article thumbnail

Therapeutics: Pacing Through Skin and Vein

Taming the SRU

In these patients, with a heart rate less than 50 beats per minute, initiate advanced cardiac life support (ACLS) bradycardia algorithm.

article thumbnail

SGEM#238: The Epi Don’t Work for OHCA

The Skeptics' Guide to EM

Case: A 51-year-old man experiences a cardiac arrest on the street. You are the first provider on scene with Emergency Medical Services (EMS) and start high-quality Cardiopulmonary Resuscitation (CPR). A cardiac defibrillator is hooked up and the patient is in ventricular fibrillation. He is unsuccessfully shocked. .

Insiders

Sign Up for our Newsletter

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

article thumbnail

ToxCard: Local Anesthetic Systemic Toxicity

EMDocs

Authors: Alex Rogers, MD (EM Resident Physician, Christus Spohn/Texas A&M University School of Medicine, Corpus Christi, TX); J.D. Supportive care includes: protecting the airway if necessary, supplemental oxygen if needed, and vasopressor support if the patient is hypotensive.

article thumbnail

POCUS findings of hemodynamically unstable PE with cardiac arrest

EMDocs

EMS verbalized concern to EPs that an “intracranial bleed” may have precipitated the event. Advanced cardiac life support (ACLS) had been initiated and on arrival at the ED, the patient was found to have Pulseless Electrical Activity (PEA).