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SGEM#238: The Epi Don’t Work for OHCA

The Skeptics' Guide to EM

A cardiac defibrillator is hooked up and the patient is in ventricular fibrillation. He is unsuccessfully shocked. Background: The AHA has five steps in the Chain-of-Survival for out-of-hospital cardiac arrest (OHCA). It demonstrated better ROSC with ACLS but not better survival to hospital discharge ( SGEM#189 ).