@emsavenger: Replying to @bearlytogether There actually is a role for Ketamine in cardiac arrest, and that is in CPR-induced consciousness. CPR-induced consciousness is traumatic for the patient AND everyone else around. So sedation is appropriate in this situation. Ketamine is a perfect choice as not only does it accomplish your goals in sedation, but it's a sympathetic adjunct to your efforts. As far as Epinephrine goes, let's not take Epi out behind the barn yet. There may still be a role for it in arrest. Just not necessarily in 1mg doses every 5 minutes. #fyp #Paramedictok #paramedicsoftiktok #medicsoftiktok #medictok #emtsoftiktok #emstok #Paramedic #paramedics #firstresponders #firstrespondertok #firstrespondersoftiktok #firefightertok #firefightersoftiktok #paramedicstudent #emtstudent #emstiktok #emergencymedicine #ambulance #ambulancetok #911 #paramedicstudentsoftiktok #emtstudent #emtstudents #emtstudentsoftiktok #nursetok #nursesoftiktok #nurse #nurse #rntok #rnsoftiktok #CriticalCare #CriticalCareParamedic #CriticalCareParamedicsoftiktok #CriticalCareTok #CriticalCareofTikTok #FlightParamedicsoftiktok #FlightParamedictok #FPC #CCPC #Firemen #FiremenofTikTok #firemanTok #FireMedic #FireMedics #FireMedicsofTikTok #cardiacarrest #OHCA #resuscitation #FOAM #FOAMED #FOAMEMS #12lead #12leadecg #12leadekg #Cardiology

EMSAvenger
EMSAvenger
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Thursday 18 July 2024 13:37:04 GMT
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thehoppco
Joey Hopper :
Would there be any benefits or contraindications of using an epi pen during arrest? obviously for those without access to epinephrine IV
2024-08-01 01:47:22
1
clementinesamples
user5787812089773 :
Watched the weirdest thing about the lady who’s parachute failed in the 90’s and survived landed in fire ants and the venom stings kept her heart stimulated ?
2024-07-19 06:05:19
14
chadwigga
Chad Kunkel :
I have had 2 patient that have been awake during compressions but went unresponsive when we stopped. I so wish we had a progressive system that would consider this information.
2024-07-19 03:56:54
6
ben.becker.ems
Ben Becker :
I didn't think about that, but that would work better than versed in that situation.
2024-07-18 16:13:22
3
matthewgreer.nurse
Matthew Greer RN CCRN TCRN :
I like the thought process of initial push of 1mg of epi and then infusion of epi 200-300mcg/min. Titrate down rapidly with ROSC. Not much for robust data on it.
2024-07-19 18:39:25
1
ktm1290superadventure
Rowdy Roberts625 :
Haven't heard about 5 MG subq, interesting
2024-07-31 22:05:57
0
michaelford4545
michaelford4545 :
First I’ve heard of this, post some links to more
2024-07-18 17:16:01
0
monicaweinberg710
Monica Weinberg710 :
There is nothing stranger than making eye contact with a pt in full arrest and they remember it after.
2024-07-19 22:20:31
5
yankeemedic
Yankee Doodle Daddie :
Just has a call where pd were convinced it was an obvious death. They refused to do anything until I told them we are working the guy. Got rosc, transported, and he’s in the ICU. He was asystole on
2024-07-19 14:24:42
1
thedirtydal
user4351379159317 :
Hoping they didn’t include the cases of Epi pulses (“rosc” after 15 amps of Epi)…
2024-07-20 11:22:54
0
mmmmjarvis
Matt Jarvis :
IM intraarrest?!
2024-07-20 08:11:21
0
catheiss1
CatHeiss :
My 2nd code as a baby medic I had this situation, patient was in v-fib and compressions were so effective that he would regain consciousness. I had to Ketamine him to keep effective CPR going. It was crazy to see in real life! At least I knew our CPR was effective 😂 he ended up being a neuro-intact save!
2024-07-18 14:41:48
0
stephanienicolemcg
StephanieMcGowan :
I’ve had two codes where they were grabbing my wrists trying to get me to stop and staring at me with the most horrendous terrified look ever. As soon as we stopped, pea. Horrendous.
2024-08-16 12:37:24
0
thejeweler101
Thejeweler101 :
I’ve literally seen a Lucas machine give God tier CPR that a patient was alert and looking at me despite no electrical activity.
2024-08-15 07:19:54
0
mrbuzzlightbeer
Mr. Buzz LightBeer :
I performed an RSI with CPR induced consciousness. Obtained ROSC and the patient made a full recovery after a lengthy hospital stay.
2024-08-13 22:51:57
0
heyosophie
HeyoSophie :
Can you imagine the K-hole 😳
2024-08-02 08:36:13
0
leviriley03
Life of Riley :
It’s the freakiest shit I’ve ever seen.
2024-08-02 04:06:01
0
nautyyboy
Brand boy :
Look into the data talking about EPI and post resuscitation quality of life. Yes epinephrine raises ROSK rate slightly but leads to much lower quality of life on average.
2024-08-01 02:56:19
0
firemedic723
FireMedic723 :
we had a very jarring episode of this a few weeks ago. new job related fear added - waking up during my own resuscitation...😳😳 we gave ketamine and damn near needed succs to intubated her..
2024-07-18 15:15:14
0
bland.coe
Bland Coe :
Lazarus syndrome?
2024-08-14 02:00:15
0
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