Remove EMS Remove Epinephrine Remove Overdose
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SGEM#453: I Can’t Go For That – No, No Narcan for Out-of-Hospital Cardiac Arrests

The Skeptics' Guide to EM

Chris Root is an emergency medicine and emergency medicine service (EMS) physician at the University of New Mexico, Albuquerque. Chris completed his emergency medicine residency and EMS fellowship at UNM. Naloxone is a well-established medication used primarily for reversing opioid overdoses.

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Resuscitated from ventricular fibrillation. Should the cath lab be activated?

Dr. Smith's ECG Blog

EMS arrived and found him in Ventricular Fibrillation (VF). After 1 mg of epinephrine they achieved ROSC. Total prehospital meds were epinephrine 1 mg x 3, amiodarone 300 mg and 100 mL of 8.4% This patient was witnessed by bystanders to collapse. They started CPR. He was defibrillated into VT. sodium bicarbonate.

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Ep 155 Treatment of Bradycardia and Bradydysrhythmias

Emergency Medicine Cases

In Part 1 of our 2-part series on bradycardia and bradydysrhythmias we discussed a practical approach with electrophysiologist Paul Dorian and EM doc Tarlan Hedayati. AV nodal blocker overdose? In this, part 2, we discuss details of treatment. How is the treatment of bradycardia different in the patient with hypothermia? Myxedema coma?

Overdose 130
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The Broselow-Luten System

Pediatric EM Morsels

Broselow-Luten System: Supportive Data Physician estimates of weight can underdose children by 49% or overdose by up to 116%. 2020) The Times & Tapes Are a-Changin’: The Latest Broselow-Luten Tape for EMS , EMS World. link] The post The Broselow-Luten System appeared first on Pediatric EM Morsels. and Seaver, M.

E-9-1-1 269
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ToxCard: Local Anesthetic Systemic Toxicity

EMDocs

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 93
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COCA Trial Follow-Up: Calcium vs Placebo on Long-Term Outcomes of OHCA

REBEL EM

Although the results of both the short and long-term outcomes of the COCA trial do not support the use of calcium in all patients with OHCA, there are some populations that may still benefit from this treatment including patients with hyperkalemia, hypocalcemia, and calcium channel blocker overdose. Placebo: 9.1% RR 0.51; 95% CI 0.24

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Recerts and New Protocols

Peter Canning

The pediatric epinephrine and norepinephrine infusion rates have been lowered to 0.1-0.5 EMS may transport children with behavioral emergencies aged 4 to 18 directly to urgent crisis centers, provided they meet criteria and the service has sponsor hospital approval.* AEMTs may administer epinephrine IV in cardiac arrest.*

CPR 52