Would you consider yourself a resuscitation expert? Comment below how you’d grade your skills from 1-10. Regardless of where you land, Swami and Scott will make sure this segment has something for you to take away to your practice, and you are going to want to tune in to hear it. They will be discussing 👍 The Good: Higher first-shock energy settings (≥200 J) are preferable to lower energy. 👎 The Bad: Guidelines still say to continue giving Epi every 3 to 5 minutes. There is no definitive evidence of improved neurologic outcomes, and outcomes may be worse in shockable rhythm states. ❌ The Ugly: International Liaison Committee on Resuscitation (ILCOR) states that dual sequential external defibrillation (DSED) may be performed for shockable rhythms. One important thing to note: The ACLS guidelines were made for all-comers in medicine and, therefore, should be approached with understanding that your expertise as a resuscitationist may go beyond ACLS. #EMRAP #EM #EmergencyMedicine #ACLSGuidelines #AHAGuidelines #resuscitation

Overall, I have not seen much compelling literature to refute #ACLSGuidelines so I would still defer to them. However, the logic above 👆🏼 seems pretty solid and I’d like to believe this could hold up if properly tested #evidencedbasedmedicine