PDM - Podcast #1 - Prehospital Efficacy and Adverse Events Associated with Bolus Dose Epinephrine... by WADEM

Dr. Casey Patrick discusses the article "Prehospital Efficacy and Adverse Events Associated with Bolus Dose Epinephrine in Hypotensive Patients During Ground-Based EMS Transport" from Prehospital and Disaster Medicine. The full-text version of the article is available at the following link - https://bit.ly/bolus-dose-epinephrine.

The utility and efficacy of bolus dose vasopressors in hemodynamically unstable patients is well-established in the fields of general anesthesia and obstetrics. However, in the prehospital setting, minimal evidence for bolus dose vasopressor use exists and is primarily limited to critical care transport use. Hypotensive episodes, whether traumatic, peri-intubation-related, or septic, increase patient mortality. The purpose of this study is to assess the efficacy and adverse events associated with prehospital bolus dose epinephrine use in non-cardiac arrest, hypotensive patients treated by a single, high-volume, ground-based Emergency Medical Services (EMS) agency.