A Stable Handover Can Hide an Unstable Transport
The patient is awake. The blood pressure is acceptable. The oxygen saturation looks good. The monitor is quiet. The sending team describes them as “stable for transfer.” And yet, sometime…
Magnesium Sulfate in Torsades de Pointes: Are We Treating the Rhythm, or Preventing It?
Understanding the Physiology Behind the Protocol One of the guiding philosophies at AGC Med is that clinicians should strive to understand why they perform an intervention rather than simply memorising…
The Epi Controversy in Pediatric Bradycardia: Evidence, Ethics, and the Reality of Guideline Development
For decades, pediatric resuscitation has taught us that when a child becomes bradycardic with poor perfusion and requires CPR, arrest-dose epinephrine is the natural next step. It’s a familiar reflex.…
Oxygen Isn’t Always the Cure for Respiratory Distress
The Two Problems That Look the Same — But Aren’t There is a moment in clinical medicine that almost every provider recognizes. The patient is struggling to breathe. Their chest…
Amiodarone vs. Lidocaine in Refractory VF: Lessons from the ALPS Trial
Introduction Shock-refractory ventricular fibrillation (VF) and pulseless ventricular tachycardia (pVT) remain among the most difficult cardiac arrest rhythms to manage. Even with rapid defibrillation and high-quality CPR, some patients simply…
Challenging the “Load and Go” Dogma: Why On-Scene Resuscitation Often Saves Lives
Introduction When cardiac arrest happens, the natural instinct for many providers is to “load and go” — to rush the patient to the hospital, believing that definitive care lies beyond…
When Reversal Turns Risky: Pulmonary Edema After Narcan Administration
Narcan is a cornerstone in the treatment of opioid overdose. It reverses life-threatening respiratory depression, restores consciousness, and often brings dramatic results. But in some cases, this abrupt reversal can…
Replacing Needle Decompression with Simple Thoracostomy: A Paradigm Shift in EMS Chest Trauma Management
Trauma is a leading cause of death across various age groups, accounting for a substantial number of fatalities annually. Chest injuries, in particular, significantly contribute to this toll and are…