The Skeptics' Guide to EM

MARCH 11, 2023

A fire company is on scene providing high-quality cardiopulmonary resuscitation (CPR) and has defibrillated twice with an automated external defibrillator (AED). Case: A paramedic crew responds to a 54-year-old male in cardiac arrest at a private residence.

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The Skeptics' Guide to EM

SEPTEMBER 11, 2021

The paramedics achieve return of spontaneous circulation (ROSC) after CPR, advanced cardiac life support (ALCS), and Intubation. Defibrillation is the treatment of choice in these cases but does not often result in sustained ROSC ( Kudenchuk et al 2006). Many of these OHCAs are due to ventricular fibrillation or pulseless VT.

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EMT Training Station

FEBRUARY 11, 2024

This could range from basic life support, typically managed by EMTs, to more advanced life support provided by paramedics and other medical specialists. This equipment ranges from basic first aid supplies to sophisticated devices like defibrillators, oxygen therapy units, and advanced airway management tools.

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Dr. Smith's ECG Blog

MAY 19, 2020

She was unable to be defibrillated but was cannulated and placed on ECMO in our Emergency Department (ECLS - extracorporeal life support). After good ECMO flow was established, she was successfully defibrillated. Here is a case of ECMO defibrillation with near shark fin that was due to proximal LAD occlusion.

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Paramedics Unlimited

APRIL 19, 2018

In Basic Life Support (BLS) emergencies, a single EMS provider can not deliver optimum care, such as when trying to hold direct pressure on a bleeding wound, while preparing bandages, to stop bleeding. In Advanced Life support (ALS) emergencies, a “single” paramedic or ER doctor can not deliver necessary care.

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EMDocs

JANUARY 16, 2024

The patient received 1 mg of epinephrine IV x2 with conversion of his rhythm to ventricular fibrillation (VF) for which he was defibrillated twice in the field. The patient is moved over to the stretcher and connected to the monitors and defibrillator. What would your next steps be? His point-of-care labs return with a potassium of 3.4

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EMDocs

JANUARY 8, 2024

With respect to timing, for cardiac arrest with a shockable rhythm, it may be reasonable to administer epinephrine after initial defibrillation attempts have failed. Consider administering epinephrine after defibrillation in those with shockable rhythms. COR 2b, LOE C-LD. COR 3, No benefit, LOE B-R. COR 2b, LOE B-R. COR 2b, LOE C-LD.

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Peter Canning

JANUARY 14, 2024

I recerted CPR, ACLS (Advanced Cardiac Life Support) and PALS (Pediatric Advanced Life Support) late in December. For all the fancy changes over the year, the bottom line has always been to provide good CPR compressions and timely defibrillation. Pediatric defibrillation doses should be 2j/kg, 4j/kg.

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Dr. Smith's ECG Blog

OCTOBER 18, 2023

Cardiac arrest was called and advanced life support was undertaken for this patient. She spontaneously converted (Defibrillation was not performed). Most such rhythms in the setting of ischemia are VF and will not convert without defibrillation. After about 90 seconds of chest compressions she awoke.

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Defibrillator Advanced Life Support Coronary Life Support 113

NCOAE

AUGUST 12, 2022

Here, we present them in alphabetical order: ABC – Airway, Breathing and Circulation – “This is the Golden Rule of emergency medical professionals” AED – Automated External Defibrillator – The device that delivers electric shock to the heart of patients experiencing sudden cardiac arrest A-EMT – Advanced EMT ALS – Advanced Life Support Anaphylaxis— (..)

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ACEP Now

DECEMBER 6, 2024

Advanced cardiac life support protocol was initiated, and the patient was intubated. After the fourth defibrillation attempt, 200 mcg IV NTG was administered, resulting in immediate return of spontaneous circulation with a junctional bradycardia rhythm. Click to enlarge.)

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EMT Training Station

FEBRUARY 11, 2024

Rapid Assessment and Advanced Life Support Upon arrival at the scene, our immediate focus is on assessing the victim’s airway, breathing, and circulation. In cases of severe electrical burns, victims may require advanced life support, which includes securing the airway and providing assisted ventilation.

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The Overrun Podcast

MAY 23, 2024

Takeaways Advances in medical resuscitation have focused on basic life support (BLS) interventions, such as compression-only CPR and early defibrillation. The conversation ends with a call for hope in the future of pre-hospital medicine. The conversation ends with a call for hope in the future of pre-hospital medicine.

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NCOAE

MARCH 8, 2021

More specifically, you have three fundamental job responsibilities: Assessment and stabilization of the patient’s condition Basic life support Transportation In this post, we bring you up to speed on the different levels in emergency medicine and credentialing while explaining the basic education and skills required to become an EMT.

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First Responders Foundation

JULY 31, 2024

Similarly, funds can help purchase new defibrillators for paramedics, ensuring they have access to reliable equipment during critical life-saving moments. This training can include specialized instruction in areas such as hazardous material handling, advanced cardiac life support, and technical rescue operations.

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NAEMSP

APRIL 19, 2023

CPR is taken over by responding crews, and he is placed on a cardiac monitor/defibrillator. After several cycles of defibrillation, epinephrine, and amiodarone, the patient remains in cardiac arrest. His family has been performing bystander, and report that he suddenly collapsed just a few minutes ago. Resuscitation Plus, 12 , 1-9.

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Dr. Smith's ECG Blog

FEBRUARY 8, 2022

The patient was put on Extracorporeal Life Support in the ED 3 hours after initial resuscitation, the core temp was 30° C and the patient was defibrillated with a single attempt. On arrival, CPR was continued and core temperature was measured at 18° C (64.4° In all leads, there is a 2nd wave after the initial QRS.

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NHCPS Save a Life

SEPTEMBER 19, 2024

As a health care professional, you know that every second counts when your patient is in cardiac arrest. The faster you can restore a regular heart rhythm, the better chance your patient has to survive to discharge. Maintaining a high chest compression fraction (CCF) is a critical factor in improving their chances.

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Paramedic Training Spot

NOVEMBER 29, 2021

You must also pass your practical examinations, which can include things like HARE traction splints, manual airway management, or proper CPR and AED (Automated External Defibrillator) use. In order to stay up to date, you must take something called a CEU, or Continuing Education Unit.

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REBEL EM

DECEMBER 19, 2022

Background Information: Double external defibrillation (DED) is an intervention often used to treat refractory ventricular fibrillation (RVF). This procedure involves applying another set of pads attached to a second defibrillator to a patient and shocking them in hopes of terminating the rhythm. N Engl J Med.

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