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SGEM#238: The Epi Don’t Work for OHCA

The Skeptics' Guide to EM

A Randomized Trial of Epinephrine in Out-of-Hospital Cardiac Arrest. Case: A 51-year-old man experiences a cardiac arrest on the street. A Randomized Trial of Epinephrine in Out-of-Hospital Cardiac Arrest. Case: A 51-year-old man experiences a cardiac arrest on the street. He is unsuccessfully shocked.

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POCUS findings of hemodynamically unstable PE with cardiac arrest

EMDocs

1-3 VTE is responsible for hospitalizing over 250,000 Americans every year, and there are an estimated 100,000 deaths annually associated with these conditions. 1-3 As many as 25% of acute PE cases present as sudden cardiac death. EMS verbalized concern to EPs that an “intracranial bleed” may have precipitated the event.