The Skeptics' Guide to EM

JANUARY 13, 2024

On your arrival, first responders from the fire department are performing high-quality basic cardiac life support. 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.

CPR 274

CPR Defibrillator First Responder Epinephrine 274

REBEL EM

DECEMBER 19, 2022

Background Information: Double external defibrillation (DED) is an intervention often used to treat refractory ventricular fibrillation (RVF). This procedure involves applying another set of pads attached to a second defibrillator to a patient and shocking them in hopes of terminating the rhythm. N Engl J Med.

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Defibrillator Paramedic CPR EMS 52

Dr. Smith's ECG Blog

MAY 19, 2020

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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Defibrillator CPR Coronary CAD 52

Dr. Smith's ECG Blog

OCTOBER 18, 2023

Cardiac arrest was called and advanced life support was undertaken for this patient. She spontaneously converted (Defibrillation was not performed). Most such rhythms in the setting of ischemia are VF and will not convert without defibrillation. After about 90 seconds of chest compressions she awoke.

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Defibrillator Advanced Life Support Coronary Life Support 122

First Responders Foundation

JULY 31, 2024

These brave individuals—firefighters, police officers, EMTs, and paramedics—rely not only on their training and dedication but also on the support they receive from their communities. Similarly, funds can help purchase new defibrillators for paramedics, ensuring they have access to reliable equipment during critical life-saving moments.

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First Responder Public Safety Mental Health Services Firefighter 52

Dr. Smith's ECG Blog

FEBRUARY 8, 2022

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. On arrival, CPR was continued and core temperature was measured at 18° C (64.4° In all leads, there is a 2nd wave after the initial QRS.

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CPR Defibrillator Life Support ED 40