Core EM

JANUARY 25, 2024

1 2 3 4 This article will focus on three lower extremity (LE) nerve blocks commonly used for acute lower extremity pain in the ED.

Epinephrine 246

Epinephrine ED OR Emergency Department 246

ACEP Now

JULY 7, 2023

2 Standard management for VT and VF involves the use of electrical defibrillation, high-quality chest compressions, and epinephrine. 5 More recent literature defines “refractory” as VT or VF that is persistent or recurrent despite three shocks from a defibrillator, three rounds of epinephrine, and use of an antiarrhythmic (i.e.,

Defibrillator 98

Defibrillator OR ALS Epinephrine 98

Pediatric EM Morsels

OCTOBER 27, 2023

Most emergency drugs except for amiodarone and succinylcholine are based on ideal body weight [Emergency Medical Services for Children, Luten 2007] Epinephrine, dopamine, fentanyl, ketamine based on what child should weigh. x length or height (cm)] There is a great review article that lists many other weight estimation formulae.

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E-9-1-1 Emergency Medical Services Life Support ALS 269

Don't Forget the Bubbles

MAY 8, 2024

We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research. Reviews and opinion articles Approach to simple kidney cysts in children. This month’s Bubble Wrap Plus provides answers to intriguing questions. 2024 Apr 27.

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E-9-1-1 ALS Emergency Department Epinephrine 69

REBEL EM

JULY 18, 2022

When simple maneuvers fail, we proceed to topical agents such as lidocaine with epinephrine, oxymetazoline, anterior nasal packing, and electrical or chemical cauterization. Initial interventions include local pressure, ice, and forward head positioning for persistent bleeds. Read More: REBEL EM: The NoPAC Trial – TXA for Epistaxis?

E-9-1-1 52

E-9-1-1 Epinephrine ED ALS 52

Handtevy

MARCH 14, 2018

All patients were treated on scene and epinephrine was administered within 5 minutes of arrival on scene. Journal Article Link We now know that these results are not only possible, but sustainable. Confidence of the providers leveled up with that of the adult patient.

CPR 52

CPR Epinephrine Critical Care EMS 52

Dr. Smith's ECG Blog

JULY 21, 2024

Epinephrine infusion was begun. baseline (this is what most recommend but seems like far too much QRS widening to me) = See these articles and this graphic: 1. You can see Left Main and Proximal LAD obstruction, but with some flow, which is saving this patient's life. Subsequent PCI of the LMCA and LAD was performed.

Defibrillator 113

Defibrillator Coronary ALS STEMI 113

REBEL EM

SEPTEMBER 19, 2022

Some look promising (ie eCPR and application of US) while others have been considerably less effective or inconsistent (ie epinephrine and targeted temperature management). Article: Moore JC et al. Over the years, we as a scientific community have worked extensively to find other interventions that improve outcomes.

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CPR Defibrillator EMS Epinephrine 52

FOAMfrat

OCTOBER 20, 2023

However, a previous blog I wrote covers this in relative detail, and the purpose of this article is to cover optimization as it applies to hemodynamics. Epinephrine should be considered as the vasopressor of choice in patients with decreased myocardial function.

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E-9-1-1 ALS ACS OR 52

Dr. Smith's ECG Blog

FEBRUARY 8, 2015

The supposition that beta blockade in the presence of cocaine intoxication would lead to unopposed alpha constriction is not based in accurate pharmacology, and the study that showed this effect with human intracoronary administration was done, as mentioned in the article, with propranolol, a nonselective beta blocker. Cigarroa, R.G.

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E-9-1-1 Coronary Epinephrine Overdose 52

NAEMSP

APRIL 19, 2023

Article by Erin Lincoln, MD Case Scenario: You are dispatched to a 68-year-old male in cardiac arrest. After several cycles of defibrillation, epinephrine, and amiodarone, the patient remains in cardiac arrest. After several cycles of defibrillation, epinephrine, and amiodarone, the patient remains in cardiac arrest.

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E-9-1-1 Advanced Life Support Overdose CPR 52

EMDocs

MAY 26, 2023

Avoid Trying to Reason With Them When agitated, a child’s prefrontal cortex is suppressed by the cortisol and epinephrine induced fight-or-flight reaction. Begin by stating your role and use both your own name and the patient’s name (personalize the interaction).

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Emergency Medical Services Emergency Department OR ED 75

REBEL EM

JANUARY 23, 2023

Article: Abella BS et al. Moreover, the FDA approved intravenous (IV) cetirizine to treat acute urticaria in 2019. Clinical Question: Is IV cetirizine noninferior to IV diphenhydramine for the treatment of acute urticaria? Ann Emerg Med 2020. A contraindication, known allergy, or suspected intolerability to the study medication.

Allergic Reaction 52

Allergic Reaction ED E-9-1-1 Emergency Department 52

REBEL EM

SEPTEMBER 26, 2022

Article: Kumar M et al. It’s unclear whether interventions such as cauterization, clip placement, epinephrine injection, etc., This paper explicitly studies the efficacy of TEG-guided transfusion in a specific patient population—patients with advanced cirrhosis with nonvariceal upper GI bleeding. Hepatology. 2020;71(1):235-246.

FFP 52

FFP E-9-1-1 ICU ALS 52

FOAMfrat

SEPTEMBER 19, 2024

These side effects do not contraindicate antivenom administration and can be treated with antihistamines and epinephrine. Hypotension and anaphylaxis should be treated with epinephrine following your local guidelines. 1–17, www.nature.com/articles/s42003-024-06019-6 , [link]. Communications Biology , vol. Accessed 10 July 2024.

Emergency Department 90

Emergency Department Epinephrine OR Plasma 90

ACEP Now

OCTOBER 28, 2024

Click here for the full article! Click here for the full article! He was defibrillated twice and received 2 doses of epinephrine, with return of spontaneous circulation. Click here for the full article! Click here for the full article! The post October Issue Online Exclusives appeared first on ACEP Now.

Emergency Department 52

Emergency Department Defibrillator Epinephrine EMS 52

Don't Forget the Bubbles

DECEMBER 5, 2023

With millions of journal articles published yearly, it is impossible to keep up. Our team have scoured the literature, so you don’t have to… or it might spark an interest to go and have a look at the full article. Article 1: What is adherence like in young people with ulcerative colitis? Crocker, B.C.S.,

Coronary 111

Coronary Epinephrine CPR Emergency Department 111

ACEP Now

NOVEMBER 7, 2023

Multiple attempts at defibrillation, epinephrine, and amiodarone have been unsuccessful. 8-12 A recent scoping review published in The American Journal of Emergency Medicine reviewed articles between 2016 and 2019, and found 18 observational studies, which failed to demonstrate sufficient evidence for widespread implementation of DSED.

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Defibrillator E-9-1-1 ALS Epinephrine 52

The Overrun

APRIL 19, 2021

The call involved a sick patient where the student, who was on the verge of going to boards, pulled out the wrong concentration of epinephrine. This is where you can stimulate follow-on learning with some articles, peer- reviewed studies, or even podcasts and video casts to reinforce what they just experienced.

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Paramedic OR EMT EMT 52

Dr. Smith's ECG Blog

NOVEMBER 12, 2020

He underwent CPR, and regained a pulse after epinephrine, with an organized narrow complex rhythm at 140, but still with severe shock. 4 Unfortunately, this article provides no electrocardiographic, echo, or angiographic data, so it is not certain that these high levels were in the absence of acute MI.

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E-9-1-1 STEMI Coronary ALS 52

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

9 The only criterion for exclusion from this study was hypotension, defined as either the need for intravenous inotropic or pressor agents (dobutamine, dopamine, epinephrine, milrinone, norepinephrine, or phenylephrine) or a mean systemic arterial pressure below 60 mm Hg. The mean MAP for these patients was 81 +/- 13.

Coronary 52

Coronary ACS ALS STEMI 52

EMDocs

DECEMBER 18, 2023

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. 32,33 Once the dose of norepinephrine is between 0.25-0.5

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E-9-1-1 ALS Emergency Department Plasma 65