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Transcutaneous Pacing: Part 2

EMS 12-Lead

We will be using redacted information from different cases where paramedics attempted TCP in the field. In this call, paramedics arrived on scene to find a patient apneic and pulseless with CPR in progress by first responders (AED had an unknown unshockable rhythm). Epinephrine administered intravenously.

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SGEM#380: OHCAs Happen and You’re Head Over Heels – Head Elevated During CPR?

The Skeptics' Guide to EM

Resuscitation 2022 Guest Skeptic: Clay Odell is a Paramedic, Firefighter, and registered nurse (RN). Case: You are the Chief of your local Fire and EMS Department, and an individual contacts you saying […] The post SGEM#380: OHCAs Happen and You’re Head Over Heels – Head Elevated During CPR?

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Transcutaneous Pacing: Part I

EMS 12-Lead

We will be using redacted information from different cases where paramedics attempted TCP in the field. The paramedics begin CPR. CPR is performed with manual compressions as no mechanical CPR device is available. After administering 1mg of epinephrine ROSC is noted with a bradycardic rhythm ( Figure 2 ).

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SGEM#453: I Can’t Go For That – No, No Narcan for Out-of-Hospital Cardiac Arrests

The Skeptics' Guide to EM

Before attending medical school, he was a New York City Paramedic. Case: You are working as a paramedic, and you respond to a cardiac arrest. On arrival, you find a 35-year-old male, pulseless and apneic with cardio-pulmonary resuscitation (CPR) in progress by a bystander. There is drug paraphernalia scattered around the room.

Naloxone 242
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SGEM#426: All the Small Things – Small Bag Ventilation Masks in Out of Hospital Cardiac Arrest

The Skeptics' Guide to EM

Prior to earning his MD, he worked as a paramedic in the New York City 911 system. SGEM#143: Call Me Maybe for Bystander CPR * SGEM#152: Movin’ on Up – Higher Floors, Lower Survival for OHCA * SGEM#162: Not Stayin’ Alive More Often with Amiodarone or Lidocaine in OHCA * SGEM#189: Bring Me to Life in OHCA *

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SGEM#353: At the COCA, COCA for OCHA

The Skeptics' Guide to EM

Bystander CPR is being performed. The paramedics performed high-quality CPR and follow their ACLS protocol. Intraosseous access is quickly obtained, and a dose of epinephrine is provided. CPR is continued while a supraglottic airway is placed successfully. The monitor is hooked up.

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SGEM#238: The Epi Don’t Work for OHCA

The Skeptics' Guide to EM

A Randomized Trial of Epinephrine in Out-of-Hospital Cardiac Arrest. Guest Skeptics: Jay Loosley is the Superintendent of Education at Middlesex-London Paramedic Service. Jenn Doyle is a paramedic educator at Middlesex-London Paramedic Service. A Randomized Trial of Epinephrine in Out-of-Hospital Cardiac Arrest.