Emergency Medicine Cases

APRIL 20, 2021

AV nodal blocker overdose? What are the latest recommendations about dosing of atropine and when is atropine likely to be detrimental? How is the treatment of bradycardia different in the patient with hypothermia? Cardiac ischemia? Myxedema coma? What are the most common pitfalls in utilizing transcutaneous and transvenous pacing?

Overdose 130

Overdose EMS Epinephrine 130

REBEL EM

JUNE 12, 2024

According to the 2022 Annual Report of the National Poison Data System from America’s Poison Center, CCBs and BBs account for the sixth and seventh largest number of fatalities from overdose. Insulin versus vasopressin and epinephrine to treat beta-blocker toxicity. Circulation. 2005;111(20):2588-2595. doi:10.1161/CIRCULATIONAHA.104.497461

Epinephrine 103

Epinephrine Overdose OR ALS 103

Peter Canning

JANUARY 14, 2024

The pediatric epinephrine and norepinephrine infusion rates have been lowered to 0.1-0.5 AEMTs may administer epinephrine IV in cardiac arrest.* Sodium bicarbonate should only be administered in cardiac arrest for suspected sodium channel blocker overdoses. micrograms/kg/min. EMTs may administer 0.3

CPR 52

CPR Naloxone Advanced Life Support EMT 52

EMDocs

APRIL 10, 2024

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. Poisoning & Drug Overdose. Epidemiology Most common cause: inadvertent intravascular injection. Vasopressin is not recommended.

E-9-1-1 94

E-9-1-1 Plasma Epinephrine Life Support 94

Pediatric EM Morsels

OCTOBER 27, 2023

Broselow-Luten System: Supportive Data Physician estimates of weight can underdose children by 49% or overdose by up to 116%. Reduces dosing errors during resus, up to 33.88%. Recommended by ATLS and PALS. Krug 2007] What If the Child is Obese or Emaciated? There are other systems that account for body habitus.

E-9-1-1 268

E-9-1-1 Emergency Medical Services Life Support ALS 268

NCOAE

NOVEMBER 13, 2021

Depending on the state, EMTs are authorized to administer 10 to 20 different medications, including epinephrine for an anaphylactic reaction, narcan for an overdose, or albuterol for an asthma attack. Basic anatomy and physiology, what causes common diseases like diabetes and asthma, and how to treat emergencies associated with them.

EMT 52

EMT EMT Emergency Medical Technician Ambulance Driver 52

EMDocs

JANUARY 16, 2024

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. He requires low-dose epinephrine to maintain his mean arterial pressure (MAP) in the 60s mmHg and is transported to the cardiothoracic (CT) ICU.

Defibrillator 85

Defibrillator CPR Epinephrine Life Support 85

Dr. Smith's ECG Blog

JULY 21, 2024

Epinephrine infusion was begun. These are also the most commonly reported findings in toxic overdoses with ventricular arrhythmias being reported as the leading cause of death. You can see Left Main and Proximal LAD obstruction, but with some flow, which is saving this patient's life. Subsequent PCI of the LMCA and LAD was performed.

Defibrillator 108

Defibrillator Coronary ALS STEMI 108

Dr. Smith's ECG Blog

FEBRUARY 8, 2015

Common culprits in this situation are tricyclic overdose and cocaine toxicity (remember cocaine not only increases dopamine in central synapses, but is also a local anesthetic (-caine!) Esmolol in the management of epinephrine- and cocaine-induced cardiovascular toxicity. due to Na channel blockade. Both of these also cause seizures.

E-9-1-1 52

E-9-1-1 Coronary Epinephrine Overdose 52

EMDocs

JANUARY 4, 2024

Questions: What are the clinical manifestations of bupropion overdose? How is bupropion overdose treated? How long should a patient be observed after a bupropion overdose? 1 In addition to intentional overdoses, there are multiple case studies of abuse (ingestion, insufflation, injection). hours, SR 3 hours, XL 5 hours.

Overdose 66

Overdose E-9-1-1 ALS Emergency Department 66

NAEMSP

APRIL 19, 2023

After several cycles of defibrillation, epinephrine, and amiodarone, the patient remains in cardiac arrest. Special causes of cardiac arrest to include hyperkalemia and calcium channel blocker overdose, have limited data regarding efficacy but do still carry the recommendation for calcium administration. References: 1. Ramazan, K.,

E-9-1-1 52

E-9-1-1 Advanced Life Support Overdose CPR 52

Dr. Smith's ECG Blog

APRIL 29, 2020

She was given 3 mg IV epinephrine and multiple rounds of ACLS over approximately 20 minutes. This is commonly found after epinephrine for cardiac arrest, but could have been pre-existing and a possible contributing factor to cardiac arrest. A 60-something woman presented after a witnessed cardiac arrest. CPR was started immediately.

Epinephrine 52

Epinephrine Defibrillator Coronary Overdose 52

REBEL EM

DECEMBER 19, 2022

trying harder and longer knowing they are enrolled in this study) Use of two different models of defibrillators may negatively impact the internal validity of this pilot study Certain baseline characteristics were not balanced, such as: prehospital intubation and Epinephrine administration.

Defibrillator 52

Defibrillator Paramedic CPR EMS 52