So yesterday my second patient of the day was a EMS Code Blue, presented in Aystole x10m of CPR. EMS gave x2 of vasopressin (Don’t ask my why because I was always taught that you only replace the first or second round of Epi with one dose of vasopressin) and that was it. We ended up reviving him with an amp of D50 ( bedside glucose was 22, EMS didn’t do a d-stick). Then, right when we’re doing some post-resuscitation care like hanging a dopamine drip and starting a central line, a perfectly stable patient that the previous physician signed out to us coded two rooms down.
My black cloud seriously hates me, y’all. I was told that the day was perfectly fine and normal until I walked in, which is what usually happens.
(But we resuscitated both!!)
I actually just think it was the individual EMS crew. I know the EMS director and she’s pretty up to date on her...
Could be local protocol. The service I just left still uses drugs that are currently not recommended because their...
AHA doesn’t recommend vasopressin at all anymore. Just use epi.