2020 and Life Support - Paramedicine Now

Symptomatic Bradycardia: The Epinephrine Era Ends

Handtevy

JUNE 20, 2025

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. Back in 2020, Holmberg et al. But as many of you have long recognized, evidence—not tradition—should guide our protocols. Circulation.

Epinephrine

Epinephrine CPR Life Support ALS

A Simplified Protocol for Intralipid Administration in the Emergency Dept.

ACEP Now

MAY 10, 2025

In addition to early intralipid, seizures should be treated with benzodiazepines and standard Advanced Cardiac Life Support (ACLS) guidelines should be followed for arrhythmias and cardiac arrest, with some notable modifications. Smaller doses of epinephrine are recommended (start at <1mcg/kg). 3):271-272.

ED

ED Emergency Department ALS Epinephrine

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

Handtevy

DECEMBER 23, 2024

On November 14, 2024, ILCOR released their latest recommendations for adult and pediatric basic and advanced life support. 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.

Advanced Life Support

Advanced Life Support Epinephrine Life Support EMS

repost this one as QRS distortion

Dr. Smith's ECG Blog

JANUARY 6, 2016

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Symptomatic Bradycardia: The Epinephrine Era Ends

A Simplified Protocol for Intralipid Administration in the Emergency Dept.

Trending Sources

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

repost this one as QRS distortion

A patient with chest pain. (post on Normal ECG)

Dr. Smith's ECG Blog - Untitled Article

Article on STEMI vs. BER

Dr. Smith's ECG Blog - Untitled Article

Dr. Smith's ECG Blog - Untitled Article

repost: [link]

Leucodepletion in Bordetella Pertussis

ROSC from drug overdose arrest, what is the likely etiology?

Anterior ST Elevation - Is it STEMI?

Great dynamic BTWI case

Dr. Smith's ECG Blog - Untitled Article

Dr. Smith's ECG Blog - Untitled Article

LVH with STE in aVL and STD in III

Dr. Smith's ECG Blog - Untitled Article

repost this great case

Dr. Smith's ECG Blog - Untitled Article

Early Repol changes month to month

Maros case of v fib arrest with prehospital RBBB inf MI fake out, ED inferior STEMI, coincidental aortic dissection

Mustafa Alway sept 8 WPW???

Repost this one

Early repol with increasing STE, formula values very low, angio negative.

QUIZ IMAGES

Dr. Smith's ECG Blog - Untitled Article

STD V2-V5 but only a bit more than in previous ECG. is it posterior MI?

Dr. Smith's ECG Blog - Untitled Article

Brugada from Lichtenheld

Jonathan Bedford in DSECGB email

High lateral MI on serial prehospital ECGs, in high lateral folder

Rowland Fischer case 2/22/20 of a fib RVR and inferoposterior -- very interesting

Clay Garthe case.

Is this paroxysmal dysrhythmia the cause of your patient's symptoms?

Sept 2 post of Mustafa Alwan on EKG club

RVH mimicking MI

Great Case from John Larkin: Patient who just had a pacer placed

awesome repost:

Fantastic anterior and inferior hyperacute T-waves from wraparound LAD

Nate case of STD with posterior WMA

Artifact

huge inf right lateral RV afib block vfib

interesting left main case on FB

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