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SGEM#238: The Epi Don’t Work for OHCA

The Skeptics' Guide to EM

DECEMBER 7, 2018

This was a before and after study to see if advanced cardiac life support (ACLS) techniques, including IV epinephrine, would improve survival to discharge. It demonstrated better ROSC with ACLS but not better survival to hospital discharge ( SGEM#189 ). published in Resuscitation 2011.

Advances Cardiac Life Support (ACLS) 52
Advances Cardiac Life Support (ACLS) CPR Resuscitation Hospitals 52
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POCUS findings of hemodynamically unstable PE with cardiac arrest

EMDocs

APRIL 22, 2024

Advanced cardiac life support (ACLS) had been initiated and on arrival at the ED, the patient was found to have Pulseless Electrical Activity (PEA). 2011 Mar;123(16):1788-1830. EMS verbalized concern to EPs that an “intracranial bleed” may have precipitated the event. Circulation. doi: 10.1161/CIR.0b013e318214914f.

Ultrasounds 80
Ultrasounds Advances Cardiac Life Support (ACLS) EKG/ECG Shock 80
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