Dr. Smith's ECG Blog

JULY 14, 2023

He underwent further standard resuscitation EXCEPT that we applied the Inspiratory Threshold Device ( ResQPod ) AND applied Dual Sequential Defibrillation (this simply means we applied 2 sets of pads, had 2 defib machines, and defibrillated with both with only a fraction of one second separating each defibrillation.

E-9-1-1 98

E-9-1-1 Defibrillator CPR STEMI 98

REBEL EM

SEPTEMBER 19, 2022

Background: There are only two interventions that have been proven in the medical literature to improved outcomes in cardiac arrest: high-quality CPR and early defibrillation. Head Up (HUP) CPR may be the next critical improvement. Head Up (HUP) CPR may be the next critical improvement. Resuscitation 2022; 179: 9-17.

CPR 52

CPR Defibrillator EMS Epinephrine 52

Dr. Smith's ECG Blog

APRIL 2, 2024

There was no bystander CPR. He was defibrillated, but they also noticed that he was being internally defibrillated and then found that he had an implantable ICD. He was unidentified and there were no records available After 7 shocks, he was successfully defibrillated and brought to the ED. An elderly man collapsed.

Defibrillator 132

Defibrillator Coronary Epinephrine CPR 132

REBEL EM

JUNE 1, 2023

Known cardiac defibrillator. Bystander CPR, a known predictor of good outcomes, was more common in the SDCT cohort than in the standard care cohort. appeared first on REBEL EM - Emergency Medicine Blog. Indication for emergency invasive coronary angiography or had coronary angiography within 1 hour of arrival.

Coronary 145

Coronary Defibrillator CPR ALS 145

Dr. Smith's ECG Blog

SEPTEMBER 3, 2023

VF was refractory to amiodarone, lidocaine, double-sequential defibrillation, esmolol, etc. Then the patient would have been taken to the critical care area with a defibrillator at his side while waiting for the cath lab to be ready. Resuscitative attempts were initiated quickly. Eventually asystole, and the patient died.

Defibrillator 135

Defibrillator Coronary STEMI CPR 135

Dr. Smith's ECG Blog

OCTOBER 28, 2013

It was witnessed, and CPR was performed by trained individuals. She was found to be in ventricular fibrillation and was defibrillated 8 times without a single, even transient, conversion out of fibrillation. She arrived in the ED 37 minutes after 911 was called, with continuing CPR. References : 1.

Defibrillator 52

Defibrillator ACS CPR STEMI 52

Dr. Smith's ECG Blog

FEBRUARY 8, 2022

On arrival, CPR was continued and core temperature was measured at 18° C (64.4° The patient was put on Extracorporeal Life Support in the ED 3 hours after initial resuscitation, the core temp was 30° C and the patient was defibrillated with a single attempt. Chest compressions and ventilation were begun.

CPR 40

CPR Defibrillator Life Support ED 40

Dr. Smith's ECG Blog

OCTOBER 3, 2017

This is another case written by Pendell Meyers (who is helping to edit the blog and has many great recent posts) Case A 45 year old man was driving to work when he experienced acute onset sharp left sided chest pain with paresthesias of the left arm. This rhythm reportedly produced no palpable pulse, and CPR was continued.

CPR 52

CPR Defibrillator STEMI ED 52

First Responders Foundation

JULY 31, 2024

This blog post explores how your donations can significantly impact first responders, enhancing their capabilities and ensuring they can continue to perform their duties effectively and safely. These programs might include open houses at fire stations, community CPR classes, or public safety demonstrations.

First Responder 52

First Responder Public Safety Mental Health Services Firefighter 52

Dr. Smith's ECG Blog

OCTOBER 10, 2022

CPR was initiated immediately. It was reportedly a PEA arrest; there was no recorded V Fib and no defibrillation. After approximately 1 hour of total intermittent CPR time, final ROSC achieved.Patient did have extremity movement during central line placement.

ACS 52

ACS CPR CAD Heart Attack 52

Dr. Smith's ECG Blog

APRIL 29, 2020

CPR was started immediately. She was never defibrillated. As was seen in this case — defibrillation and/or overdrive pacing may be needed. A 60-something woman presented after a witnessed cardiac arrest. EMS arrived and found her in a wide complex PEA rhythm.

Defibrillator 52

Defibrillator Epinephrine Coronary Overdose 52

Dr. Smith's ECG Blog

OCTOBER 20, 2013

Medics found her apneic and pulseless, began CPR, and she was found to be in asystole. She was never seen to be in ventricular fibrillation and was never defibrillated. A middle-age woman with h/o hypertension was found down by her husband. With ventilations and epinephrine, she regained a pulse. BP gradually rose.

STEMI 52

STEMI Coronary ACS Emergency Department 52

Dr. Smith's ECG Blog

OCTOBER 26, 2020

12 minutes later, the patient went back into VFib arrest and underwent another 15 minutes of resuscitation followed by successful defibrillation and sustained ROSC. In total, he received approximately 40 minutes of CPR and 7 defibrillation attempts.

Coronary 40

Coronary Defibrillator ACS CAD 40

Dr. Smith's ECG Blog

APRIL 8, 2016

At cath, he immediately had incessant Torsades de Pointes requiring defibrillation 7 times and requiring placement of a transvenous pacer for overdrive pacing at a rate of 80. The patient was intubated, given antiplatelet and antithrombotic therapy, 10 mEq of KCl IV was started, and sent to the cath lab.

STEMI 52

STEMI Plasma Defibrillator OR 52

Dr. Smith's ECG Blog

NOVEMBER 30, 2019

We could not resuscitate her, but we did have excellent perfusion with LUCAS CPR, such that pulse oximetry had excellent waveform and 100% saturations, end tidal CO2 was 35, and cerebral perfusion monitoring was near normal throughout the attempted resuscitation. How would you treat?

Plasma 40

Plasma STEMI Defibrillator Overdose 40

FOAMfrat

NOVEMBER 25, 2024

Earlier in the summer, I wrote a blog discussing the challenges, intricacies, and educational pitfalls of postpartum hemorrhage in EMS. Sure, we still do CPR, defibrillate as needed, and give Epinephrine based upon our local guidance. I even know of cases that my colleagues have managed! We can all agree upon this.

Epinephrine 105

Epinephrine CPR Operating Room Plasma 105

Dr. Smith's ECG Blog

MARCH 8, 2025

Several 200 J shocks did not terminate the VF, so a second defibrillator was applied for double sequential defibrillation with 400 J. She was defibrillated perhaps 25 times. Propranolol versus Metoprolol for treatment of electrical storm in patients with implantable cardioverter-defibrillator. SanzRuiz, R., Solis, J., &

E-9-1-1 75

E-9-1-1 OR Defibrillator Coronary 75

FOAMfrat

DECEMBER 31, 2024

Essentially, to put this blog to rest You will treat the patient the same as any other patient. With that being said, the manufacturers say that CPR, medications, Defibrillation, Cardioversion, and Anything you would normally do are OKAY. The age-old question of CPR it depends. alarms, vitals, rhythms).

CPR 64

CPR Defibrillator Emergency Department Emergency Transportation 64