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SGEM#238: The Epi Don’t Work for OHCA

The Skeptics' Guide to EM

Case: A 51-year-old man experiences a cardiac arrest on the street. You are the first provider on scene with Emergency Medical Services (EMS) and start high-quality Cardiopulmonary Resuscitation (CPR). A cardiac defibrillator is hooked up and the patient is in ventricular fibrillation. He is unsuccessfully shocked. .

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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. Supportive care includes: protecting the airway if necessary, supplemental oxygen if needed, and vasopressor support if the patient is hypotensive. BMJ Case Rep. 2020;13(1):e233119.

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POCUS findings of hemodynamically unstable PE with cardiac arrest

EMDocs

EMS verbalized concern to EPs that an “intracranial bleed” may have precipitated the event. Advanced cardiac life support (ACLS) had been initiated and on arrival at the ED, the patient was found to have Pulseless Electrical Activity (PEA). Just the facts: point-of-care ultrasound in cardiac arrest.