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The Safety and Efficacy of Push Dose Vasopressors in Critically Ill Adults

REBEL EM

1-4 The PDPs, phenylephrine and epinephrine, result in vasoconstriction and increased cardiac contractility. They can be associated with side effects such as reflex bradycardia, decreased stroke volume in phenylephrine, tachycardia and hypertension associated with epinephrine.

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Case Report: Coronary Vasospasm-Induced Cardiac Arrest

ACEP Now

Traditional Advanced Cardiovascular Life Support (ACLS) medications, namely epinephrine, have been known to exacerbate coronary vasospasm. This case report documents the first known instance of using NTG during an emergency department resuscitation to treat a patient in cardiac arrest due to severe coronary artery vasospasm.

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IV versus IO: Does your Site of Access Matter in Cardiac Arrest?

NAEMSP

1] The Adult Cardiac Arrest ACLS algorithm currently includes epinephrine and either amiodarone or lidocaine as recommended pharmacologic therapies. The role of intraosseous vascular access in the out-of-hospital environment (resource document to NAEMSP position statement). minutes versus 5.4 minutes). [5] Prehosp Emerg Care.

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Transcutaneous Pacing: Part 2

EMS 12-Lead

Epinephrine administered intravenously. They administered 10 mcg of push-dose epinephrine. Atropine and further doses of epinephrine were not administered. The crew increases this current to 75mA and documents an “improvement in patient status” with palpated pulses and a BP of 115/60. This set current is seen in Figure 5.

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PEM Currents – Agitation in Children – Episode 2: Non-Pharmacologic Management

EMDocs

Avoid Trying to Reason With Them When agitated, a child’s prefrontal cortex is suppressed by the cortisol and epinephrine induced fight-or-flight reaction. Begin by stating your role and use both your own name and the patient’s name (personalize the interaction).

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What are treatment options for this rhythm, when all else fails?

Dr. Smith's ECG Blog

Epinephrine infusion was begun. In both tracings — an exceedingly fast PMVT is documented. You can see Left Main and Proximal LAD obstruction, but with some flow, which is saving this patient's life. Immediately after contrast injection into the LMCA, the patient had circulatory collapse, with a precipitous drop in blood pressure.

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TEG-Guided Resuscitation of Patients with Cirrhosis and Non-Variceal Bleeding

REBEL EM

It’s unclear whether interventions such as cauterization, clip placement, epinephrine injection, etc., Significant coagulopathy: INR > 1.8 The care team could have provided more aggressive medical management outside the transfusion strategy to one arm over another, leading to co-intervention bias. were performed.

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