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Defining Appropriate Responses in a Tiered System

High Performance EMS

The very low risk calls can typically be satisfied with basic life support (BLS) capabilities. In fact, sending advanced life support (ALS) providers that are in short supply to one of these calls can leave citizens exposed when a critical request is received after that resource is committed.

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The Guidelines Graveyard: What gets chosen, what gets buried?

Handtevy

On November 14, 2024, ILCOR released their latest recommendations for adult and pediatric basic and advanced life support. Many showed positive trends, yet because each specific area had fewer than three supporting articles, ILCOR declined to make any definitive statements about their effectiveness. The result?

professionals

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2023 AHA Update on Management Cardiac Arrest or Life-Threatening Toxicity Due to Poisoning

EMDocs

Treatment of cardiac arrest and life-threatening toxicity due to poisoning often requires specialized treatments that most clinicians do not use frequently such as antidotes and venoarterial extracorporeal membrane oxygenation, in addition to effective basic and advanced life support. COR 2a, LOE C-LD. COR 2a, LOE C-LD.

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A 20-something woman with cardiac arrest.

Dr. Smith's ECG Blog

When I saw the ECG of this patient I saw that there was definitely something "off". Cardiac arrest was called and advanced life support was undertaken for this patient. Are these ECG changes related to the CNS infection perhaps? What disease processes would you put on your list of differential diagnoses?

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Updates in the Management of Refractory Ventricular Tachycardia or Ventricular Fibrillation Arrest

ACEP Now

More recent literature and guidelines support the use of lidocaine as an alternative agent, and currently both are included in standard advanced cardiovascular life support. Medications: think about using esmolol Amiodarone has been traditionally used in the management of VT or VF as an adjunct to defibrillation.

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Prehospital Traumatic Cardiac Arrest: A Systematic Review and Meta-analysis

REBEL EM

The search contained terms for (1) prehospital cardiac arrest or prehospital advanced life support, and (2) injuries and trauma. Inclusion/Exclusion criteria and definitions were very specific. The OPALS Major Trauma Study: impact of advanced life-support on survival and morbidity. 2008 Apr 22;178(9):1141-52.

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I smell a pool, we don't have a pool.

FOAMfrat

Once we've gotten to the stage where the patient has developed significant pulmonary edema and has suffered tissue damage from the conversion of CL2 to HCL and HOCL, the definitive treatment is pulmonary lavage in hospital and long-term management. Advanced Hazmat Life Support Provider Manual (4th ed.). (F. Bronstein, A.