The Skeptics' Guide to EM

SEPTEMBER 23, 2017

Case: You are the medical director of an EMS system in a large city deciding on whether to respond to all out of hospital cardiac arrests (OHCA) with ACLS capabilities, or if resources should be directed to those candidates for extracorporeal CPR. You need to recognize an arrest and activate your EMS system.

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The Skeptics' Guide to EM

SEPTEMBER 29, 2018

Annals of EM May 2018 Guest Skeptic: Andrew Merelman is a critical care paramedic and first year medical student at Rocky Vista University in Colorado. Annals of EM May 2018 Guest Skeptic: Andrew Merelman is a critical care paramedic and first year medical student at Rocky Vista University in Colorado.

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BLS Defibrillator Critical Care CPR 130

Emergency Medicine Cases

JANUARY 29, 2019

In this CritCases blog Michael Misch takes us through a case of accidental hypothermia and cardiac arrest, reviewing the controversies in management as well as the guidelines for rewarming, the role of ECMO and the alterations to ACLS cardiac arrest medications, CPR and defibrillations.

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The Skeptics' Guide to EM

MARCH 11, 2023

He is a former New York City paramedic and this summer will be starting fellowship training in EMS medicine at UNM. A fire company is on scene providing high-quality cardiopulmonary resuscitation (CPR) and has defibrillated twice with an automated external defibrillator (AED).

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CPR Defibrillator BLS Paramedic 130

The Skeptics' Guide to EM

JULY 22, 2023

NEJM 2023 Guest Skeptic: Dr. Jeff Jarvis is the Chief Medical Officer and System Medical Director for the Metropolitan Area EMS Authority in Fort Worth, Texas, also known as MedStar. Jeff Jarvis is the Chief Medical Officer and System Medical Director for the Metropolitan Area EMS Authority in Fort Worth, Texas, also known as MedStar.

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Emergency Medical Services Defibrillator CPR EMS 166

The Skeptics' Guide to EM

DECEMBER 7, 2018

You are the first provider on scene with Emergency Medical Services (EMS) and start high-quality Cardiopulmonary Resuscitation (CPR). A cardiac defibrillator is hooked up and the patient is in ventricular fibrillation. Case: A 51-year-old man experiences a cardiac arrest on the street. He is unsuccessfully shocked.

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Epinephrine Life Support Advanced Life Support Defibrillator 130

Dr. Smith's ECG Blog

JULY 9, 2024

His family started CPR and called EMS, who arrived to find him in ventricular fibrillation. 15 minutes after EMS arrival, after at least 6 defibrillations, the patient achieved sustained ROSC. Written by Pendell Meyers A man in his 50s was found by his family in cardiac arrest of unknown duration.

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Defibrillator STEMI CPR EMS 98

Handtevy

MARCH 13, 2024

A recent case has highlighted the extraordinary potential of a novel intervention: triple-sequential defibrillation. The Case Unfolds Despite 82 minutes of high-quality CPR and Advanced Cardiovascular Life Support (ACLS) management, standard and dual-sequential defibrillation failed to restore the patient’s heartbeat.

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Defibrillator CPR Life Support EMS 52

The Skeptics' Guide to EM

MARCH 2, 2019

Case: EMS arrive to your emergency department with a 68-year-old man post cardiac arrest patient. It required multiple attempts which caused several prolonged interruptions in CPR. Key to survival is high-quality CPR and early defibrillation. They had a difficult time getting a definitive airway pre-hospital.

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CPR Firefighter Paramedic Defibrillator 130

EMT Training Station

FEBRUARY 11, 2024

In the realm of emergency healthcare, the terms EMS (Emergency Medical Services) and EMT (Emergency Medical Technician) are often used interchangeably, yet they represent distinct aspects of medical response and care. Though they are closely related and often work together, EMS and EMT have distinct roles, training, and responsibilities.

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EMT EMT Emergency Medical Technician Emergency Medical Services 98

The Skeptics' Guide to EM

SEPTEMBER 11, 2021

Guest Skeptic: Dr. Stephen Meigher is the EM Chief Resident training with the Jacobi and Montefiore Emergency Medicine Residency Training Program. Guest Skeptic: Dr. Stephen Meigher is the EM Chief Resident training with the Jacobi and Montefiore Emergency Medicine Residency Training Program. The TOMAHAWK Investigators.

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EMR Coronary Defibrillator Life Support 130

ECG Medical Training

DECEMBER 4, 2016

Cardiac Care Show – Episode #1: Mechanical CPR Hello, and welcome to the Cardiac Care Show. In today’s episode I’d like to talk about mechanical CPR, which is a frequent topic of conversation in the Resuscitation group on Facebook and the #FOAMed community on Twitter. So, mechanical CPR is a no-brainer, right?

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CPR E-9-1-1 Defibrillator Ambulance 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.

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Defibrillator Coronary Epinephrine CPR 126

Dr. Smith's ECG Blog

JULY 25, 2024

They started CPR. EMS arrived and found him in Ventricular Fibrillation (VF). He was defibrillated into VT. He then underwent dual sequential defibrillation into asystole. See these related cases: Cardiac arrest, defibrillated, diffuse ST depression and ST Elevation in aVR. sodium bicarbonate.

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Defibrillator Coronary ACS Epinephrine 107

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.

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CPR Defibrillator EMS Epinephrine 52

The Skeptics' Guide to EM

DECEMBER 2, 2017

SGEM#64 : Classic EM Papers (OPALS Study) * SGEM#136 : CPR – Man or Machine? Cardiac Arrest: Pulselessness requiring chest compressions and/or defibrillation, with a hospital wide or unit based emergency response. Background: We have talked about out-of-hospital cardiac arrests (OHCA) many times on the SGEM.

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CPR Defibrillator ALS Emergency Response 100

ESO

DECEMBER 18, 2024

After reviewing over 12 million EMS incidents that took place in 2023 , the 2024 ESO EMS Index highlights two critical areas that demand attention: Early CPR and Opioid Use Disorder (OUD). The importance of early CPR The earlier CPR is performed, the better the outcome. Gender disparities were also found.

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EMDocs

JANUARY 16, 2024

Authors: Christian Gerhart, MD (EM Resident Physician, Washington University in St. Louis); Dr. Jessica Pelletier, DO (EM Attending Physician, Washington University in St. You receive a page for a cardiac arrest and take report from emergency medical services (EMS). Per EMS he was very cold to touch.

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Defibrillator CPR Epinephrine Life Support 85

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. Resus 2023.

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Coronary Defibrillator CPR ALS 144

The Overrun Podcast

MAY 23, 2024

The conversation covers topics such as compression-only CPR, the controversy surrounding head-up CPR, the use of band and piston-driven devices, and the potential of extracorporeal cardiopulmonary resuscitation (eCPR). The importance of good dispatch and patient selection is emphasized as key factors in improving outcomes.

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CPR BLS EMS Life Support 52

NCOAE

AUGUST 12, 2022

Today we’re taking a more serious look at language, this time highlighting the terminology used by members of the Emergency Medical Service (EMS) community. The post Most EMS Terminology Comes Down to Initials, Abbreviations and Acronyms appeared first on National Center for Outdoor & Adventure Education.

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EMS EMT EMT Emergency Medical Technician 52

Paramedics Unlimited

APRIL 19, 2018

In Basic Life Support (BLS) emergencies, a single EMS provider can not deliver optimum care, such as when trying to hold direct pressure on a bleeding wound, while preparing bandages, to stop bleeding. What is the difference between ALS and BLS Medical Care?

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BLS ALS Emergency Medical Technician Advanced Life Support 52

FOAMfrat

DECEMBER 31, 2024

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. Manufacturer recommendations and several other PubMed articles state it is okay to perform CPR. alarms, vitals, rhythms). Christian T.

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CPR Defibrillator Emergency Department Emergency Transportation 65

SSCOR

DECEMBER 21, 2023

The elderly woman had gone into cardiac arrest just minutes before you arrived, but immediate CPR and rapid defibrillation were rewarded with a weak return of pulses. The call is going smoothly. Your IV is flowing and the patient is intubated.

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Defibrillator CPR EMS 52

Peter Canning

JANUARY 14, 2024

I recerted CPR, ACLS (Advanced Cardiac Life Support) and PALS (Pediatric Advanced Life Support) late in December. When you are doing CPR and running cardiac arrests on a regular basis, it seems unnecessary to sit through a 2 hour class on CPR and 4 hour classes on ACLS and PALS. The certs are good for two years. mg via syringe.*

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CPR Naloxone EMT EMT 52

EMT Training Station

FEBRUARY 10, 2024

They often engage in public education, teaching CPR and first aid, and participating in health and wellness fairs. They learn to operate sophisticated life-saving tools, from defibrillators to advanced airway management devices. My name is Mike, and I am thrilled to be able to share my extensive EMS experience with you.

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EMT EMT Emergency Medical Technician First Responder 98

Utah's Paramedic and EMS Academy

OCTOBER 23, 2023

Upon arrival, you quickly assess the situation and spring into action, working to save a man's life through CPR and defibrillation. This includes checking monitors, defibrillators, airway management equipment, and other essential tools for stabilizing and transporting critically ill patients.

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EMT EMT Emergency Medical Technician Defibrillator 52

NCOAE

MARCH 8, 2021

covering prehospital medical providers — recognizes three levels of EMTs/paramedics: EMT: EMTs provide non-invasive life-support services, such as cardiopulmonary resuscitation (CPR), administering oxygen, performing automated external defibrillation, basic and advanced airway management, and administering authorized medications.

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EMT EMT Emergency Medical Technician AEMT 52

Dr. Smith's ECG Blog

OCTOBER 3, 2017

He received aspirin en route via EMS, and no EMS ECGs are available. After the second defibrillation the patient had an organized rhythm: Bradycardic escape/agonal rhythm, with large ST deviations. This rhythm reportedly produced no palpable pulse, and CPR was continued.

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CPR Defibrillator STEMI ED 52

NAEMSP

APRIL 19, 2023

CPR is taken over by responding crews, and he is placed on a cardiac monitor/defibrillator. After several cycles of defibrillation, epinephrine, and amiodarone, the patient remains in cardiac arrest. His family has been performing bystander, and report that he suddenly collapsed just a few minutes ago.

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E-9-1-1 Advanced Life Support Overdose CPR 52

EMT Training Station

FEBRUARY 11, 2024

If the victim is unresponsive, CPR is initiated immediately. We use portable electrocardiogram (ECG) machines to monitor heart rhythms and are equipped to administer life-saving interventions like defibrillation or medication administration to stabilize the heart rhythm.

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EMT EMT Emergency Medical Technician First Aid 98

Paramedic Training Spot

NOVEMBER 29, 2021

Besides going over the basic lifesaving skill of Cardiopulmonary Resuscitation, or CPR, you will learn the legal side of medicine, such as HIPAA, and emergencies that bring not only the end, but a new start, to life. In fact, in 1927, the town of Belmar was one of the the first established volunteer ambulance services in the nation.

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EMT EMT EMR Emergency Medical Technician 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. The morphology of V2-V4 is very specific in my experience for acute right heart strain (which has many potential etiologies, but none more common and important in EM than acute pulmonary embolism).

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ACS CPR CAD Heart Attack 52

Dr. Smith's ECG Blog

APRIL 29, 2020

CPR was started immediately. EMS arrived and found her in a wide complex PEA rhythm. 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.

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Defibrillator Epinephrine Coronary Overdose 52

High Performance EMS

OCTOBER 11, 2024

October is Sudden Cardiac Arrest Awareness month, so High Performance EMS and PulsePoint are encouraging everyone to locate and register Automated External Defibrillators (AEDs). It’s relatively recent that providing CPR instructions to callers (t-CPR) was considered best practice.

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Public Safety Defibrillator CPR EMD 317

Dr. Smith's ECG Blog

OCTOBER 26, 2020

EMS found the patient in VFib and performed ACLS for 26 minutes then obtained ROSC. 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.

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Coronary Defibrillator ACS CAD 40

ACEP Now

NOVEMBER 7, 2023

EMS physicians report he was found in ventricular fibrillation. Multiple attempts at defibrillation, epinephrine, and amiodarone have been unsuccessful. Problem What is the best defibrillation strategy to treat refractory ventricular fibrillation? He was found by bystanders after he collapsed and 911 was called.

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