Dr. Smith's ECG Blog

NOVEMBER 19, 2016

Dobutamine may be preferred in patients without severe hypotension who have high vascular resistance. -- De Backer D et al. Taglieri N, Marzocchi A, Saia F, et al. Kosuge M, Ebina T, Hibi K, et al. Richard, C; et al. Safian RD, Berman AD, Diver DJ, et al. Hutter AM Jr, De Sanctis RW, Nathan MJ, et al.

Coronary 40

Coronary ACS ALS STEMI 40

The Skeptics' Guide to EM

SEPTEMBER 19, 2020

Reference: Roberts et al. The first visit was back in 2013 for SGEM#50 : Under Pressure – Vasopressin, Steroids and Epinephrine in Cardiac Arrest. Alongside his EM residency, he is doing a PhD in epidemiology. Audrey’s academic interests include trauma and resuscitation.

Epinephrine 130

Epinephrine Emergency Department EMS ALS 130

EMDocs

JANUARY 16, 2024

The patient received 1 mg of epinephrine IV x2 with conversion of his rhythm to ventricular fibrillation (VF) for which he was defibrillated twice in the field. He requires low-dose epinephrine to maintain his mean arterial pressure (MAP) in the 60s mmHg and is transported to the cardiothoracic (CT) ICU. Carsten L, et al.

Defibrillator 100

Defibrillator CPR Epinephrine Life Support 100

FOAMfrat

OCTOBER 20, 2023

And according to a paper from Russotto et al. Of note, in the paper by Russotto et al., Epinephrine should be considered as the vasopressor of choice in patients with decreased myocardial function. Sackles et al. 2013 Nov;84(11):1500-4. Epub 2013 Aug 1. De Jong A, Molinari N, Terzi, et al. Brown, C.A.

E-9-1-1 52

E-9-1-1 ALS ACS OR 52

Dr. Smith's ECG Blog

OCTOBER 20, 2013

With ventilations and epinephrine, she regained a pulse. Kurkciyan et al. Kurkciyan et al., A middle-age woman with h/o hypertension was found down by her husband. Medics found her apneic and pulseless, began CPR, and she was found to be in asystole. She was hypotensive in the ED and her bedside echo showed a normal RV and LV.

STEMI 52

STEMI Coronary ACS Emergency Department 52

Don't Forget the Bubbles

DECEMBER 5, 2023

A 2013 study found that half of young Australians are dissatisfied with school-based sex education. Nizami T, Beaudoin F, Suner S, et al. Epinephrine was initially given to both groups after 5 minutes of chest compressions, this delay was based on a previous simulation study looking at length of time to site an UVC.

Coronary 109

Coronary Epinephrine CPR Emergency Department 109

This Podcast Will Kill You

JANUARY 14, 2025

Our allergy treatment toolkit includes an impressive suite of tools, and in the second episode of our two-part series on allergies, we focus on three in particular: antihistamine medications, allergy shots, and the epinephrine auto-injector (aka the EpiPen). “Epinephrine: a short history.” Cataldi, Mauro, et al.

Allergic Reaction 52

Allergic Reaction E-9-1-1 Epinephrine ALS 52

EMDocs

JUNE 4, 2025

Use IM or IV anaphylaxis dosing of epinephrine, antihistamines, steroids, and inhaled beta-agonists as warranted. doi:10.2165/00139709-200524020-00003 Chrustek A, Hoyska-Iwan I, Dziembowska I, et al. doi:10.1080/10158782.2009.11441343 Jacob MS, Iyyadurai R, Jose A, et al. Rely on standard management of anaphylaxis. Toxicol Rev.

E-9-1-1 99

E-9-1-1 ALS EMS Epinephrine 99

ACEP Now

OCTOBER 29, 2024

He was defibrillated twice and received two doses of epinephrine, with return of spontaneous circulation. A repeat ECG (see figure 3) was performed utilizing the technique described by Sangwatanaroj et al., References Sangwatanaroj S, Prechaway S, Sunsaneewitayakul B, et al. Antzelevitch C, Brugada P, Borggrefe M, et al.

E-9-1-1 52

E-9-1-1 Defibrillator ALS Epinephrine 52