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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. Anteroposterior pacer pad position is better than anterolateral for transcutaneous cardiac pacing.” EMCrit 310 – Transvenous Pacemakers. EMCrit Blog.

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Issue #3: The Latest in Critical Care, 6/5/23

PulmCCM

Corticosteroids for community-acquired pneumonia have been studied with inconclusive results, and expert guidelines currently advise against their use except in patients with refractory septic shock. Patients with septic shock or influenza were excluded. standards of care. makes me long for an adequately powered randomized trial.

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SGEM#238: The Epi Don’t Work for OHCA

The Skeptics' Guide to EM

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. published in Resuscitation 2011.

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POCUS findings of hemodynamically unstable PE with cardiac arrest

EMDocs

Advanced cardiac life support (ACLS) had been initiated and on arrival at the ED, the patient was found to have Pulseless Electrical Activity (PEA). However, as shock resolved and hemodynamic stability improved, RV strain and underfilling of the LV remained apparent 30 minutes after ROSC (Vid 4).