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Therapeutics: Pacing Through Skin and Vein

Taming the SRU

In these patients, with a heart rate less than 50 beats per minute, initiate advanced cardiac life support (ACLS) bradycardia algorithm. Anteroposterior pacer pad position is better than anterolateral for transcutaneous cardiac pacing.” EMCrit 310 – Transvenous Pacemakers. EMCrit Blog.

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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. published in Resuscitation 2011.

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AHA and Red Cross Life Support Certifications Should Both Be Accepted

ACEP Now

For decades, only one major organization—the American Heart Association (AHA)—provided standardized training and certifications in Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS). It also offers a comprehensive “CPR for the Professional Rescuer” course.

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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. 1] CV manifestations include: Bradycardia, tachycardia, ventricular dysrhythmias, cardiac arrest. [1-5] Epidemiology Most common cause: inadvertent intravascular injection.

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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). Upon arrival, our 25-year-old patient was in PEA arrest.