epinephrine Archives - Emergency Medicine Cases

Ep 169 Cardiac Arrest Controversies – Chest Compressions, Dual Defibrillation, Medications and Airway

In this first part of our 2-part series on Cardiac Arrest Controversies Rob Simard, Bourke Tillman, Sara Gray and Scott Weingart discuss with Anton how best to ensure high quality chest compressions, the pros and cons of mechanical CPR, the literature on dual sequential defibrillation and optimizing pad placement, epinephrine vs vasopressin, amiodarone vs lidocaine, when to consider IV calcium and sodium bicarbonate, esmolol, airway considerations, sedation in cardiac arrest, the pros and cons of end-tidal CO2 and more...

By Anton Helman|2023-02-06T13:03:36-05:00May 24th, 2022|Categories: Cardiology, EM Cases, Emergency Medicine, Episodes, Medical Specialty, Resuscitation|Tags: airway management, amiodarone, chest compressions, CPR, defibrillation, dual defibrillation, end tidal CO2, epinephrine, esmolol, mechanical CPR, norepinephrine, refractory VF, sodium bicarbonate, vasopressin|3 Comments

EM Quick Hits 35 – 10 Best Papers of 2021, Peripartum Cardiomyopathy, Crashing Asthmatic, Febrile Neutropenia, Anaphylaxis update

In this months EM Quick Hits podcast: Ken Milne expertly walks us through the 10 biggest EM papers of 2021, Brit Long on a careful structured approach to Febrile Neutropenia to improve outcomes, Catherine Varner on how not to miss Peripartum Cardiomyopathy, Joe Nemeth on Anaphylaxis update and Anand Swaminathan gives us his approach to the Crashing Asthmatic...

By Anton Helman|2022-01-26T11:38:21-05:00January 18th, 2022|Categories: Cardiology, EM Cases, EM Quick Hits, Emergency Medicine, Medical Specialty, Obstetrics & Gynecology, Oncology, Respirology, Resuscitation|Tags: anaphylaxis, asthma, bias, BIPAP, crashing asthmatic, epinephrine, epistaxis, EVT, febrile neutropenia, GI bleed, hyponatremia, infant fever, IV epinephrine, magnesium, pediatric fever, pediatric pneumonia, peripartum cardiomyopathy, pink lady, steroids, stroke, therapeutic hypothermia, tPA, tranexamic acid|5 Comments

Ep 155 Treatment of Bradycardia and Bradydysrhythmias

In Part 1 of our 2-part series on bradycardia and bradydysrhythmias we discussed a practical approach with electrophysiologist Paul Dorian and EM doc Tarlan Hedayati. In this, part 2, we discuss details of treatment. We answer questions such as: When should pacing be prioritized over medications and vice versa? What are the latest recommendations about dosing of atropine and when is atropine likely to be detrimental? How is the treatment of bradycardia different in the patient with hypothermia? Cardiac ischemia? Myxedema coma? AV nodal blocker overdose? What are the most common pitfalls in utilizing transcutaneous and transvenous pacing? and many more...

By Anton Helman|2023-02-06T12:44:08-05:00April 20th, 2021|Categories: Cardiology, EM Cases, Emergency Medicine, Episodes, Medical Specialty|Tags: atropine, dopamine, epinephrine, isoproterenol, transvenous pacer, transvenous pacing|2 Comments

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

In this Rapid Reviews Video Dr. 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...

By Anton Helman|2020-10-27T11:20:44-04:00October 27th, 2020|Categories: EM Cases, Emergency Medicine, Medical Specialty, Pediatrics, Rapid Reviews Videos, Resuscitation|Tags: chest compressions, CPR, epinephrine, neonatal, NRP|0 Comments

EMU 365 A New Frontier in Cardiac Arrest Management with Salim Rezaie

This EMU365 Video features Dr. Salim Rezaie of REBEL EM presenting his approach to airway management and epinephrine dosing in cardiac arrest based on the latest evidence...

By Anton Helman|2022-01-05T22:12:40-05:00January 28th, 2020|Categories: Cardiology, Conference, EM Cases, EMU 365, Medical Specialty, NYGH EM Update, Resuscitation|Tags: cardiac arrest, Dr. Salim Rezaie, epinephrine, supraglottic airway|0 Comments

EM Quick Hits 12 AFib Early vs Delayed Cardioversion, Snake Bites, Ovarian Torsion Myths, Crystal Meth, Aortic Dissection, Severe Asthma Meds

In this EM Quick Hits podcast we have Paul Dorion on immediate cardioversion vs rate control/delayed cardioversion for atrial fibrillation, Justin Morgenstern & Justin Hensley on emergency management of snake bites, Brit Long on reliability of clinical features in the diagnosis of ovarian torsion, Michelle Klaiman on emergency management of crystal methamphetamine use disorder, Hans Rosenberg & Rob Ohle on workup of suspected aortic dissection, and Anand Swaminathan on epinephrine and magnesium sulphate in severe asthma...

By Anton Helman|2020-11-29T15:14:11-05:00January 14th, 2020|Categories: Cardiology, EM Cases, EM Quick Hits, Emergency Medicine, Medical Specialty, Obstetrics & Gynecology, Toxicology|Tags: aortic dissection, asthma, atrial fibrillation, crystal meth, epinephrine, magnesium sulphate, ovarian torsion, snake bite, snake envenomation|3 Comments

JJ 14 Epinephrine in Cardiac Arrest

Does epinephrine improve the chances of return of spontaneous circulation at the expense of the brain? In other words, while we know that epinephrine doubles rates of ROSC in all comers in cardiac arrest, there’s never been robust evidence for long term improvements in neurologic functional outcomes. So, are we saving lives, or are we prolonging death? Find out the answer in this Journal Jam podcast with Justin Morgenstern and Rory Spiegel...

By Anton Helman|2018-12-21T11:55:54-05:00November 6th, 2018|Categories: Cardiology, EM Cases, Emergency Medicine, Journal Jam, Medical Specialty, Resuscitation|Tags: adrenaline, cardiac arrest, epinephrine, journal jam, OHCA, PARAMEDIC2, ROSC|1 Comment

Rapid Reviews Video on Anaphylaxis & Anaphylactic Shock

The EM Cases Rapid Reviews Videos library is growing! You might have had trouble remembering all the details of Episode 78 Anaphylaxis & Anaphylactic Shock live from the EM Cases Course with David Carr. But don't fret! In these short videos Patrick Gilbride reviews the ED recognition and management nuances of anaphylaxis and anaphylactic shock including when to give epinephrine, steroids and H1 blockers, epinephrine resistant shock, Kounis Syndrome and more...

By Anton Helman|2018-01-08T17:09:43-05:00January 8th, 2018|Categories: EM Cases, Emergency Medicine, Medical Specialty, Rapid Reviews Videos, Resuscitation|Tags: allergic reaction, anaphylactic shock, EM Cases Course, epinephrine, Kounis Syndrome|0 Comments

CritCases 5 – Pediatric Drowning and Hypothermia

In this CritCases blog - a collaboration between STARS Air Ambulance Service, Mike Betzner and EM Cases, Dr. Michael Misch discusses the management controversies around a challenging pediatric drowning and hypothermia case, including the nuances of rewarming, oxygenation, CPR or no CPR, the role of ECMO, dosing of epinephrine and more...

By Michael Misch|2017-02-05T14:57:18-05:00November 8th, 2016|Categories: CritCases, EM Cases, Emergency Medicine, Medical Specialty, Pediatrics, Resuscitation|Tags: Allan De Caen, bradycardia, CPR, ECMO, epinephrine, Michael Misch, rewarming|0 Comments

Best Case Ever 42 Pediatric Cardiac Arrest

When was the last time you saw ventricular fibrillation in a 4 month old? Dr. Simard tells his Best Case Ever of a Pediatric Cardiac Arrest in which meticulous preparation, sticking to his guns, early activation of the transportation service, and clever use of point of care ultrasound helped save the life of a child. He explains the importance of debriefing your team after an emotionally charged case.

By Anton Helman|2019-11-11T16:23:53-05:00November 17th, 2015|Categories: Best Case Ever, Cardiology, Emergency Medicine, Medical Specialty, Pediatrics, Resuscitation|Tags: epinephrine, pediatric arrest, POCUS, Rob Simard|1 Comment

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