Remove 2021 Remove CPR Remove Shock
article thumbnail

Ventricular Fibrillation, ICD, LBBB, QRS of 210 ms, Positive Smith Modified Sgarbossa Criteria, and Pacemaker-Mediated Tachycardia

Dr. Smith's ECG Blog

There was no bystander CPR. He was unidentified and there were no records available After 7 shocks, he was successfully defibrillated and brought to the ED. "Old Angiogram in 2021 was normal. Patient received 11 shocks by ICD and was in V-fib when EMS arrived. An elderly man collapsed. Old records still had not appeared.

EKG/ECG 133
article thumbnail

Therapeutics: Pacing Through Skin and Vein

Taming the SRU

Follow this algorithm in patients with unstable bradycardia with acute heart failure, change in mental status, or concern for shock, physicians should start with atropine, 1 mg and may be continued every 3 to 5 minutes if effective. Published on November 4, 2021. Bektas, Firat, and Secgin Soyuncu. EMCrit 310 – Transvenous Pacemakers.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Trending Sources

article thumbnail

SGEM#340: Andale, Andale Get An IO, IO for Adult OHCA?

The Skeptics' Guide to EM

Date: August 12th, 2021 Reference: Daya et al. Survival After Intravenous Versus Intraosseous Amiodarone, Lidocaine, or Placebo in Out-of-Hospital Shock-Refractory Cardiac Arrest. Date: August 12th, 2021 Reference: Daya et al. Missy is also now the director […] The post SGEM#340: Andale, Andale Get An IO, IO for Adult OHCA?

Shock 52
article thumbnail

SGEM#314: OHCA – Should you Take ‘em on the Run Baby if you Don’t get ROSC?

The Skeptics' Guide to EM

Date: January 5th, 2021 Reference: Grunau et al. Date: January 5th, 2021 Reference: Grunau et al. CPR is currently in progress with a single shock having been delivered. first appeared on The Skeptics Guide to Emergency Medicine. Case: During a busy emergency department (ED) shift the paramedic phone rings.

EMS 52
article thumbnail

SGEM#344: We Will…We Will Cath You – But should We After An OHCA Without ST Elevations?

The Skeptics' Guide to EM

Date: September 8th, 2021 Reference: Desch et al. Date: September 8th, 2021 Reference: Desch et al. The paramedics achieve return of spontaneous circulation (ROSC) after CPR, advanced cardiac life support (ALCS), and Intubation. She arrives in the emergency department (ED) with decreased level of consciousness and shock.

EKG/ECG 52
article thumbnail

Neonatal Resus for the Pre-Hospital Non-Neonatologist

Greater Sydney Area HEMS

HR <60 If the heart rate drops below 60 then this is an indication to start CPR. This is likely to be difficult in a shocked baby. 2021) Neonatal resuscitation: current evidence and guidelines. If the heart rate has not improved after 30s then increase O2 to 100% and attempt further ventilation. ReferencesKariuki, E.

article thumbnail

The Science on Targeted Temperature Management

ACEP Now

5,6 In 2021, the TTM2 trial was published. 7 TTM2 is generally interpreted as favoring normothermia for post-arrest care, but the question is whether this trial is broadly applicable to many countries with less developed community CPR involvement. degrees Celsius. degrees Celsius for 72 hours.