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 331

Epinephrine Paramedic CPR EMT 331

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 312

CPR Paramedic Ambulance Epinephrine 312

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 127

Coronary ACS Emergency Department Epinephrine 127

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

E-9-1-1 93

E-9-1-1 ALS Emergency Department Plasma 93

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 52

CPR E-9-1-1 Defibrillator Ambulance 52

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 52

ACS CPR CAD Heart Attack 52

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 40

STEMI Coronary OR Defibrillator 40

Dr. Smith's ECG Blog

APRIL 6, 2025

This case was a 69 year old male, brought in by ambulance, after being found unresponsive in bed by family earlier that day. He was given 50 mcg epinephrine with good response in both heart rate and blood pressure. His heart rate had improved to the 80s after epinephrine administration. He had last been seen 3-7 days ago.

OR 110

OR Epinephrine CPR ED 110