ACEP 2012 – From Ordinary to Extraordinary

Push-Dose Pressors

Get the Mixing Sheet Here

Mixing Video for Epinephrine

Mixing Video for Phenylephrine

Here is info on how to manage crashing atrial fibrillation

You want some evidence:

  • Lee, A., W. D. Ngan Kee, et al. (2002). “A quantitative, systematic review of randomized controlled trials of ephedrine versus phenylephrine for the management of hypotension during spinal anesthesia for cesarean delivery.” Anesth Analg 94(4): 920-926, table of contents.
  • Saravanan, S., M. Kocarev, et al. (2006). “Equivalent dose of ephedrine and phenylephrine in the prevention of post-spinal hypotension in Caesarean section.” Br J Anaesth96(1): 95-99.
  • Thomas, D. G., S. C. Robson, et al. (1996). “Randomized trial of bolus phenylephrine or ephedrine for maintenance of arterial pressure during spinal anaesthesia for Caesarean section.” Br J Anaesth76(1): 61-65.
  • Thiele RH. The Physiologic Implications of Isolated Alpha1 Adrenergic Stimulation. Anesth Analg 2011;113:284
  • Thiele RH. The Clinical Implications of Isolated Alpha1 Adrenergic Stimulation. Anesth Analg 2011;113:297
  • Meng L. Effect of Phenylephrine and Ephedrine Bolus Treatment on Cerebral Oxygenation in Anaesthetized Patients. Br J Anaes 2011;107(2):209

Apneic Oxygenation

all information can be found on the EMCrit Preoxygenation Page

Delayed Sequence Intubation (DSI)

See the podcast on DSI; it has the flowsheet and a bunch of other stuff

Here is the adult ketamine review article mentioned: [Am J Emerg Med 2008;26(9):985]


  1. Trey Woods says


    Just wanted to tell you I was pretty excited when I received my EMRA Pressor DEX pocketbook today and see that your idea has finally being disseminated to the masses. (there’s a section at the end if you didn’t know). After having seen you at ACOEP last year, ACEP, and now EM Essentials this year myself and another senior resident have convinced several of our facilities to accept this and are ON-BOARD. As the chief I use EMCRIT to supplement our teachings and want to say thanks for all of your hard work, it truly benefits our future of EM and CC.

  2. Jon R. Hager D.O. says


    LOVE the cutting edge stuff in your blog, Bro. Keep up the great work!

    Jon H.

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