Remove Defibrillator Remove Epinephrine Remove Plasma
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STEMI with Life-Threatening Hypokalemia and Incessant Torsades de Pointes

Dr. Smith's ECG Blog

At cath, he immediately had incessant Torsades de Pointes requiring defibrillation 7 times and requiring placement of a transvenous pacer for overdrive pacing at a rate of 80. Internal potassium balance and the control of the plasma potassium concentration. He was given amiodarone and lidocaine load and drip and K and Mg drips.

STEMI 52
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A middle aged man with unwitnessed cardiac arrest

Dr. Smith's ECG Blog

EMS report was that the patient had unknown down time with unwitnessed arrest, found initially in VFib arrest, defibrillated x1 followed by PEA arrest alternating with asystolic arrest during transport. Chest compressions were continued, and the patient was given 1 round of epinephrine, calcium, bicarb, glucose.

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Trifecta: Amniotic Fluid Embolism

FOAMfrat

Resuscitating patients with low titer O whole blood or with component therapy in a ratio of 1:1:1, with packed red blood cells, platelets, and plasma, is impactful as it will help promote the restoration of circulation and add platelets and hemoglobin to the depleted store. Could this work for the AFE patient?