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Journal Feed Weekly Wrap-Up

EMDocs

1: Hypertensive Crisis Averted…New AHA Statement on Asymptomatic Hypertension Spoon Feed This article emphasizes the difference between hypertensive emergency and asymptomatic elevated blood pressure (BP); while hypertensive emergency requires prompt treatment to lower BP, treatment of asymptomatic elevated BP in acute care settings may be harmful.

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Updates in the Management of Refractory Ventricular Tachycardia or Ventricular Fibrillation Arrest

ACEP Now

emergency departments (EDs), with statistics reporting more than 356,000 out-of-hospital cardiac arrests per year. 2 Standard management for VT and VF involves the use of electrical defibrillation, high-quality chest compressions, and epinephrine. Out-of-hospital cardiac arrest is a commonly encountered entity in U.S.

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A Cardiac Arrest Story: Patient Interview

FOAMcast

A small team of strangers, including an emergency medicine resident, Dr. Jason Tanner, and an emergency department technician, Angel, assembled to treat this passenger. Billy Frolick , a writer and our patient that day shares his perspective on his case with us.

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1 hour of CPR, then ECMO circulation, then successful defibrillation.

Dr. Smith's ECG Blog

She was unable to be defibrillated but was cannulated and placed on ECMO in our Emergency Department (ECLS - extracorporeal life support). After good ECMO flow was established, she was successfully defibrillated. Here is a case of ECMO defibrillation with near shark fin that was due to proximal LAD occlusion.

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Upon arrival to the emergency department, a senior emergency physician looked at the ECG and said "Nothing too exciting."

Dr. Smith's ECG Blog

Upon arrival to the emergency department, a senior emergency physician looked at the ECG and said "Nothing too exciting." She was defibrillated and resuscitated. In a recent article (J Electrocardiol this year, see reference below), peak trop onin I levels in takotsubo presenting with ST Elevation were median 1.02

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Most EMS Terminology Comes Down to Initials, Abbreviations and Acronyms

NCOAE

You can review these three articles using the links below: From Sept. 20, 2020: Surfing Terminology and Slang: You Can’t Play BINGO Without the Lingo From Oct. 10, 2020: On Belay — Climbing Terminology and Slang From Oct.

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First10EM Journal Club: October 2022

Broome Docs

PMID: 35490863 Hands on defibrillation: Even if it’s safe, would it actually help? Ex vivo evaluation of personal protective equipment in hands-on defibrillation. PMID: 35942482 earing gloves, hands on defibrillation is probably safe. Emerg Med J. Resusc Plus. 2022 Aug 3;11:100284. doi: 10.1016/j.resplu.2022.100284.

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