Episode 5

Adrenaline Junky – To Epi or Not to Epi, that is the Question

Mar 4, 2020

Welcome back to Match on a Fire. Today we’re talking about epinephrine because it’s such a hot topic. While we know a lot about it, we need to take a step back to really look at it and see if we’re doing the right things. We’ll be giving you a little background on epinephrine, covering a recent study that everyone’s been talking about, and what that all means for our practice.

Hosts & Guests

Shannon Sovndal, MD

Stephanie Sovndal, F-PC/FF

About This Episode

What are the benefits of push-dose? What are the benefits of epi when it comes to cardiac arrest and what does the data say? Why might not epi be the best for our patients? What have the recent studies uncovered and why is everyone talking about it? What is the tradeoff when it comes to the outcomes of using epinephrine? What are the ethics questions involved?

 We are not academic-centered. We aren’t affiliated with any hospital or any education center. These stories and our knowledge is based on our 20+ years in the medical field. If you have any questions, comments, or concerns about things we’ve said or topics you want to discuss, please send us an email.

Quotes

01:38 – “The thing about epinephrine is that everyone just assumes we know everything about it because we’ve had it forever but then realize, ‘Wow there’s a lot of things to be concerned about.” Shannon Sovndal

06:45 – “I love the one to one thousand. I love push-dose because you can very easily micromanage it. I furthermore like it with kiddos because it keeps you from fluid overloading your kiddos as well.” Steph Sovndal

 03:32 – “The way that I remember the receptor sites is, ‘Beta one, one heart; Beta two, two lungs.” – Steph Sovndal

 01:45 – “We’re finally starting to look at epi and say, ‘We know it does a lot of good things, but is it as great as we thought it was.’” Steph Sovndal

 19:35 – “Epi is great at restarting hearts but not so great at getting favorable neurological outcomes.’” Steph Sovndal

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