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Sepsis Updates Relevant to the Emergency Physician

EMDocs

34 If a MAP of 65 mmHg is still not achieved, epinephrine should be added as a third agent (Figure 1). For patients with septic shock and cardiac dysfunction that are persistently hypotensive, it is appropriate to use norepinephrine and dobutamine or epinephrine alone. The patient currently resides at a skilled nursing facility.

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Hypothermic Cardiac Arrest: Pearls and Pitfalls

EMDocs

You receive a page for a cardiac arrest and take report from emergency medical services (EMS). 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. It is unclear how long he was down.