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Ep 169 Cardiac Arrest Controversies – Chest Compressions, Dual Defibrillation, Medications and Airway

Emergency Medicine Cases

The post Ep 169 Cardiac Arrest Controversies – Chest Compressions, Dual Defibrillation, Medications and Airway appeared first on Emergency Medicine Cases.

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SGEM#426: All the Small Things – Small Bag Ventilation Masks in Out of Hospital Cardiac Arrest

The Skeptics' Guide to EM

You continue with compressions and defibrillations and your partner places an advanced airway. The patient is a 54-year-old man who collapsed in front of his family after complaining of chest pain for several hours. On your arrival, first responders from the fire department are performing high-quality basic cardiac life support.

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JC: The impact of double sequential external defibrillation timing on outcomes during refractory out-of-hospital cardiac arrest

St. Emlyn's

St.Emlyn's - Emergency Medicine #FOAMed Background – What is Double Sequential External Defibrillation?

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Guidelines would (erroneously) say that this patient who was defibrillated and resuscitated does not need emergent angiography

Dr. Smith's ECG Blog

A patient had a cardiac arrest with ventricular fibrillation and was successfully defibrillated. IF the initial ECG following successful defibrillation shows evidence of acute OMI — such patients have much to gain from immediate cath with PCI. As per Dr. Smith — the intuitive answer should be obvious.

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SGEM#392: Shock Me – Double Sequential or Vector Change for OHCAs with Refractory Ventricular Fibrillation?

The Skeptics' Guide to EM

Defibrillation Strategies for Refractory Ventricular Fibrillation. Defibrillation Strategies for Refractory Ventricular Fibrillation. He has been an ACLS instructor for close to 30 years and notably his first publication focused on out-of-hospital defibrillation. Defibrillation Strategies for Refractory Ventricular Fibrillation.

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A man in his 50s with unwitnessed VF arrest, defibrillated to ROSC, and no STEMI criteria on post ROSC ECG. Should he get emergent angiogram?

Dr. Smith's ECG Blog

15 minutes after EMS arrival, after at least 6 defibrillations, the patient achieved sustained ROSC. Written by Pendell Meyers A man in his 50s was found by his family in cardiac arrest of unknown duration. His family started CPR and called EMS, who arrived to find him in ventricular fibrillation. Further information is not available.

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Triple-Sequential Defibrillation: A Groundbreaking Intervention in Cardiac Arrest Management

Handtevy

A recent case has highlighted the extraordinary potential of a novel intervention: triple-sequential defibrillation. The Case Unfolds Despite 82 minutes of high-quality CPR and Advanced Cardiovascular Life Support (ACLS) management, standard and dual-sequential defibrillation failed to restore the patient’s heartbeat.