EMS, Epinephrine and Life Support

SGEM#426: All the Small Things – Small Bag Ventilation Masks in Out of Hospital Cardiac Arrest

The Skeptics' Guide to EM

JANUARY 13, 2024

Date: January 11, 2024 Guest Skeptic: Dr. Chris Root is an EMS fellow in the Department of Emergency Medicine at the University of New Mexico Health […] The post SGEM#426: All the Small Things – Small Bag Ventilation Masks in Out of Hospital Cardiac Arrest first appeared on The Skeptics Guide to Emergency Medicine. Resuscitation 2023.

CPR

CPR Defibrillator First Responder Epinephrine

SGEM#238: The Epi Don’t Work for OHCA

The Skeptics' Guide to EM

DECEMBER 7, 2018

A Randomized Trial of Epinephrine in Out-of-Hospital Cardiac Arrest. A Randomized Trial of Epinephrine in Out-of-Hospital Cardiac Arrest. You are the first provider on scene with Emergency Medical Services (EMS) and start high-quality Cardiopulmonary Resuscitation (CPR). Date: December 6th , 2018 Reference: Perkins et al.

Epinephrine

Epinephrine Life Support Advanced Life Support Defibrillator

The Broselow-Luten System

Pediatric EM Morsels

OCTOBER 27, 2023

Most emergency drugs except for amiodarone and succinylcholine are based on ideal body weight [Emergency Medical Services for Children, Luten 2007] Epinephrine, dopamine, fentanyl, ketamine based on what child should weigh. PAWPER was more accurate than EPLS (European life support formula) as well. x exp[0.02 x exp[0.02

E-9-1-1

E-9-1-1 Emergency Medical Services Life Support ALS

SGEM#189: Bring Me To Life in OHCA

The Skeptics' Guide to EM

SEPTEMBER 23, 2017

Prehospital advanced cardiac life support for out-of-hospital cardiac arrest: a cohort study. He is also the CME editor for Academic Emergency Medicine and the associate editor for emergency medicine simulation at the […] The post SGEM#189: Bring Me To Life in OHCA first appeared on The Skeptics Guide to Emergency Medicine.

CPR

CPR Life Support Advanced Life Support Defibrillator

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

Handtevy

DECEMBER 23, 2024

On November 14, 2024, ILCOR released their latest recommendations for adult and pediatric basic and advanced life support. Yet at the same time, despite a large-scale Holmberg study involving over 6,000 patients suggesting potential harm, epinephrine remained part of the pediatric symptomatic bradycardia protocol.

Advanced Life Support

Advanced Life Support Epinephrine Life Support EMS

SGEM#231: You’re So Vein – IO vs. IV Access for OHCA

The Skeptics' Guide to EM

SEPTEMBER 29, 2018

Annals of EM May 2018 Guest Skeptic: Andrew Merelman is a critical care paramedic and first year medical student at Rocky Vista University in Colorado. Annals of EM May 2018 Guest Skeptic: Andrew Merelman is a critical care paramedic and first year medical student at Rocky Vista University in Colorado.

BLS

BLS Defibrillator Critical Care CPR

ToxCard: Local Anesthetic Systemic Toxicity

EMDocs

APRIL 10, 2024

Authors: Alex Rogers, MD (EM Resident Physician, Christus Spohn/Texas A&M University School of Medicine, Corpus Christi, TX); J.D. 1,2] Consider using a physiological marker to help identify inadvertent vascular injection, such as epinephrine. [3] If epinephrine is used, small initial doses ( <1 ug/kg) are preferred.

E-9-1-1

E-9-1-1 Plasma Epinephrine Life Support

Hypothermic Cardiac Arrest: Pearls and Pitfalls

EMDocs

JANUARY 16, 2024

Authors: Christian Gerhart, MD (EM Resident Physician, Washington University in St. Louis); Dr. Jessica Pelletier, DO (EM Attending Physician, Washington University in St. You receive a page for a cardiac arrest and take report from emergency medical services (EMS). Per EMS he was very cold to touch. 2009;338:b2085.

Defibrillator

Defibrillator CPR Epinephrine Life Support

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

ACEP Now

JULY 7, 2023

2 Standard management for VT and VF involves the use of electrical defibrillation, high-quality chest compressions, and epinephrine. 5 More recent literature defines “refractory” as VT or VF that is persistent or recurrent despite three shocks from a defibrillator, three rounds of epinephrine, and use of an antiarrhythmic (i.e.,

Defibrillator

Defibrillator OR ALS Epinephrine

Recerts and New Protocols

Peter Canning

JANUARY 14, 2024

I recerted CPR, ACLS (Advanced Cardiac Life Support) and PALS (Pediatric Advanced Life Support) late in December. The pediatric epinephrine and norepinephrine infusion rates have been lowered to 0.1-0.5 AEMTs may administer epinephrine IV in cardiac arrest.* The certs are good for two years.

CPR

CPR Naloxone EMT EMT

Three Pillars for Pediatric Resuscitation Success

Handtevy

APRIL 10, 2019

Data from the AHA and the Pediatric Advanced Life Support (PALS) guidelines consistently report neurologic intact survival from pediatric cardiac arrest to be 3% for infants and 10% for children. On-scene EMS resuscitation. By Peter Antevy, MD. Bystander CPR, 2. Telephone CPR (T-CPR), and 3.

CPR

CPR Advanced Life Support EMS Epinephrine

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

NAEMSP

JANUARY 5, 2023

Background Despite conflicting literature to support some pharmacological therapies in out of hospital cardiac arrest, the American Heart Association (AHA) currently recommends obtaining vascular access intravenously or intraosseously in cardiac arrest. [1] Ross EM, Mapp J, Kharod C, Wampler DA, Velasquez C, Miramontes DA. minutes). [5]

E-9-1-1

E-9-1-1 Advanced Life Support Epinephrine Life Support

REBEL Cast Ep113: Defibrillation Strategies for Refractory Ventricular Fibrillation

REBEL EM

DECEMBER 19, 2022

At REBEL EM, we’ve done an extensive write up that details some of the different types of DED and the electrophysiology behind it. Within the United States, due to paramedic shortages, this dual-medic setup does not exist in many EMS systems. That write up was for the DOSE-VF pilot trial done in March 2020 and can be found here.

Defibrillator

Defibrillator Paramedic CPR EMS

Calcium in Out-of-Hospital Cardiac Arrest

NAEMSP

APRIL 19, 2023

After several cycles of defibrillation, epinephrine, and amiodarone, the patient remains in cardiac arrest. Part 3: Adult Basic and Advanced Life Support: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. He is found to be in ventricular fibrillation (VF). Panchal, A.,

E-9-1-1

E-9-1-1 Advanced Life Support Overdose CPR

Paramedicine Now

SGEM#426: All the Small Things – Small Bag Ventilation Masks in Out of Hospital Cardiac Arrest

SGEM#238: The Epi Don’t Work for OHCA

Trending Sources

The Broselow-Luten System

SGEM#189: Bring Me To Life in OHCA

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

SGEM#231: You’re So Vein – IO vs. IV Access for OHCA

ToxCard: Local Anesthetic Systemic Toxicity

Hypothermic Cardiac Arrest: Pearls and Pitfalls

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

Recerts and New Protocols

Three Pillars for Pediatric Resuscitation Success

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

REBEL Cast Ep113: Defibrillation Strategies for Refractory Ventricular Fibrillation

Calcium in Out-of-Hospital Cardiac Arrest

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