Dr. Smith's ECG Blog

JULY 25, 2024

They started CPR. Cardiac arrest #3: ST depression, Is it STEMI? This patient was witnessed by bystanders to collapse. EMS arrived and found him in Ventricular Fibrillation (VF). He was defibrillated into VT. He then underwent dual sequential defibrillation into asystole. After 1 mg of epinephrine they achieved ROSC.

Defibrillator 124

Defibrillator Coronary Epinephrine ACS 124

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. Editorial Comment : Yes to PCI after arrest with STEMI on ECG. COR 2b, LOE B-R.

Epinephrine 98

Epinephrine Defibrillator Coronary CPR 98

Dr. Smith's ECG Blog

NOVEMBER 30, 2019

This is pathognomonic of hyperkalemia (I suppose it could be due to a massive overdose of a sodium channel blocking drug, maybe). to greatly decrease risk (although in STEMI, the optimal level is about 4.0-4.5 She was in shock with thready pulses. A prehospital ECG was recorded: Limb leads: Precordial Leads What is the therapy?

Plasma 40

Plasma STEMI Defibrillator Overdose 40