CPR First? Or Defibrillation First?

Ventricular Fibrillation is considered the most favorable cardiac arrest rhythm, and if treated promptly can result in ROSC with a favorable neurological outcome. Most survival rates are reported using witnessed arrest with a shockable rhythm as opposed to asystole or PEA, as the outcomes of these rhythms are comparatively very poor. The Resuscitation Academy mantra […]

August 1, 2016

Is there an Irrational Fear of Naloxone?

In the U.S. there has been a 286% increase in heroin-related overdose deaths since 2002. In 2014, a total of 47,055 drug overdose deaths occurred. Our EMS systems and emergency departments have felt the surge, along with a corresponding increase in the use of the drug naloxone. Community officials have taken the initiative to reduce […]

July 12, 2016

SVT with Aberrancy or Ventricular Tachycardia?

What is SVT with aberrancy? The term “SVT with aberrancy” tends to throw many providers off so let’s start by defining SVT using the 2015 ACC/AHA/HRS Guidelines as reference. “An umbrella term used to describe tachycardias (atrial and/or ventricular rates in excess of 100 bpm at rest), the mechanism of which involves tissue from the His […]

June 8, 2016

The ABCDE of Cardiac Arrest Management: Getting Your Head In The Game

When trying to decide on a subject for this blog post, I remembered an article I read a few months ago originally published in the Journal of Paramedic Practice, by Logarajah and Alinier titled ‘An Integrated ABCDE Approach To Managing Medical Emergencies Using CRM Principles’. At the time I first read this article I was […]

June 7, 2016

Transcutaneous Pacing (TCP) With and Without Capture

EMS is dispatched to a private residence for 70-year-old female who is believed to be unconscious. On arrival, the patient is found lying in bed unresponsive to painful stimuli. The patient’s skin is pale and clammy. Her shirt is damp. Snoring respirations are noted and a slow carotid pulse is present. A medical history is […]

May 23, 2016