Case Resolution
The EMS paramedics add their defibrillator with pads in the anterior-posterior position and provide DSED. The patient is successfully defibrillated and transported to the local emergency department.
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ACEP Now: Vol 42 – No 04 – April 2023Remember to be skeptical of anything you learn, even if you heard it on the Skeptics’ Guide to Emergency Medicine.
Thank you to Dr. Seam Moore, an emergency physician working in Kenora, Ontario, for his help with this review.
Dr. Milne is chief of emergency medicine and chief of staff at South Huron Hospital, Ontario, Canada. He is on the Best Evidence in Emergency Medicine faculty and is creator of the knowledge translation project The Skeptics’ Guide to Emergency Medicine.
References
- Dankiewicz J, Cronberg T, Lilja G, et al. Hypothermia versus normothermia after out-of-hospital cardiac arrest. N Engl J Med. 2021;384(24):2283–2294.
- Benger JR, Kirby K, Black S, et al. Effect of a strategy of a supraglottic airway device vs tracheal intubation during out-of-hospital cardiac arrest on functional outcome: The AIRWAYS-2 Randomized Clinical Trial. JAMA. 2018;320(8):779–791.
- Ringh M, Rosenqvist M, Hollenberg J, et al. Mobile-phone dispatch of laypersons for CPR in out-of-hospital cardiac arrest. N Engl J Med. 2015;372(24):2316–25.
- Perkins GD, Ji C, Deakin CD, et al. A randomized trial of epinephrine in out-of-hospital cardiac arrest. N Engl J Med. 2018;379(8):711–721.
- Taljaard, Monica & Grimshaw, Jeremy. (2014). Concept, characteristics and implications of cluster randomization. Clinical Investigation. 4. 1–4.
- Lievre M, Menard J, Bruckert E, et al. Premature discontinuation of clinical trial for reasons not related to efficacy, safety, or feasibility. BMJ. 2001;322: 603–5.
- Bassler D, Matthias, et al. Stopping randomized trials early for benefit and estimation of treatment effects: systematic review and meta-regression analysis. JAMA. 2010;303: 1180–1187.
- Guyatt, GH, Briel, M, Glasziou, P, et al. Problems of stopping trials early. BMJ. 2012; 344.
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