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Case Report: Coronary Vasospasm-Induced Cardiac Arrest

ACEP Now

Advanced cardiac life support protocol was initiated, and the patient was intubated. Traditional Advanced Cardiovascular Life Support (ACLS) medications, namely epinephrine, have been known to exacerbate coronary vasospasm. Cardiac arrest secondary to myocardial ischemia from coronary vasospasm is well documented.

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Episode 19: Emergency medicine with Seth Trueger

Critical Care Scenarios

Yes, temporize with supportive care while you go through the process, but do the work—find a legitimate representative or documentation of the patient’s wishes to determine what they’d want before you commit them to lengthy, aggressive life support. Emergency staff have limited bandwidth.

ICU 100
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On the Scene: Prehospital Care for Electrical Burns for EMTs

EMT Training Station

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.

EMT 98
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Recognizing and Removing Disparities in Patient Care

ESO

Gender, race, ethnicity, and socioeconomic disparities are well-documented within the healthcare system. While stroke assessment is documented 38% of the time for patients overall, it is only documented 32% of the time for Hispanic/Latino patients. However, in reality, that’s not always the case.

CPR 52
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IV versus IO: Does your Site of Access Matter in Cardiac Arrest?

NAEMSP

Panchal AR, Bartos JA, Cabañas JG, Donnino MW, Drennan IR, Hirsch KG, Kudenchuk PJ, Kurz MC, Lavonas EJ, Morley PT, O’Neil BJ, Peberdy MA, Rittenberger JC, Rodriguez AJ, Sawyer KN, Berg KM; Adult Basic and Advanced Life Support Writing Group. Circulation. 2020 Oct 20;142(16_suppl_2):S366-S468. doi: 10.1161/CIR.0000000000000916.

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The Reality of Ramping for Student Paramedics

The Good, The Bad & The Ugly Paramedic

We educate them in anatomy, physiology, pathophysiology, pharmacology, mental health emergencies, social studies, determinants of health, epidemics, pandemics, ethics, documentation legalities, interprofessional collaboration and more.

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AHA/NCS Statement on Critical Care Management of Post ROSC Patients

EMDocs

Statements: Early risk stratification is not intended as a tool for triage to withdraw life support and is not used for that purpose (90.5%, 19/21). These conversations should occur frequently and be clearly documented for other health care professionals who are not present during the conversations (96%, 22/23).