Blog Defibrillator Epinephrine 
The Skeptics' Guide to EM
JANUARY 13, 2024
You continue with compressions and defibrillations and your partner places an advanced airway. The patient is a 54-year-old man who collapsed in front of his family after complaining of chest pain for several hours. On your arrival, first responders from the fire department are performing high-quality basic cardiac life support.
Dr. Smith's ECG Blog
JULY 25, 2024
He was defibrillated into VT. He then underwent dual sequential defibrillation into asystole. After 1 mg of epinephrine they achieved ROSC. Total prehospital meds were epinephrine 1 mg x 3, amiodarone 300 mg and 100 mL of 8.4% This patient was witnessed by bystanders to collapse. They started CPR. sodium bicarbonate.
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EMS 12-Lead
MARCH 30, 2024
Josh Kimbrell, NRP @joshkimbre Judah Kreinbrook, EMT-P @JMedic2JDoc This is the first installment of a blog series showing how transcutaneous pacing (TCP) can be difficult, and how you can improve your skills. After administering 1mg of epinephrine ROSC is noted with a bradycardic rhythm ( Figure 2 ).
Dr. Smith's ECG Blog
JUNE 9, 2024
Over the next 10 minutes we resuscitated with high doses of Calcium, Epinephrine, and Bicarbonate. There was no IV access, so we obtained intraosseous (IO) access, but she arrested before we could give her all the calcium. Weakness, prolonged PR interval, wide complex, ventricular tachycardia Very Wide and Very Fast, What is it?
Dr. Smith's ECG Blog
APRIL 2, 2024
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. There was no bystander CPR.
Dr. Smith's ECG Blog
JULY 21, 2024
Epinephrine infusion was begun. He required multiple defibrillations within a period of a few hours. This time, the arrhythmia did not spontaneously terminate — but rather degenerated to VFib, requiring defibrillation. An ICD ( Implantable Cardioverter Defibrilator ) was placed prior to discharge. What do you think?
Dr. Smith's ECG Blog
OCTOBER 20, 2024
The arrhythmia spontaneously converted before defibrillation was achieved. The patient was administered thrombolytics and shortly after the lytics were administered, the systolic blood pressure rose to about 80mmHg with ongoing epinephrine infusion. Just prior to arrival he fell out of consciousness with the below ECG on the monitor.
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