Ep. 83 – Early IM Epinephrine: A Game Changer in Cardiac Arrest Treatment

By Mark L. Plaster, MD, JD and Jondavid Landon, MD, RDCS, RDMS ON October 1, 2024

In this episode of EP Talk, host Mark Plaster, co-host JD Landon, and guest Marcus Kaplan PharmD discuss a groundbreaking study on the administration of intramuscular epinephrine for out-of-hospital cardiac arrest patients.

The conversation covers the study’s findings, its potential implications for emergency medical services, and the challenges of implementing this method in real-world scenarios. They also touch on historical practices, limitations of the study, current protocols, and hope for improved neurological outcomes in cardiac arrest patients.

00:00 Introduction and Guest Introduction

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01:43 Overview of Cardiac Arrest Study

03:36 Historical Context of Epinephrine Use

06:32 Discussion on Epinephrine Dosage and Administration

10:09 Study Population and Methodology

16:43 Implications and Future Directions

32:18 Conclusion and Final Thoughts

ABOUT THE AUTHORS

Mark L. Plaster, MD, JD

FOUNDER/EXECUTIVE EDITOR Dr. Plaster has been an emergency physician for more than 30 years, working exclusively night shifts for the past 20 years in emergency departments across the country. During that period, he joined the U.S. Navy and served two tours in Iraq. Dr. Plaster is the founder and executive editor of Emergency Physicians Monthly and the founder of Plaster Publishing.

Jondavid Landon, MD, RDCS, RDMS

Jondavid "JD" Landon, MD, RDCS, RDMS is a community faculty member of Emergency Medicine at Eastern Virginia Medical School. He is fellowship trained in ultrasound with interests in critical care, cardiac arrest and ECPR.

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