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SGEM#238: The Epi Don’t Work for OHCA

The Skeptics' Guide to EM

This was a before and after study to see if advanced cardiac life support (ACLS) techniques, including IV epinephrine, would improve survival to discharge. There have been a number of papers published since OPALS that support the findings of not using ACLS drugs like epinephrine for OHCA ( Olavseengen et al.

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ToxCard: Local Anesthetic Systemic Toxicity

EMDocs

Supportive care includes: protecting the airway if necessary, supplemental oxygen if needed, and vasopressor support if the patient is hypotensive. For patients who in cardiac arrest standard Advanced Cardiac Life Support (ACLS) should be initiated. BMJ Case Rep. 2020;13(1):e233119.

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POCUS findings of hemodynamically unstable PE with cardiac arrest

EMDocs

Advanced cardiac life support (ACLS) had been initiated and on arrival at the ED, the patient was found to have Pulseless Electrical Activity (PEA). Introduction to Bedside Ultrasound, iBook Ch 2, Basic Cardiac, Pg 27. Just the facts: point-of-care ultrasound in cardiac arrest.