Dr. Smith's ECG Blog

JULY 25, 2024

They started CPR. But cardiac arrest is a period of near zero flow in the coronary arteries and causes SEVERE ischemia. Smith's ECG Blog ( See My Comment in the March 1, 2023 post) — DSI does not indicate acute coronary occlusion! It also does not uniformly indicate severe coronary disease. He was defibrillated into VT.

Defibrillator 124

Defibrillator Coronary Epinephrine ACS 124

EMDocs

JANUARY 8, 2024

Calcium is associated with harm but is still necessary in certain situations (hyperkalemia, calcium channel blocker overdose) (Level 3 recommendation: no benefit). For patients with OHCA, use of steroids during CPR is of uncertain benefit. Major Updates Avoid routine use of calcium in patients with cardiac arrest. COR 2b, LOE B-R.

Epinephrine 98

Epinephrine Defibrillator Coronary CPR 98

EMDocs

NOVEMBER 6, 2023

Opioid overdose remains the leading cause of cardiac arrest due to poisoning in North America. It is reasonable to administer vasodilators (eg, nitrates, phentolamine, calcium channel blockers) for patients with cocaine-induced coronary vasospasm or hypertensive emergencies. COR 2a, LOE C-LD. COR 2a, LOE C-LD. COR No Benefit, LOE C-LD.

Naloxone 115

Naloxone OR BLS Overdose 115

Dr. Smith's ECG Blog

APRIL 29, 2020

CPR was started immediately. Angiogram --Minimal coronary atherosclerosis --No obstructive epicardial coronary artery disease or evidence of plaque rupture noted to explain prolonged QT or ventricular fibrillation cardiacarrest, suspect nonischemic mechanism Echo The estimated left ventricular ejection fraction is 45 %.

Defibrillator 52

Defibrillator Epinephrine Coronary Overdose 52