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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. They are unable to feel a pulse and resume CPR. Intubation is attempted, but unsuccessful.

CPR 312
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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). The paramedics initially set the current at 60mA.

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SGEM#462: Spooky Scary Access – IV or IO for OHCA

The Skeptics' Guide to EM

The Paramedic 3 Trial: A randomized clinical trial of drug route in out-of-hospital cardiac arrest. An alumnus of Tacoma Community College's paramedic program Missy served as a paramedic for the Bremerton Fire Department for nearly 12 years and has been involved in paramedic education since 2004. Reference: Couper et al.

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Episode 72: CPR-induced consciousness with Jack Howard

Critical Care Scenarios

We discuss the phenomenon of CPR-induced consciousness (i.e. patients demonstrating awakeness during resuscitation) with Jack Howard, Intensive Care Paramedic at Ambulance Victoria in the northern suburbs of Melbourne, Australia, and first author on a recent literature review and Delphi-derived expert guideline on CPRIC management.

CPR 124
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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?

CPR 130
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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 239
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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 *

CPR 219