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Update from the K-Hole: Ketamine in the ED

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martes, 13 de diciembre de 2016

Epinephrine for cardiac arrest

emDocs - December 12, 2016 - Author: Long B - Edited by: Koyfman A
  • 2015 AHA Guidelines state epinephrine is reasonable to give for patients in cardiac arrest.
  • Recommendations are based on studies with asphyxiated dogs in the 1960s.
  • High dose epinephrine is harmful and is not advised.
  • Epinephrine can increase ROSC, but it may worsen neurologic outcome and survival upon discharge.
  • Epinephrine may provide the greatest benefit if given within 10 minutes of arrest (though it may be harmful if given before 2 minutes).
  • BLS measures with optimal compressions and early defibrillation are essential!"