Firejeep3 Posted November 1, 2006 Share Posted November 1, 2006 :scratch: A service I work for part-time had a refresher, the instructor said that Lidocaine was an option in the treatment of PEA and Aystole as a second round drug. Has anyone else ever heard of this?? Is their instructor reading something into the the ACLS guidelines that I missed ?? Or is the instructor in need of some lessons. Worst part is there are medics new and old that believe him because he is the "cool" old-timer. Maybe I am wrong but I think he is wrong. Let me know. Link to comment Share on other sites More sharing options...
Connie31079 Posted November 1, 2006 Share Posted November 1, 2006 Hmmm, unless this is something new, this wasn't was I was taught.... I was told ATROPINE for PEA of less than 60 beats per minute, and ATROPINE for asystole. Lidocaine is gradually falling out of favor here in Nova Scotia. We're only allowed to give it post-arrest if ROSC and if the patient is experiencing runs of VT. And of course, monomorphic VT with a pulse....it's a first line drug here. Maybe your instructor got things mixed up, in any case, somebody should correct him as to what he's teaching his students, because it's WRONG! Link to comment Share on other sites More sharing options...
AZCEP Posted November 1, 2006 Share Posted November 1, 2006 Lidocaine is not indicated for Aystole/PEA. EVER. It can be considered upon return of spontaneous circulation, but not a moment before. Link to comment Share on other sites More sharing options...
Spock Posted November 1, 2006 Share Posted November 1, 2006 Perhaps you didn't hear the instructor right otherwise he is an idiot. Lidocaine has no place in the treatment of PEA or asystole under any version of ACLS guidelines current or past. Live long and prosper. Spock Link to comment Share on other sites More sharing options...
WelshMedic Posted November 1, 2006 Share Posted November 1, 2006 Why didn't he go the whole hog and suggest good 'ol Bretylium as well? Methinks this is one teacher that should hang up his gown pretty soon. (I'll never forget that great line in the film " Flatliners" - "No, don't give him Bretylium; he'll fry". Why didn't someone ask: " How you want him, medium rare?") WM Link to comment Share on other sites More sharing options...
Beagle189 Posted November 2, 2006 Share Posted November 2, 2006 Haven't heard of that or read any studies that suggest that. Link to comment Share on other sites More sharing options...
Ridryder 911 Posted November 2, 2006 Share Posted November 2, 2006 I have taken ACLS since its first conception and Lidocaine has never been indicated in PEA (EMD) or Aystole situations. Calcium Chloride was at one time was indicated for electrical mechanical dissociation (EMD/PEA) and Isuprel, Na HC03, for Aystole, other than that medications have basically remained the same. R/r 911 Link to comment Share on other sites More sharing options...
Firejeep3 Posted November 2, 2006 Author Share Posted November 2, 2006 I thought the instructor was way off base and it scared me to hear some of the others repeating his fantasy ACLS, so I talked to the lead ACLS instructor and program director. Now I am just waiting to see if the instructor will correct his mistakes or we get a new instructor. I can not fault someone for making a mistake, but I can not believe so many would follow his mistake without question. No one learns from history. Link to comment Share on other sites More sharing options...
firefighter523 Posted November 8, 2006 Share Posted November 8, 2006 Don't know what he was thinking! Contraindication for Lidocaine: Hypersensitivity to amide local anesthetics, Stokes Adams Syndrome, second/third degree HB, sinus brady. Nothing like making a dead heart numb!! Link to comment Share on other sites More sharing options...
Ridryder 911 Posted November 8, 2006 Share Posted November 8, 2006 Nothing like making a dead heart numb!! You know I initally laughed, until I remembered a Paramedic student, I quizzed over Lidocaine who actually thought that Lidocaine actually did that !!!! R/r 911 Link to comment Share on other sites More sharing options...
Recommended Posts