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.…

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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…

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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…

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