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Cardiac Arrest

DNR in Suicide or Choking Cardiac Arrest

I have a question regarding honoring DNRs in the context of a patient who arrests due to unnatural causes. Two specific examples I was thinking of are: a patient who is VSA following a complete airway obstruction, or a patient with a terminal illnes…

Chest Compressions in Trauma Cardiac Arrest

I wanted to clarify our approach to traumatic cardiac arrest under the ALS PCS. International trauma guidelines (e.g., ERC, ATLS, TCCC) and some Canadian counterparts (e.g., BCEHS) emphasize prioritizing reversible causes such as hemorrhage control…

Verbal DNR from Patient

In the event of a patient going VSA on scene/route. If the patient verbally expresses that they do not want to be resuscitated but do not have a valid DNR filled out, do we honor this in the event of cardiac arrest? Furthermore, if on scene and a pa…

DNR Validity in Suicide

If a patient has a valid DNR and attempt suicide, do we resuscitate?

Joule Settings for Peds

Are the joule settings for peds 24hours-8years the same as adult for AED/SAED?

Epi and Antiarrhythmics in Medica Cardiac Arrest

In the context of a pulseful VT that becomes a witnessed VSA that remains in VT or VF is it beneficial to consider administering Lido/Amio prior to Epi after initial cardiac arrest management has been performed. Current AHA guidelines give mixed inf…

ETT Epinephrine

What is BH's recommendation for administration of the 2mg dose of epinephrine via ETT in cardiac arrest, as the directive states as per RBHP for the solution?

CPR Induced Consciousness

My question is regarding sedation strategies for CPR induced consciousness (CPRIC) CPRIC is quite rare, however there is currently no standing order from base hospital in regards to management. Patients who have experienced this event without adequ…

Targeted Temperature Management

What is RPPEO's direction on prehospital therapeutic hypothermia for ROSC patients? There is research that supports this practice for suspected cardiac-origin cardiac arrest patients and is, in fact, listed in the OHI/TOH ED "Code ROSC Pathway."

Intra-arrest Glucose Management

In regards to reversible causes of cardiac arrest, would it be appropriate to consider hypoglycemia as a reversible cause should it fit incident history and after other reversible causes have been addressed? It seems it was listed as a reversible c…

Hypothermia Cardiac Arrest

In the setting of a hypothermic VSA, is there any situation where the administration of ACLS medications would be appropriate?

Analysis/Defibrillation While Transporting

Can you perform defibrillation while in a moving vehicle?

DOSE VF - Vector Change vs DSED

My question is about dual sequential defibrillation. My service was part of dose vf study which I received training on. I noticed in one of the medic news posts they mentioned paramedics who received this training are able to continue to perform V…

Non-Paramedics determining Obvious Death

Antiarrhythmic Choice

No Maximum # of Shocks in Cardiac Arrest

IV Fluids in Cardiac Arrest

Why is naloxone not recommended in cardiac arrest associated with opioid overdose?

Cardiac Arrest Patient's With Internal Defibs

Sodium Bicarb Administration

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