ACEP Now

DECEMBER 6, 2024

After resuming CPR and administering an additional 400 mcg IV NTG, the patient achieved return of spontaneous circulation with sinus tachycardia. This case report documents the first known instance of using NTG during an emergency department resuscitation to treat a patient in cardiac arrest due to severe coronary artery vasospasm.

Coronary 98

Coronary Life Support ALS Emergency Department 98

The Overrun

JULY 5, 2019

Is there any reason why these providers had to go against the wishes of the dead and his family simply for the lack of a document? They carry the same CPR card in their wallets as I do, they readily use the brains between their ears, so why are we made to perform futile efforts on a patient who didn’t want the help to begin with?

CPR 52

CPR OR BLS EMT 52

ESO

JANUARY 19, 2024

Gender, race, ethnicity, and socioeconomic disparities are well-documented within the healthcare system. While stroke assessment is documented 38% of the time for patients overall, it is only documented 32% of the time for Hispanic/Latino patients. One area we found in need of improvement is bystander CPR.

CPR 52

CPR Advanced Life Support Life Support STEMI 52

EMT Training Station

FEBRUARY 11, 2024

If the victim is unresponsive, CPR is initiated immediately. This preparation involves not only medical stabilization but also careful documentation of the victim’s condition and the care provided, ensuring a seamless transition to hospital-based treatment.

EMT 98

EMT EMT Emergency Medical Technician First Aid 98

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

NAEMSP

MARCH 5, 2024

Appropriate air medical services utilization and recommendations for integration of air medical services resources into the EMS system of care: a joint position statement and resource document of NAEMSP, ACEP, and AMPA. 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

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.

ALS 98

ALS ED OR CPR 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. They must act quickly to provide life-saving interventions such as administering oxygen, CPR, or using an automated external defibrillator (AED) to stabilize the patient's condition before transport.

EMT 52

EMT EMT Emergency Medical Technician Defibrillator 52

Handtevy

FEBRUARY 27, 2024

Handtevy Mobile addresses the complex challenges of medication dosing, equipment sizing, and provides CPR assistance tailored for pediatric patients—all pre-calculated to eliminate any confusion upon a child’s arrival in the ED. Ready to Try Handtevy Mobile?

Emergency Department 52

Emergency Department Emergency Medical Services CPR ED 52

TIMER

AUGUST 24, 2022

He or she needs to be in possession of a current CPR certification. The applicants must complete official documentation proving their citizenship in the United States. They offer CPR and first aid lessons, as well as initial and recurrent EMT training. The applicant should be healthy both physically and mentally.

EMT 40

EMT EMT Emergency Medical Technician Emergency Medical Services 40

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. These orders must be documented, as the rule of thumb is “If it’s not written, it didn’t happen.”

EMT 52

EMT EMT EMR Emergency Medical Technician 52

Dr. Smith's ECG Blog

FEBRUARY 2, 2017

Document in the patient's chart that rapid infusion is intentional in response to life-threatening hypokalemia." Give an initial infusion of 10 mEq IV over 5 minutes; repeat once if needed. CASE : Prehospital Cardiac Arrest due to Hypokalemia I recently had a case of prehospital cardiac arrest that turned out to be due to hypokalemia.

Plasma 52

Plasma CPR STEMI ALS 52

NAEMSP

JANUARY 5, 2023

Meyer MD Clinical Scenario You are dispatched to a 57-year-old male with a witnessed cardiac arrest and bystander CPR being performed. Your partner deploys the cardiac monitor and while CPR is continued you turn your attention to establishing vascular access. On arrival to the scene, you find the patient pulseless and apneic.

E-9-1-1 52

E-9-1-1 Advanced Life Support Epinephrine Life Support 52

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 Emergency Medical Technician CPR 52

EMDocs

JANUARY 11, 2024

Data that do not establish neurological risk stratification in the first 6 hours after CA include the patient’s age, duration of CPR, seizure activity, serum lactate level or pH, Glasgow motor subscore in patients who received NMB or sedation, pupillary function in patients who received atropine, and optic nerve sheath diameter (95.3%, 20/21).

Critical Care 97

Critical Care E-9-1-1 OR ICU 97

EMT Training Station

MARCH 10, 2023

Accurate documentation of when a drug is given is essential. Documentation is very important in EMS. However, having a watch that you are able to put in the military time will eliminate the confusion and make documentation easier. format, making it easier to quickly read and document patient records.

EMT 52

EMT EMT Paramedic EMS 52

Paramedic Training Spot

JANUARY 20, 2022

The CPR course typically takes 4 to 8 hours to complete. With your CPR card in hand, you must then attend another course to earn an emergency medical technician certification. This is the entry-level licensure for all emergency medical services professionals and is regulated by the Office of Emergency Medical Services.

Paramedic 52

Paramedic Emergency Medical Technician Emergency Medical Services EMT 52

The Overrun

JUNE 8, 2020

Be the ones who teach bleeding control, CPR, and the skills officers need to save lives. But, I think we need to consider that as clinicians, we must incorporate this into our practice and documentation. So as I sit here at the computer, and watching what is happening right now in this country, how do we in EMS do better?

Paramedic 40

Paramedic EMS Ambulance CPR 40

Dr. Smith's ECG Blog

NOVEMBER 30, 2019

Document in the patient's chart that rapid infusion is intentional in response to life-threatening hypokalemia." "If cardiac arrest from hypokalemia is imminent (i.e., malignant ventricular arrhythmias are present), rapid replacement of potassium is required. Give an initial infusion of 10 mEq IV over 5 minutes; repeat once if needed.

Plasma 40

Plasma STEMI Defibrillator Overdose 40

Dr. Smith's ECG Blog

APRIL 8, 2016

Document in the patient's chart that rapid infusion is intentional in response to life-threatening hypokalemia." "If cardiac arrest from hypokalemia is imminent (i.e., malignant ventricular arrhythmias are present), rapid replacement of potassium is required. Give an initial infusion of 10 mEq IV over 5 minutes; repeat once if needed.

STEMI 52

STEMI Plasma Defibrillator OR 52

NAEMSP

MARCH 13, 2023

They begin CPR en route to the emergency department where the patient’s rhythm deteriorates into asystole. Would there be increased compliance and accuracy of documentation within electronic health records that are used for quality improvement & research? Shortly after they discover that she is pulseless and apneic.

EMS 52

EMS Emergency Medical Services EMT EMT 52

Dr. Smith's ECG Blog

MARCH 8, 2025

Angiography was technically challenging as the patient was receiving CPR, but the cardiologist suspected acute stent thrombosis and initiated cangrelor, although no repeat angiography was able to be obtained. During the resuscitation, she received amiodarone 450 mg IV, lidocaine 100 mg IV, and magnesium 6 g IV. Galiuto, L., Yoshida, T.,

E-9-1-1 75

E-9-1-1 OR Defibrillator Coronary 75

The Good, The Bad & The Ugly Paramedic

OCTOBER 31, 2020

Bystanders are growing to relish the thought of CPR and saving a life now that the concept is less foreign and frightening. An increasing number of patients now know that clinical competence comes included with the package, rather than balk at a cost comparison between ambulances and Ubers as a method of transport.

Paramedic 52

Paramedic Ambulance First Responder CPR 52

Core EM

JANUARY 16, 2025

This document will focus on the anatomical considerations and aspiration risk. Even if CPR is ongoing – reassess that you did not tube the esophagus. Well consider difficult intubation for our purposes here to mean an intubation that requires multiple attempts with DL or the use of a hyperangulated VL / advanced technique (e.g.

E-9-1-1 130

E-9-1-1 EMS ALS OR 130