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ACMT Toxicology Visual Pearl: Salt, not Shock

ALiEM

Managing cardiovascular collapse in severe flecainide overdose without recourse to extracorporeal therapy. Flecainide toxicity–treatment with intravenous fat emulsion and extra corporeal life support. Emerg Med Australas. 2007 Apr;19(2):155-9. doi: 10.1111/j.1742-6723.2006.00909.x. 1742-6723.2006.00909.x. PMID: 17448102.

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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%. PAWPER was more accurate than EPLS (European life support formula) as well. Reduces dosing errors during resus, up to 33.88%. Recommended by ATLS and PALS. Validation study done in Italy.

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2023 AHA Update on Management Cardiac Arrest or Life-Threatening Toxicity Due to Poisoning

EMDocs

Treatment of cardiac arrest and life-threatening toxicity due to poisoning often requires specialized treatments that most clinicians do not use frequently such as antidotes and venoarterial extracorporeal membrane oxygenation, in addition to effective basic and advanced life support. COR 2a, LOE C-LD. COR 2a, LOE C-LD.

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ToxCard: Benzonatate

EMDocs

She received cardiopulmonary resuscitation (CPR) and standard advanced cardiovascular life support (ACLS). What are the treatment options for a benzonatate overdose? Management: The mainstay of treatment of benzonatate overdose is supportive and symptomatic care. How quickly can morbidity occur with benzonatate?

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Recerts and New Protocols

Peter Canning

I recerted CPR, ACLS (Advanced Cardiac Life Support) and PALS (Pediatric Advanced Life Support) late in December. Sodium bicarbonate should only be administered in cardiac arrest for suspected sodium channel blocker overdoses. The certs are good for two years. AEMTs may administer epinephrine IV in cardiac arrest.*

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ALS and BLS Medical Care: Which should I have at my event?

Paramedics Unlimited

In Basic Life Support (BLS) emergencies, a single EMS provider can not deliver optimum care, such as when trying to hold direct pressure on a bleeding wound, while preparing bandages, to stop bleeding. In Advanced Life support (ALS) emergencies, a “single” paramedic or ER doctor can not deliver necessary care.

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Calcium in Out-of-Hospital Cardiac Arrest

NAEMSP

Calcium is also frequently used in the treatment of hyperkalemia, calcium channel blocker overdose, hypermagnesemia, and hypocalcemia and may be more likely to be used when one of these diagnoses is the suspected cause of cardiac arrest. This continues to be supported by new literature. References: 1. Ramazan, K., S., & Basar, C.

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