ACEP Now

NOVEMBER 7, 2023

Multiple attempts at defibrillation, epinephrine, and amiodarone have been unsuccessful. Problem What is the best defibrillation strategy to treat refractory ventricular fibrillation? 2,3 Multiple published studies have addressed treatment of ventricular fibrillation with defibrillation and medications such as amiodarone and lidocaine.

Defibrillator

ACEP Now

JULY 7, 2023

2 Standard management for VT and VF involves the use of electrical defibrillation, high-quality chest compressions, and epinephrine. Initial guidelines defined “refractory” as VT or VF occurring despite three shocks from a cardiac defibrillator. Tips for use of dual sequence defibrillation 11 : Use the same model of defibrillator.

Defibrillator

The Skeptics' Guide to EM

FEBRUARY 25, 2023

Pediatric Crit Care Med. 2022 Date: February 15, 2023 Guest Skeptic: Dr. Carlie Myers is Pediatric Critical Care Attending at Cincinnati Children’s Hospital Medical Center. Pediatric Crit Care Med. Background: We often manage patients in cardiac arrest in the ED or the intensive care unit (ICU).

CPR

EMDocs

JANUARY 3, 2024

1 Like other implantable devices, such as pacemakers and automated implantable cardioverter defibrillators (AICDs), they can be interrogated for valuable information by the patient ’ s cardiology team when the patient presents to the ED.

Defibrillator

Broome Docs

OCTOBER 31, 2022

Preventing radial arterial catheter failure in critical care – Factoring updated clinical strategies and techniques. Anaesth Crit Care Pain Med. PMID: 35490863 Hands on defibrillation: Even if it’s safe, would it actually help? Ex vivo evaluation of personal protective equipment in hands-on defibrillation.

E-9-1-1

NAEMSP

APRIL 19, 2023

CPR is taken over by responding crews, and he is placed on a cardiac monitor/defibrillator. After several cycles of defibrillation, epinephrine, and amiodarone, the patient remains in cardiac arrest. 2020), but IV Calcium is still used routinely in some cases in the critical care setting, such as congenital heart disease.

E-9-1-1

Dr. Smith's ECG Blog

SEPTEMBER 3, 2023

VF was refractory to amiodarone, lidocaine, double-sequential defibrillation, esmolol, etc. Then the patient would have been taken to the critical care area with a defibrillator at his side while waiting for the cath lab to be ready. Resuscitative attempts were initiated quickly. Eventually asystole, and the patient died.

Defibrillator

EMDocs

JANUARY 16, 2024

Louis) // Reviewed by: Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case You are working in the trauma/critical care pod of your emergency department (ED). 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.

Defibrillator

EMT Training Station

FEBRUARY 10, 2024

Many EMTs choose to specialize in areas such as pediatric care, hazardous material response, or critical care transport, broadening their expertise and enhancing their career prospects. They learn to operate sophisticated life-saving tools, from defibrillators to advanced airway management devices.

EMT

Utah's Paramedic and EMS Academy

OCTOBER 23, 2023

Upon arrival, you quickly assess the situation and spring into action, working to save a man's life through CPR and defibrillation. This information is vital to providing seamless patient care, as it allows the team to pick up where the previous shift left off and ensure continuity of care.

EMT

EMT Training Station

FEBRUARY 11, 2024

The Role of EMS (Emergency Medical Services) Emergency Medical Services (EMS) are an integral part of healthcare systems worldwide, providing critical care and support during emergencies. Advanced Medical Capabilities EMS teams are equipped with advanced medical equipment, enabling them to handle a wide variety of emergencies.

EMT

Dr. Smith's ECG Blog

JANUARY 15, 2024

Colin is an emergency medicine resident beginning his critical care fellowship in the summer with a strong interest in the role of ECG in critical care and OMI. Rhythm C: This telemetry strip from an older adult was initially thought to need defibrillation. Written by Colin Jenkins. Edits by Willy Frick.

Critical Care

Dr. Smith's ECG Blog

APRIL 8, 2016

At cath, he immediately had incessant Torsades de Pointes requiring defibrillation 7 times and requiring placement of a transvenous pacer for overdrive pacing at a rate of 80. Crit Care Med. 1991 May;19(5):694-9 Objective: To evaluate the efficacy and safety of potassium replacement infusions in critically ill patients.

STEMI

Critical Care Scenarios

JANUARY 8, 2025

Takeaway lessons * In any sudden loss of pulse/consciousness, particularly in a known cardiac patient, the presumption should be for a shockable arrhythmia and rapid defibrillation should be prioritized above all else.

Epinephrine

St. Emlyn's

FEBRUARY 6, 2025

St.Emlyn's - Emergency Medicine #FOAMed We are back at the TBS (The Big Sick) Conference in Zermatt, exploring key research papers that challenge critical care practices. The post TBS Top papers 2025 (part 1) appeared first on St.Emlyn's.

Defibrillator

FOAMfrat

NOVEMBER 25, 2024

Sure, we still do CPR, defibrillate as needed, and give Epinephrine based upon our local guidance. Critical Care Medicine, 33 (10), S279-S285. We can all agree upon this. Intrapartum cardiac arrests, however, are a totally different ball game and require a much different mental model. DOI: 10.1111/jog.12378 DOI: 10.1097/01.CCM.0000183545.31836.15

Epinephrine

Dr. Smith's ECG Blog

MARCH 8, 2025

Several 200 J shocks did not terminate the VF, so a second defibrillator was applied for double sequential defibrillation with 400 J. She was defibrillated perhaps 25 times. Propranolol versus Metoprolol for treatment of electrical storm in patients with implantable cardioverter-defibrillator. SanzRuiz, R., Solis, J., &

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