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A man in his 50s with unwitnessed VF arrest, defibrillated to ROSC, and no STEMI criteria on post ROSC ECG. Should he get emergent angiogram?

Dr. Smith's ECG Blog

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. Further information is not available. He was extubated, following commands, talking to his family soon.

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REBEL Cast Ep113: Defibrillation Strategies for Refractory Ventricular Fibrillation

REBEL EM

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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Heads Up! There is No Association with Improved Outcomes for Head Up CPR: Why We Must Read Past the Abstract

REBEL EM

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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Episode 110: EMS WEEK with Dr. Zaffer Qasim

The Overrun Podcast

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). Technology, such as ultrasound and real-time information sharing, has the potential to enhance trauma resuscitation.

CPR 52
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On the Scene: Prehospital Care for Electrical Burns for EMTs

EMT Training Station

If the victim is unresponsive, CPR is initiated immediately. This rapport can also provide valuable information about the incident, aiding in our assessment and treatment decisions. It helps in making informed decisions for the next steps in treatment. Communicating with the Victim Effective communication is key.

EMT 98
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Chest pain and a "normal" ECG

Dr. Smith's ECG Blog

I sent this ECG with no clinical information to Dr. Smith. 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. It should have been shocked at least 10 seconds ago.

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How to Become an EMT

NCOAE

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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