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Josh Kimbrell, NRP @joshkimbre Judah Kreinbrook, EMT-P @JMedic2JDoc This is the first installment of a blog series showing how transcutaneous pacing (TCP) can be difficult, and how you can improve your skills. After administering 1mg of epinephrine ROSC is noted with a bradycardic rhythm ( Figure 2 ).
For all the fancy changes over the year, the bottom line has always been to provide good CPR compressions and timely defibrillation. Here are some of the highlights: EMRs and EMTs may administer Naloxone IM in a dose of 0.4 The pediatric epinephrine and norepinephrine infusion rates have been lowered to 0.1-0.5 mg via syringe.*
Let’s also not forget that these patients still require ventilation and they still require defibrillation! Start an IV and give epinephrine? In addition, mechanical CPR took away from the message that EMTs own CPR, which had been very successful in improving teamwork and morale in my department. The Lancet. 2014;311(1):53.
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