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. The patient is a 54-year-old man who collapsed in front of his family after complaining of chest pain for several hours. You continue with compressions and defibrillations and your partner places an advanced airway.

CPR 274

CPR Defibrillator First Responder Epinephrine 274

Handtevy

DECEMBER 23, 2024

On November 14, 2024, ILCOR released their latest recommendations for adult and pediatric basic and advanced life support. Yet at the same time, despite a large-scale Holmberg study involving over 6,000 patients suggesting potential harm, epinephrine remained part of the pediatric symptomatic bradycardia protocol.

Advanced Life Support 52

Advanced Life Support Epinephrine Life Support EMS 52

REBEL EM

DECEMBER 19, 2022

trying harder and longer knowing they are enrolled in this study) Use of two different models of defibrillators may negatively impact the internal validity of this pilot study Certain baseline characteristics were not balanced, such as: prehospital intubation and Epinephrine administration.

Defibrillator 52

Defibrillator Paramedic CPR EMS 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. He was started on Extracorporeal Life Support ("VA ECMO") Here is the ECG on ECMO: Very low voltage On Day 3, the EF recovered (that seems quick!) He was intubated and then went pulseless.

E-9-1-1 52

E-9-1-1 STEMI Coronary ALS 52