article thumbnail

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

The Skeptics' Guide to EM

Case: You’re doing a ride along with your local emergency medical service (EMS) crews and responding to an out-of-hospital cardiac arrest (OHCA). 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.

article thumbnail

The Future of Autonomous EMS Delivery Systems

JEMS

Murphy JD, MS, PA-C, EFO 5 min read Share To: Shutterstock/Fineart1 Emergency medical services (EMS) are essential in delivering timely care during medical crises. As technology evolves, EMS systems are undergoing a transformative shift toward automation.

EMS 115
professionals

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Just Culture in EMS

JEMS

Emergency medical services(EMS) has historically been a punitive system, resulting in people being unforthcoming about issues or concealing minor infractions in hopes of evading discipline. Scenario One A paramedic forgets to restock epinephrine 1:1,000 in the medical bag, and the next crew responds to an anaphylaxis call without it.

EMS 116
article thumbnail

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

EMDocs

Originally published at The Pediatric EMS Podcast on March 5, 2035. This is the Pediatric EMS Podcast with the mission to provide case-based discussion with evidence-based recommendations by content experts in prehospital pediatric medicine in order to advance the care of children outside the hospital. Reposted with permission.

EMS 97
article thumbnail

Post-Tonsillectomy Hemorrhage: A Three-Pronged Approach

ACEP Now

6 Apply direct pressure to the bleeding site with gauze soaked in TXA and epinephrine as a first-line intervention. 7 Epinephrine acts as a local vasoconstrictor, aiding hemostasis, and TXA helps to stabilize clot formation on the exposed tissue and delay hemorrhage progression.

article thumbnail

From Ambulance to Admission

International Journal of Paramedicine

This observational study aims to describe the usage of vasopressors by EMS, and to assess how vasopressor usage differs between transport and hospital environments. Epinephrine was administered to 163 (13.4%) patients. In total, 505 (41.7%) of patients received multiple vasopressors during EMS transport.

article thumbnail

IV versus IO for cardiac arrest (PARAMEDIC3 and IVIO)

First 10 EM

In the most recent BroomeDocs podcast, we talk about an attempt to use the IM route to give cardiac arrest victims epinephrine faster. The podcast and Research Roundups blog post might actually come out next week.)