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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. Delivery of Automated External Defibrillators via drone technology. Cost efficiency is another significant benefit.

EMS 115
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Torsade in a patient with left bundle branch block: is there a long QT? (And: Left Bundle Pacing).

Dr. Smith's ECG Blog

T-waves are quite tall and possibly peaked (HyperK?), but potassium returned normal. I do not see OMI here and all trops were only minimally elevated, consistent with either chronic injury from cardiomyopathy or with acute injury from sepsis. What is the QT interval? In LBBB, the QT interval is partly prolonged by the wide QRS. Bogossian et al. (1)

Coronary 122
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Airway Considerations in Prehospital Cardiac Arrest

ACEP Now

7 In light of this data, it appears that ETI can be an appropriate EMS intervention in OHCA provided the following conditions are met: the paramedic is skilled and experienced; the endotracheal tube goes in on the first attempt without interrupting CPR or delaying defibrillation; and the airway is placed less than five minutes after EMS arrival.

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ToxCard: Second Generation Antipsychotic Overdose

EMDocs

Second-generation antipsychotics (see Table 1 below) improve both positive and negative symptoms of schizophrenia and are less likely to be associated with EPS. 1,2 Most second-generation antipsychotics act as D 2 antagonists and inhibit the 5-HT 2A receptor. Atypical antipsychotics come in daily and long-acting forms.

Overdose 102
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Lifting Buddy - The Left Ventricular Assist Device

FOAMfrat

With that being said, the manufacturers say that CPR, medications, Defibrillation, Cardioversion, and Anything you would normally do are OKAY. We still defibrillate ventricular fibrillation just as we would any other patient. So does this mean we cannot obtain a blood pressure? Is The LVAD Functioing? Pulse: It is often not palpable.

CPR 65
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All you need to know about Adrenaline

Don't Forget the Bubbles

For infants or children in a shockable rhythm, cardiac defibrillation takes precedence. Adrenaline, an endogenous catecholamine produced by the adrenal medulla, exerts its effects on both alpha- and beta-adrenergic receptors in a dose-dependent manner, triggering the well-known sympathomimetic ‘fight or flight’ response to stress.

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The Importance of Gastric Decompression and Ventilation Management During Cardiac Arrest Care

JEMS

The goal is to improve neurologically intact survival and to minimize time to CPR and defibrillation in the out-of-hospital environment. In one year, while ROSC is seen in 23% of the population without gastric decompression, there is a double-digit increase in ROSC with gastric decompression, to over 42%.