Wide Complex Tachycardia Treated With Amiodarone and Synchronized Cardioversion
A 55 year old male presents to EMS with complaint of intermittent shortness of breath. Symptom onset occurred while he was taking his daily walk about 15 minutes prior to EMS arrival. The patient has a Glasgow Coma Score of 15, with a patent airway, clear lung sounds, and mild respiratory distress. Strong and regular […]
December 21, 2015
How to Master Tracheal Intubation
According to the 2000 AHA ACLS Guidelines, tracheal intubation should only be attempted “by healthcare providers experienced in performing this skill”, and expand further by stating that “ALS providers unable to obtain regular field experience… should use alternative, noninvasive techniques for airway management”. This year ILCOR examined evidence to determine if one airway is superior […]
December 15, 2015
Treating Supraventricular Tachycardia with Adenosine
EMS is called to a local medical clinic for a 53 year old female complaining of weakness and palpitations. Symptoms started earlier in the day at tennis camp. The patient experienced one other episode about 2 years prior that proved to be self-limiting. She takes no medications and has no known drug allergies. The patient […]
November 9, 2015
2015 AHA ECC Guidelines – Part 2
This is the second post of a multi-part series reviewing the 2015 AHA ECC Guidelines. Reference Part 5: Adult Basic Life Support and Cardiopulmonary Resuscitation Quality Epidemiology of sudden cardiac arrest The guidelines make this sobering observation: 70% of out-of-hospital cardiac arrests occur in the home and 50% are unwitnessed. Only 10.8% of patients who […]
October 29, 2015
2015 AHA ECC Guidelines – Part 1
This is the first post of a multi-part series reviewing the 2015 ECC Guidelines. The eagerly awaited 2015 AHA ECC Guidelines have been published (see also ERC Guidelines 2015) and the internet is buzzing as paramedics, nurses, and physicians all over the world comment about what has changed and what has stayed the same. Whatever your […]
October 28, 2015