site of Access Matter in Cardiac Arrest?

NAEMSP

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.

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