The Skeptics' Guide to EM

SEPTEMBER 21, 2024

On arrival, you find a 35-year-old male, pulseless and apneic with cardio-pulmonary resuscitation (CPR) in progress by a bystander. You and your partner initiate high-quality CPR, place a supraglottic airway, establish intra-osseous (IO) access and administer epinephrine. There is drug paraphernalia scattered around the room.

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Naloxone NARCAN Overdose CPR 262

Dr. Smith's ECG Blog

JULY 25, 2024

They started CPR. Confirmation of sinus tachycardia should be easy to verify when the heart rate slows a little bit ( as the patient's condition improves ) — allowing clearer definition between the T and P waves. This patient was witnessed by bystanders to collapse. EMS arrived and found him in Ventricular Fibrillation (VF).

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Defibrillator Coronary Epinephrine ACS 124

EMDocs

NOVEMBER 6, 2023

Opioid overdose remains the leading cause of cardiac arrest due to poisoning in North America. For a patient with suspected opioid overdose who has a definite pulse but no normal breathing or only gasping (ie, a respiratory arrest), in addition to providing standard BLS and/or ALS care, it is reasonable for responders to administer naloxone.

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Naloxone OR BLS Overdose 116

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.

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Defibrillator Paramedic CPR EMS 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.

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Defibrillator Epinephrine Coronary Overdose 52

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. They had overdosed, and this was before the widespread use of Narcan.

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EMT EMT EMR Emergency Medical Technician 52