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Peds EM Morsels

Epinephrine for SHOCK

Unfortunately, some children in SEPTIC shock will be refractory to your initial therapies, and another question will be encountered: Which pressor should we start: Epinephrine or Dopamine?

From @EMSwami

Epinephrine in Cardiac Arrest

"It’s time to re-examine this recommendation"
Epinephrine in cardiac arrest: helpful for ROSC, but maybe not so much for good neurological outcomes. Anand Swaminathan, MD MPH takes a thought-provoking look at the historical evidence behind this practice, as well as at newer evidence that calls its benefit into question.