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How much epinephrine is sufficient?

Emergency Medicine Education

Epinephrine and cardiac arrest: what’s the question? How much epinephrine is enough? published a retrospective study in AJEM discussing cumulative epinephrine dosage in cardiac arrest. Garcia et al.

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Neonatal Resuscitation Rapid Review Video Part 2 – Chest Compressions, Epinephrine, Algorithm Pearls and Pitfalls

Emergency Medicine Cases

Nick Clarridge runs through the NRP algorithm and delivers the nuggets of wisdom on when and how best to perform chest compressions, give epinephrine and pearls and pitfalls of the algorithm.

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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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Ep 193 The Crashing Asthmatic – Recognition and Management of Life Threatening Asthma

Emergency Medicine Cases

What are the best options for dosing and administering magnesium sulphate, epinephrine, fentanyl and ketamine in the management of the crashing asthmatic? We answer such questions as: what are the key elements in recognition of threatening asthma? What are the most time-sensitive interventions required to break the vicious cycle of asthma?

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Anaphylaxis in the ED: Epinephrine First, Questions Later

EM Board Bombs

-Case- A 31-year-old woman rushes into the ED with her lips swelling and a rapidly spreading rash. She was stung by a bee while jogging, and within minutes developed hives, throat tightness, and shortness of breath. On arrival, her vitals are notable for HR of 118 bpm, a BP 82/50 mmHg, and she’s wheezing audibly.

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Episode 188: Vasopressors

Core EM

Consider these medications if there are signs of end-organ dysfunction, there is a considerable delta in baseline BP, systolic is less than 90 and/or MAP is less than 65 Norepinephrine is a good pressor for a lot of the situations that we encounter in the emergency department, such as septic shock, undifferentiated shock and hypovolemic shock.

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EMCrit Wee – A New Way to Draw Up Push-Dose Epinephrine from Sam Ghali – Commentary Needed

EMCrit Project

Is there an easier way to mix up push-dose epinephrine that is still as safe? EMCrit Project by Scott Weingart, MD FCCM.