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4th Down and Epinephrine: Why Do We Keep Calling the Same Play?
As an Eagles fan in New Jersey, it’s easy to find ways to criticize the New York Giants. So, when I began drafting this post, I was elated to find a correlation between pre-hospital medicine, and a criticism of the Giants. What a world we live in. Anyway, here’s the big point. Epinephrine in out-of-hospital cardiac arrest (OHCA) is…
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Enhancing OHCA Survival: Key Practices for EMS Educators and Agencies
Out-of-hospital cardiac arrest (OHCA) is one of the most critical emergencies managed by EMS providers. Survival rates vary dramatically among agencies, ranging from as low as 1.8% to as high as 14.8%, underscoring the importance of specific EMS practices in improving outcomes. But what are those practices and what do agencies that have high survival…
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What’s the big deal with the Paramedic2 Study?
· 8014 patients enrolled in a UK study of out-of-hospital cardiac arrest · Randomized, double-blind, placebo controlled study · 5 centers in the UK from December 2014 to October 2017 · 30-day survival was higher in the group receiving epinephrine than placebo · Patients who received epinephrine had worse neurologic outcomes What is this study? The PARAMEDIC2 study was initiated…
