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SGEM#462: Spooky Scary Access – IV or IO for OHCA

The Skeptics' Guide to EM

After starting cardiopulmonary resuscitation (CPR), you note pulseless electrical activity (PEA) on the monitor. The paramedic is trying to get intravenous (IV) access to give epinephrine per the protocol. Epinephrine has long been a cornerstone in the management of OHCA. Reference: Couper et al.

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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.

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Single-Dose vs. Multi-Dose Epinephrine

Emergency Medicine Education

A pre-post study conducted in North Carolina compared multi-dose epinephrine with single-dose epinephrine in adult non-traumatic out-of-hospital cardiac arrest (OHCA) patients. Link to article

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The Pediatric EMS Podcast: Prehospital Pediatric Traumatic Cardiac Arrest – Priorities for Care

EMDocs

Navy veteran, he specializes in pediatric trauma care Takehome Points Differentiate Between Traumatic and Medical Cardiac Arrest: The approach to traumatic cardiac arrest is distinct from medical arrest, with hemorrhage control and volume resuscitation taking precedence over standard CPR and epinephrine administration.

EMS
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repost this one as QRS distortion

Dr. Smith's ECG Blog

The QRS proves it. Posted by Steve Smith at 6:29 AM Email This BlogThis! .

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

Dr. Smith's ECG Blog

OMI Manifesto About Resources Teaching Images Lectures + Podcasts Rules + Equations OMI Literature Timeline OMI Facts and References The OMI Quizzes OMI Pocket Guide Cardiac CATH Guide QTc Calculator Lead Reversals-Artifact Neuroprotective CPR OMI AI: The Queen of Hearts Thursday, November 27, 2014 A patient with chest pain. LV Aneurysm?

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Dr. Smith's ECG Blog - Untitled Article

Dr. Smith's ECG Blog

Share to X Share to Facebook Share to Pinterest Labels: draft No comments: Post a Comment DEAR READER: I have loved receiving your comments, but I am no longer able to moderate them. .