article thumbnail

Symptomatic Bradycardia: The Epinephrine Era Ends

Handtevy

It’s official: the 2025 ILCOR Pediatric Life Support guidelines have removed the recommendation to administer cardiac arrest dose epinephrine for symptomatic bradycardia in children. Hallelujah For years, the use of epinephrine in bradycardic pediatric patients receiving CPR has been embedded in resuscitation algorithms. Resuscitation.

article thumbnail

The Future of Autonomous EMS Delivery Systems

JEMS

These unmanned aerial vehicles can rapidly deliver automated external defibrillators (AEDs), naloxone, epinephrine, and other critical supplies to the scene of an emergency, often faster than traditional ambulances. Technological Advancements in Autonomous EMS One of the most significant developments in autonomous EMS is using drones.

EMS 115
professionals

Sign Up for our Newsletter

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

article thumbnail

Emergency Evidence Updates – May 2025

The Bottom Line

The Journal of Emergency Medicine Neurologic etiologies of cardiac arrest are associated with early withdrawal of life-sustaining therapy Resuscitation Point of Care Echocardiography and Regional Wall-Motion Abnormalities in Acute Coronary Syndromes The Journal of Emergency Medicine Proximal venous ultrasound with risk stratification safely excludes (..)

article thumbnail

A Simplified Protocol for Intralipid Administration in the Emergency Dept.

ACEP Now

Smaller doses of epinephrine are recommended (start at <1mcg/kg). Checklist for Treatment of Local Anesthetic Systemic Toxicity: ASRA Pain Medicina November 1.2020 Available at: [link] publications/asra-updates/blog-landing/guidelines/2020/11/01 Ashacklist for-treatment-of-loc-anesthetic-systemic-toxicity Accessed 30, 2025.

ED 87
article thumbnail

The Guidelines Graveyard: What gets chosen, what gets buried?

Handtevy

Some of you may remember my concerns with the 2020 update, particularly the recommendation to increase the pediatric ventilation rate from 10 breaths per minute to 2030 breaths per minute. That study went to the graveyard and will likely never be repeated.

article thumbnail

repost this one as QRS distortion

Dr. Smith's ECG Blog

Blog Archive ► 2025 (109) ► June (18) ► May (25) ► April (19) ► March (13) ► February (11) ► January (23) ► 2024 (177) ► December (15) ► November (14) ► October (14) ► September (18) ► August (11) ► July (16) ► June (14) ► May (16) ► April (13) ► (..)

STEMI 52
article thumbnail

First10EM Journal Club: November 2024

Broome Docs

PMID: 38857847 Bottom line: This before and after study demonstrates an association between early IM epinephrine and survival from cardiac arrest. 2020 Jan;58(1):162-166. PMID: 38857847 Bottom line: This before and after study demonstrates an association between early IM epinephrine and survival from cardiac arrest.