CPR, Epinephrine and Life Support

SGEM#426: All the Small Things – Small Bag Ventilation Masks in Out of Hospital Cardiac Arrest

The Skeptics' Guide to EM

JANUARY 13, 2024

On your arrival, first responders from the fire department are performing high-quality basic cardiac life support. The patient is a 54-year-old man who collapsed in front of his family after complaining of chest pain for several hours. You continue with compressions and defibrillations and your partner places an advanced airway.

CPR

CPR Defibrillator First Responder Epinephrine

SGEM#238: The Epi Don’t Work for OHCA

The Skeptics' Guide to EM

DECEMBER 7, 2018

A Randomized Trial of Epinephrine in Out-of-Hospital Cardiac Arrest. A Randomized Trial of Epinephrine in Out-of-Hospital Cardiac Arrest. You are the first provider on scene with Emergency Medical Services (EMS) and start high-quality Cardiopulmonary Resuscitation (CPR). Date: December 6th , 2018 Reference: Perkins et al.

Epinephrine

Epinephrine Life Support Advanced Life Support Defibrillator

Recerts and New Protocols

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. mg via syringe.*

CPR

CPR Naloxone Advanced Life Support EMT

2023 AHA Update on ACLS

EMDocs

JANUARY 8, 2024

Vasopressor medications during cardiac arrest We recommend that epinephrine be administered for patients in cardiac arrest. It is reasonable to administer epinephrine 1 mg every 3 to 5 minutes for cardiac arrest. High-dose epinephrine is not recommended for routine use in cardiac arrest. COR 1, LOE B-R. COR 2a, LOE B-R.

Epinephrine

Epinephrine Defibrillator Coronary CPR

SGEM#350: How Did I Get Epi Alone? Vasopressin and Methylprednisolone for In-Hospital Cardiac Arrests

The Skeptics' Guide to EM

NOVEMBER 13, 2021

You arrive and see that the Advanced Cardiac Life Support (ACLS) algorithm is being followed for adult cardiac arrest patients with pulseless electrical activity (PEA). Cardiopulmonary resuscitation (CPR) is in progress. Epinephrine is provided and you quickly place an advanced airway.

Epinephrine

Epinephrine Critical Care Emergency Department Life Support

SGEM#189: Bring Me To Life in OHCA

The Skeptics' Guide to EM

SEPTEMBER 23, 2017

Prehospital advanced cardiac life support for out-of-hospital cardiac arrest: a cohort study. He is also the CME editor for Academic Emergency Medicine and the associate editor for emergency medicine simulation at the […] The post SGEM#189: Bring Me To Life in OHCA first appeared on The Skeptics Guide to Emergency Medicine.

Life Support

Life Support CPR Advanced Life Support Defibrillator

SGEM#231: You’re So Vein – IO vs. IV Access for OHCA

The Skeptics' Guide to EM

SEPTEMBER 29, 2018

Bystander CPR is initiated prior to EMS arrival. EMS arrives on scene and initiates high quality basic life support (BLS). As part of their protocol, they attempt vascular access to administer epinephrine and an antidysrhythmic. Case: A 46-year-old man has a cardiac arrest at home, witnessed by family.

BLS

BLS Defibrillator Critical Care CPR

Hypothermic Cardiac Arrest: Pearls and Pitfalls

EMDocs

JANUARY 16, 2024

The patient received 1 mg of epinephrine IV x2 with conversion of his rhythm to ventricular fibrillation (VF) for which he was defibrillated twice in the field. He requires low-dose epinephrine to maintain his mean arterial pressure (MAP) in the 60s mmHg and is transported to the cardiothoracic (CT) ICU. doi: 10.1097/MAT.0000000000001518

Defibrillator

Defibrillator CPR Epinephrine Life Support

IV versus IO: Does your Site of Access Matter in Cardiac Arrest?

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

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

Three Pillars for Pediatric Resuscitation Success

Handtevy

APRIL 10, 2019

Data from the AHA and the Pediatric Advanced Life Support (PALS) guidelines consistently report neurologic intact survival from pediatric cardiac arrest to be 3% for infants and 10% for children. Bystander CPR, 2. Telephone CPR (T-CPR), and 3. By Peter Antevy, MD. On-scene EMS resuscitation.

CPR

CPR Advanced Life Support EMS Epinephrine

Resident Journal Review: Available Evidence Regarding Targeted Temperature Management (TTM)

AAEM RSA

AUGUST 27, 2020

1 The primary goal of cardiopulmonary resuscitation (CPR) is to optimize coronary perfusion pressure and maintain systemic perfusion in order to prevent neurologic and other end-organ damage while working to achieve ROSC. Interventions during the acute phase of treatment post return of spontaneous circulation (ROSC) are therefore critical.

E-9-1-1

E-9-1-1 CPR ICU ALS

Calcium in Out-of-Hospital Cardiac Arrest

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. Resuscitation Plus, 12 , 1-9.

E-9-1-1

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

Extreme shock and cardiac arrest in COVID patient

Dr. Smith's ECG Blog

NOVEMBER 12, 2020

He underwent CPR, and regained a pulse after epinephrine, with an organized narrow complex rhythm at 140, but still with severe shock. He was started on Extracorporeal Life Support ("VA ECMO") Here is the ECG on ECMO: Very low voltage On Day 3, the EF recovered (that seems quick!) He was intubated and then went pulseless.

E-9-1-1

E-9-1-1 STEMI Coronary ALS

REBEL Cast Ep113: Defibrillation Strategies for Refractory Ventricular Fibrillation

REBEL EM

DECEMBER 19, 2022

trying harder and longer knowing they are enrolled in this study) Use of two different models of defibrillators may negatively impact the internal validity of this pilot study Certain baseline characteristics were not balanced, such as: prehospital intubation and Epinephrine administration.

Defibrillator

Defibrillator Paramedic CPR EMS

Paramedicine Now

SGEM#426: All the Small Things – Small Bag Ventilation Masks in Out of Hospital Cardiac Arrest

SGEM#238: The Epi Don’t Work for OHCA

Trending Sources

Recerts and New Protocols

2023 AHA Update on ACLS

SGEM#350: How Did I Get Epi Alone? Vasopressin and Methylprednisolone for In-Hospital Cardiac Arrests

SGEM#189: Bring Me To Life in OHCA

SGEM#231: You’re So Vein – IO vs. IV Access for OHCA

Hypothermic Cardiac Arrest: Pearls and Pitfalls

IV versus IO: Does your Site of Access Matter in Cardiac Arrest?

Three Pillars for Pediatric Resuscitation Success

Resident Journal Review: Available Evidence Regarding Targeted Temperature Management (TTM)

Calcium in Out-of-Hospital Cardiac Arrest

Extreme shock and cardiac arrest in COVID patient

REBEL Cast Ep113: Defibrillation Strategies for Refractory Ventricular Fibrillation

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