Ambulance and Epinephrine - Paramedicine Now

Transcutaneous Pacing: Part 2

EMS 12-Lead

MAY 15, 2024

Epinephrine administered intravenously. The crew transferred the patient to the ambulance and noticed weak radial pulses (BP unobtainable). They administered 10 mcg of push-dose epinephrine. Atropine and further doses of epinephrine were not administered. Approach TCP with skepticism.

Epinephrine

Epinephrine Paramedic CPR EMT

Transcutaneous Pacing: Part I

EMS 12-Lead

MARCH 30, 2024

The patient is re-assessed once secured in the ambulance. Two paramedics are in the rear of the ambulance managing resuscitation (another crew had arrived and provided support with a driver). After administering 1mg of epinephrine ROSC is noted with a bradycardic rhythm ( Figure 2 ).

CPR

CPR Paramedic Ambulance Epinephrine

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

The Skeptics' Guide to EM

FEBRUARY 11, 2023

He is found to be in ventricular fibrillation and receives two defibrillation attempts with an automatic external defibrillator (AED) at the clinic, and subsequently three more with a primary care ambulance crew enroute to the hospital.

Defibrillator

Defibrillator Medical Transportation OR CPR

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

The Skeptics' Guide to EM

APRIL 4, 2020

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.

Critical Care

Critical Care Epinephrine CPR Ambulance

Ultrasound Guided Lower Extremity Nerve Blocks

Core EM

JANUARY 25, 2024

This is a motor sparing block – so it will allow your patients to ambulate. PENG Nerve Block: This block will target the pericapsular nerve group (PENG), which innervates the pelvis. These are branches of the femoral and obturator nerve. Indications includeacetabular, pubic rami, femoral neck, and intertrochanteric hip fractures.

Epinephrine

Epinephrine ED Emergency Department OR

EMU 365 Mike Betzner on The Crashing Asthmatic

Emergency Medicine Cases

NOVEMBER 4, 2019

This EMU365 Video features Dr. Mike Betzner, medical director of STARS Air Ambulance service, collaborator on the CritCases blog, and bad-ass resuscitationist presenting his approach to the crashing asthmatic. The post EMU 365 Mike Betzner on The Crashing Asthmatic appeared first on Emergency Medicine Cases.

Ambulance

Ambulance Epinephrine EMS

Exactly What Is It That an EMT Does?

NCOAE

NOVEMBER 13, 2021

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. Many EMTs work on a 911 emergency response ambulance. That means they must learn how to assess and administer for each of those conditions.

EMT

EMT EMT Emergency Medical Technician Ambulance Driver

See what happens when a left main thrombus evolves from subtotal occlusion to total occlusion.

Dr. Smith's ECG Blog

OCTOBER 20, 2024

His wife contacted the ambulance service after the patient experienced an episode of loss of consciousness. The patient was administered thrombolytics and shortly after the lytics were administered, the systolic blood pressure rose to about 80mmHg with ongoing epinephrine infusion. Thrombolytics can be life saving in this situation.

Coronary

Coronary ACS Emergency Department Epinephrine

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

NAEMSP

JANUARY 5, 2023

1] The Adult Cardiac Arrest ACLS algorithm currently includes epinephrine and either amiodarone or lidocaine as recommended pharmacologic therapies. Time to epinephrine in out-of-hospital cardiac arrest: A retrospective analysis of intraosseous versus intravenous access. Patients in cardiac arrest certainly are no exception.

E-9-1-1

E-9-1-1 Advanced Life Support Epinephrine Life Support

Cardiac Care Show – Episode 1: Mechanical CPR

ECG Medical Training

DECEMBER 4, 2016

In addition, CPR in the back of a moving ambulance is potentially dangerous and it makes it difficult to maintain CPR quality. Start an IV and give epinephrine? I think it’s true that CPR quality suffers in the back of a moving ambulance, so we do transition to mechanical CPR on those occasions. Well, not so fast.

CPR

CPR E-9-1-1 Defibrillator Ambulance

REBEL Cast Ep113: Defibrillation Strategies for Refractory Ventricular Fibrillation

REBEL EM

DECEMBER 19, 2022

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.

Defibrillator

Defibrillator Paramedic CPR EMS

A man in his 30s with cardiac arrest and STE on the post-ROSC ECG

Dr. Smith's ECG Blog

OCTOBER 10, 2022

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. On epinephrine and norepinephrine drips." CPR was initiated immediately. CT angiogram showed extensive saddle pulmonary embolism.

ACS

ACS CPR CAD Heart Attack

Management of STEMI (ST-Elevation Acute Myocardial Infarction)

ECG & Echo Learning

JANUARY 18, 2023

I B Ambulance personnel must be trained and equipped to identify STEMI and administer fibrinolysis if necessary. I B Designated PCI centres should provide angiography and reperfusion 24/7 without delay. I B Patients transferred to PCI centres can bypass the emergency department to undergo primary PCI without delay.

STEMI

STEMI Coronary OR Defibrillator

Sepsis Updates Relevant to the Emergency Physician

EMDocs

DECEMBER 18, 2023

F) in the ambulance. 34 If a MAP of 65 mmHg is still not achieved, epinephrine should be added as a third agent (Figure 1). For patients with septic shock and cardiac dysfunction that are persistently hypotensive, it is appropriate to use norepinephrine and dobutamine or epinephrine alone. She had a fever of 38.7 °C