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.
ESO
DECEMBER 18, 2024
After reviewing over 12 million EMS incidents that took place in 2023 , the 2024 ESO EMS Index highlights two critical areas that demand attention: Early CPR and Opioid Use Disorder (OUD). The importance of early CPR The earlier CPR is performed, the better the outcome. Gender disparities were also found.
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Handtevy
AUGUST 15, 2022
Sodium bicarbonate is indicated for select patients including preexisting metabolic acidosis, hyperkalemia, or tricyclic antidepressant overdose. Introduction Cardiopulmonary resuscitation (CPR) is a life-saving procedure performed on individuals experiencing cardiac arrest.
Dr. Smith's ECG Blog
JULY 25, 2024
They started CPR. As demonstrated by Dr. Smith in his above discussion — Application of the ECG findings in Figure-1 to today's clinical scenario ( ie, marked sinus tachycardia in this younger adult with drug overdose and respiratory arrest ) — provides an immediate and much more likely explanation for DSI than trying to postulate ACS.
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.
EMDocs
JANUARY 8, 2024
Calcium is associated with harm but is still necessary in certain situations (hyperkalemia, calcium channel blocker overdose) (Level 3 recommendation: no benefit). For patients with OHCA, use of steroids during CPR is of uncertain benefit. Major Updates Avoid routine use of calcium in patients with cardiac arrest. COR 2b, LOE B-R.
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. The certs are good for two years. mg via syringe.*
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