Dr. Smith's ECG Blog

MAY 19, 2020

ECMO Flow was achieved after approximately 1 hour of high quality CPR. A followup ECG was recorded 2 days later: No definite evidence of infarction. Diagnosis of MINOCA should be made according to the Fourth Universal Definition of MI, in the absence of obstructive coronary artery disease (CAD) (no lesion ≥50%). myocarditis).

Defibrillator 52

Defibrillator CPR Coronary CAD 52

ACEP Now

AUGUST 8, 2023

Deciding to err on the side of caution, they began CPR, alternating in two-minute intervals. He didn’t think about his wild costume, and he definitely didn’t realize he was wearing his costume’s sunglasses the whole time. The whole thing was probably 10 minutes, but it felt like an eternity,” Dr. Basile remembered.

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CPR Paramedic EMS OR 94

NAEMSP

MARCH 5, 2024

There has been literature to support the use of air in trauma-both because of the time to definitive care but also the critical care that can be started at the scene. Cardiac arrest has been proven difficult in flight, but research is still needed with mechanical CPR machines.

Critical Care 52

Critical Care Medical Transportation CPR EMS 52

Dr. Smith's ECG Blog

OCTOBER 24, 2013

He underwent immediate CPR, was found to be in ventricular fibrillation, and was successfully resuscitated. And if definitive signs of ischemia develop, the immediate antithrombotic, antiplatelet, and anti-ischemic therapy is indicated, including an immediate angiogram, if symptoms and ECG findings do not resolve.

CPR 52

CPR ACS Coronary OR 52

Dr. Smith's ECG Blog

OCTOBER 28, 2013

It was witnessed, and CPR was performed by trained individuals. She arrived in the ED 37 minutes after 911 was called, with continuing CPR. The patient was taken for an angiogram and had an 80% LAD lesion, but it could not be definitely determined whether this was an acute thrombotic lesion or a chronic stable lesion.

Defibrillator 52

Defibrillator ACS CPR STEMI 52

Don't Forget the Bubbles

JUNE 17, 2024

The lack of consistent definitions in the literature makes it difficult to report its true prevalence and hampers efforts to combat it. A third RCT demonstrated that even brief low-level incivility could increase the risk of major error during CPR by up to 66%. They underestimated the impact of this exposure.

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E-9-1-1 Critical Care CPR ICU 105

EMDocs

NOVEMBER 6, 2023

For patients known or suspected to be in cardiac arrest, in the absence of a proven benefit from the use of naloxone, standard resuscitative measures should take priority over naloxone administration, with a focus on high-quality CPR (compressions plus ventilation). COR 1, LOE C-EO. COR 1, LOE C-EO.

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Naloxone OR Overdose BLS 116

Don't Forget the Bubbles

JUNE 26, 2023

Definitive surgical repair, creating a biventricular circulation, is preferable but is often not possible (for example, they may only have a rudimentary ventricle). The team start CPR, and this is emergently converted to extra-corporeal cardiopulmonary resuscitation via the open sternotomy wound.

Critical Care 128

Critical Care ALS OR CPR 128

REBEL EM

DECEMBER 19, 2022

In fact, 4000 paramedics in total were not only trained in the study protocol but also given a rigorous evaluation of their ability to perform CPR. On the topic of EMS and similar to the pilot study, there was an incredibly high amount of bystander CPR performed. Thus limiting the external validity of this paper’s findings.

Defibrillator 52

Defibrillator Paramedic CPR EMS 52

AAEM RSA

JANUARY 21, 2021

In 2010, the American Heart Association (AHA) revised the Advanced Cardiac Life Support (ACLS) guidelines to include the recommendation of using capnography to monitor end-tidal carbon dioxide (ETCO2) during cardiopulmonary resuscitation (CPR), 1 and has continued this recommendation to date.

Life Support 40

Life Support Advanced Life Support ALS CPR 40

BoostPrep

APRIL 26, 2022

Question While performing one-person CPR on a patient, you should use a ratio for compressions to ventilation for the adult patient and a __ ratio for a child patient. Apply an AED Begin CPR Correct Incorrect Question 2 of 10 2. Provide two minutes of CPR prior to attaching the AED. Apply a nonrebreather at 15 lpm.

EMT 52

EMT EMT CPR Emergency Medical Technician 52

Dr. Smith's ECG Blog

APRIL 29, 2020

CPR was started immediately. The ultimate reason for the long QT was never definitively determined. Drug-induced QT interval cannot be completely ruled out, but the tox consult found the she had definitely not overdosed and did not believe that therapeutic doses would do this.

Defibrillator 52

Defibrillator Epinephrine Coronary OR 52

ACEP Now

APRIL 3, 2024

7 TTM2 is generally interpreted as favoring normothermia for post-arrest care, but the question is whether this trial is broadly applicable to many countries with less developed community CPR involvement. degrees Celsius “is a reasonable and evidence-based approach.”

Advanced Life Support 40

Advanced Life Support ALS Life Support CPR 40

The Skeptics' Guide to EM

MARCH 2, 2019

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

CPR 130

CPR Firefighter Paramedic Defibrillator 130

REBEL EM

AUGUST 21, 2023

In response to this critical issue, the TAME Cardiac Arrest Trial has been launched as a definitive phase III multi-center randomized controlled trial for resuscitated cardiac arrest patients. Thus the results of this trial may not be generalizable to unwitnessed cardiac arrest with non-shockable rhythms and/or a lack of bystander CPR.

Critical Care 97

Critical Care E-9-1-1 CPR ALS 97

Dr. Smith's ECG Blog

SEPTEMBER 3, 2023

Suppose the OMI had been recognized, or suppose another ECG had been recorded and it showed definite OMI. 3-vessel disease can make resuscitation very difficult, since CPR does not perfuse diseased vessels as well as one would like. The 3rd inferior lead ( = lead II ) — shows definite ST-T wave flattening.

Defibrillator 134

Defibrillator Coronary STEMI CPR 134

REBEL EM

JANUARY 29, 2024

What They Did: Single-center, pilot prospective observational cohort trial in Turkey Thrombolysis 25mg of alteplase without a bolus was administered over 6 hours by peripheral IV infusion If hemodynamic instability persisted despite first dose of thrombolysis, a second 6hr infusion of 25mg alteplase without bolus was administered (No patients in the (..)

ALS 136

ALS ACS OR CPR 136

Don't Forget the Bubbles

MAY 3, 2023

Reviewed by: Roberto Segura and Mel Ranaweera Article 3: Does hand position affect CPR quality in young children? The effect of hand position on chest compression quality during CPR in young children: Findings from the Videography in Pediatric Resuscitation (VIPER) collaborative. O’Connell KJ, Sandler A, Dutta A, et al.

CPR 52

CPR Emergency Department ALS ICU 52

REBEL EM

NOVEMBER 20, 2023

Early expeditious definitive hemorrhage control is a major focus in trauma resuscitation. Definitive hemorrhage control procedures were performed in 30% of patients in the REBOA and standard care group and 43% in the standard care alone group. The enrolled population was severely injured, with a median ISS of 41, and 23% received CPR.

OR 91

OR Emergency Medical Technician CPR ALS 91

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. My first call was a CPR in progress. It’s watching life start, and trying to stop life from ending.

EMT 52

EMT EMT EMR Emergency Medical Technician 52

Don't Forget the Bubbles

JULY 26, 2023

Low risk BRUE: Age >60 days Gestational age >32/40 Post conceptual age >45 weeks First episode No CPR given (by a trained medical provider) No concerning history or examination findings (eg FHx sudden cardiac death) Where the above features are present then investigation and hospital stay can be limited.

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ALS ED OR CPR 98

Dr. Smith's ECG Blog

OCTOBER 20, 2013

Medics found her apneic and pulseless, began CPR, and she was found to be in asystole. A middle-age woman with h/o hypertension was found down by her husband. With ventilations and epinephrine, she regained a pulse. She was never seen to be in ventricular fibrillation and was never defibrillated.

STEMI 52

STEMI Coronary ACS Emergency Department 52

My Paramedic Blog

FEBRUARY 21, 2015

That’s definitely not something I want to be awake for, in fact, it looks painful even when patients have it done under anesthetics. Doctor: “Start CPR. So the nurse drew up the medication as the doctor prepares for the procedure. The nurse looked at me, and we all looked at the doctor, the doctor looked right back.

Epinephrine 52

Epinephrine CPR Paramedicine Paramedicine 52

The Overrun

JUNE 8, 2020

We have seen the knee on the neck, and we’ve definitely seen the aftermath. Be the ones who teach bleeding control, CPR, and the skills officers need to save lives. We’ve all seen the video. It’s not a virus; but it is a pathogen. And it’s one we’ve known deep in our hearts that has existed in some way, shape or form for a long time.

Paramedic 40

Paramedic EMS Ambulance CPR 40

The Skeptics' Guide to EM

NOVEMBER 30, 2024

After starting cardiopulmonary resuscitation (CPR), you note pulseless electrical activity (PEA) on the monitor. The current evidence has not given a definitive answer as to which type of access is best for OHCAs. The paramedic is trying to get intravenous (IV) access to give epinephrine per the protocol.

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Epinephrine OR CPR Paramedic 249

Core EM

APRIL 23, 2025

Definition: Refractory Ventricular Arrhythmias Persistent ventricular fibrillation (VF) or pulseless ventricular tachycardia (VT) despite 3 shocks, appropriate CPR, vasopressors, and anti-arrhythmics. Increasing use of mechanical CPR and ECMO has driven interest in novel defibrillation strategies. N Engl J Med. Standard: 13.3%

Defibrillator 130

Defibrillator CPR ALS Epinephrine 130

Dr. Smith's ECG Blog

APRIL 6, 2025

CPR was initiated and he underwent 1 round of ACLS (CPR + 1 mg epi). During CPR, he started moving all four extremities spontaneously. Subsequently, he became increasingly bradycardic and was noted to have myoclonic movements. At that time, he had no pulses and was in asystole on the monitor.

OR 110

OR Epinephrine CPR ED 110

ACEP Now

MARCH 10, 2025

It can be defined by an overlap of four pillars: 2,3 Passion – what makes you excited Mission what makes a difference in the world Profession what you can make a living on Vocation what youre good at Another broader definition of ikigai is a sense of purpose or what we wake up in the morning for or makes the time fly by.

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E-9-1-1 ALS OR CPR 85

FOAMfrat

NOVEMBER 25, 2024

Definitive care for an intrapartum cardiac arrest is a maternal perimortem cesarian section, which may be performed by any emergency physician. Sure, we still do CPR, defibrillate as needed, and give Epinephrine based upon our local guidance. These cases are incredibly sad and rarely yield survivable outcomes, for the mother or fetus.

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Epinephrine CPR Operating Room Plasma 106

Core EM

JANUARY 16, 2025

For an unstable patient in the ED, you will definitely not be able to do this entire evaluation, but any part will be helpful – even if its just having them range their neck and thrust their jaw while getting pre-oxygenated, or looking in the mouth to make sure the jaw isnt wired shut! Abdominal movement.

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E-9-1-1 EMS ALS OR 130